John D. Firth

Timothy M. Cox

David A. Warrell

Edward J. Benz, Jr.

The Oxford Textbook of Medicine provides all that any doctor needs to know to practice top-level internal medicine. It gives compreensive coverage of the epidemiology, aetiology, and mechanism of disease, as well as clear, unambiguous coverage of the diagnosis, practical management and prevention of the entire spectrum of medical disorders. There are major introductory sections on the scientific basis of disease; and in the system-based clinical sections genetic predisposition, pathophysiology, pathogenesis, molecular mechanisms, and cell biology are covered in depth for all significant medical syndromes. Clinical descriptions of diseases are clearly and memorably written, based on the experience and insight of the authors--many of whom are among the world's most distinguished medical scientists. Chapters are not only "evidence based" but also on clinical experience and a thorough survey of all the relevant literature. Throughout, the approach of OTM is humane and ethical and, at the same time, factual, reliable, honest(especially where knowledge is limited) and rigorously scientific. This is not just a textbook of "First World" medicine. It provides practical guidance for doctors working in a variety of medical setting the value of a logical clinical approach rather than immediate resort to expensive imaging and laboratory tests. Moore of the contributing authors than ever before are from outside Europe, including strong representation of North American medicine. The new editorial team has ensured that the OTM continues to reflect rapid changes in medical practice: there are new sections on intensive care, alcohol and drug abuse, clinical pharmacology and therapeutics, world health, clinical trials and evidence-based medicine, adolescent medicine, sports medicine, and emergency medicine; more than half the contributors are new for this edition; and most of the text has been heavily revised. The striking new page and cover design reflect the significant changes made in this new edition. The Textbook is illustrated by over 2000 two-color diagrams and many color Plates. The index is the most detailed and user-friendly of any major medical textbook: in an emergency, the reader can access information quickly- whether on the ward, in office or at home. Like its predecessors, OTM4 will be the trusted and ultimate reference in libraries, hospitals, doctors' consulting rooms, solicitors' offices, press offices, and primary care practices worldwide.

Oxford Textbook of Medicine

Scott A Weinstein

Daniel E Keyler

"Venomous" Bites from "Non-Venomous" Snakes, Second Edition is the first significant contribution to thoroughly examine the potential hazards associated with non-front-fanged snakes, former family, Colubridae. This family contained >65% of living snake species (approximately 3,000 taxa) and has recently been split into multiple families and subfamilies. Many of these snakes produce oral secretions that contain toxins and other biologically-active substances. A large variety of non-front-fanged snakes figure in the pet industry, yet little documented information or formal study of their potential medical importance has been published. Therefore, although the possible medical importance of many of these species has been subjected to speculation since the mid-nineteenth century, there is a limited amount of useful descriptive information regarding the real hazard (or lack thereof) of snakes belonging to this diverse, artificial family. The first edition of this book provided one-stop shopping by offering information regarding their possible toxicity and clinical relevance as well as recommendations for medical management of their bites. The second edition will expand and update the content with detailed information about the effects and medical management of bites by at least 12 non-front-fanged species. The ever-changing taxonomy of advanced snakes is updated, and the bases for some of the changes is discussed. Likewise, terminology is also updated in order to reflect the ongoing debates regarding the definition of ‘venom’ and the balanced reinforcement of non-medical criteria used to define the biological basis of the term venomous. Fills a gap in toxinological, medical, and herpetological literature by providing a comprehensive review of this entire assemblage of non-venomous snakes, with particular attention given to their capacity to cause harm to humans Offers a patient-centered, evidence-based approach which is applied to analyzing documented case reports of bites inflicted by approximately 100 species Provides expanded and updated detailed information on the clinical management of medically significant bites from non-front-fanged snakes which is also methodically reviewed and specific recommendations are provided Includes updates to the taxonomy of advanced snakes and also to terminology with particular regard to the definition of "venom" and the non-medical criteria used to define the biological basis of "venomous"

"Venomous" Bites from "Non-Venomous" Snakes

Julian White

This book is the first significant contribution to thoroughly examine the potential hazards associated with snakes of the former family, Colubridae. This family contained >65% of living snake species (approximately 3,000 taxa) and has recently been split into multiple families. Many of these snakes produce oral secretions that contain toxins and other biologically-active substances. A large variety of these snakes figure in the pet industry, yet little documented information or formal study of their potential medical importance has been published. Therefore, although the possible medical importance of many of these species has been subjected to speculation since the mid-nineteenth century, there is a limited amount of useful descriptive information regarding the real hazard (or lack thereof) of snakes belonging to this diverse, artificial family. There is a need for "one-stop shopping" offering information regarding their possible toxicity and clinical relevance as well as recommendations for medical management of their bites. This book is the first synthesis of this information and includes evidence-based risk assessment, hazard rankings and specific recommendations regarding important species, many common in captivity. Fills a gap in the toxinological, medical and herpetological literature by providing a comprehensive review of this entire assemblage of snakes, with particular attention given to their capacity, real or rumored, to cause harm to humans A patient-centered, evidence-based approach is applied to analyzing documented case reports of bites inflicted by approximately 100 species. Clinical management of medically significant bites from non-front-fanged colubroids is methodically reviewed, and specific recommendations are provided

David A. Warrell

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