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1.1 On being a patient 3 ESSENTIALS Those who practise medicine should remember that we are all pa- tients at some time, most likely at the beginning and end of our lives. We therefore begin this textbook with an account of encounters with the medical and nurs...

1.2 A young person’s experience of chronic disease 6 ESSENTIALS For as long as I can remember, my life has involved hospital care, both as an inpatient and as an outpatient. I’ve never really thought of myself as having a chronic condition, but I have three of...

1.3 What patients wish you understood 8 ESSENTIALS If I have an acute curable condition, it is likely that your aims as a doctor and mine as a patient are aligned:  we both want the problem to go away. But more people are now like me, living with disease rathe...

1.4 Why do patients attend and what do they want from the consultation? 14 ESSENTIALS It is the job of doctors to know about disease and how to diagnose and treat it, and textbooks such as this are part of that endeavour. However, proportionally little actual ...

1.5 Medical ethics 20 Mike Parker, Mehrunisha Suleman, and Tony Hope ESSENTIALS Medicine is both a scientific and a moral enterprise. It is as important to give reasons for the ethical aspects of clinical decisions as it is for the scientific aspects. The coro...

1.6 Clinical decision- making 26 Timothy E.A. Peto and Philippa Peto ESSENTIALS Clinicians make decisions at every stage of the patient pathway. In routine practice complex decisions are often made rapidly using ‘intuition’ or common sense, but this can lead t...

Contents Contents Volume 1 List of abbreviations  xxxv List of contributors  xlv SECTION 1 Patients and their treatment Section editors: John D. Firth, Christopher P. Conlon, and Timothy M. Cox 1.1 On being a patient  3 Christopher Booth† 1.2 A young person...

Copyright 3 Great Clarendon Street, Oxford, OX2 6DP, United Kingdom Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxfor...

Foreword Foreword Professor Sir John Bell, Regius Professor of Medicine, University of Oxford In 1983, David Weatherall, John Ledingham, and David Warrell launched the first edition of the Oxford Textbook of Medicine. That era of medicine looked entirely diffe...

List of abbreviations xxxv Abbreviations 5-​FU 5-​fluorouracil 5-​HIAA 5-​hydroxyindoleacetic acid 5-​HT 5-​hydroxytryptamine 5-​HT 5-​hydroxytryptamine AAA acquired aplastic anaemia AAFB acid-​ and alcohol-​fast bacilli AASLD American Association for t...

Oxford Textbook of Medicine-Volume 1, 6e (May 6, 2020)(0198746695)(Oxford University Press)

Oxford Textbook of Medicine Oxford Textbook of Medicine 1 Oxford Textbook of Medicine SIXTH EDITION Volume 1: Sections 1–9 EDITED BY John D. Firth Christopher P. Conlon Timothy M. Cox

Preface Preface Changes in medicine The Oxford Textbook of Medicine is published online and has been regularly updated for many years, but the production of a new and very substantially updated edition provides a moment when it is nat- ural and proper to refle...