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Prefatory material to Images of Memorable Cases: 50 Years at the Bedside

Dedication

To the resurrection and preservation of bedside medicine, and to the patients who made this book possible.

Acknowledgments

We thank Sue Robinson and Kimberley Storrs for secretarial help; Thomas R. Cole, PhD, Director, The John P. McGovern, MD, Center for Health, Humanities, and the Human Spirit, The University of Texas Health Science Center at Houston, for financial assistance; Kenneth E. Sack, MD, Professor of Clinical Medicine, University of California, San Francisco, and Ethan Natelson, MD, Associate Professor of Medicine, The University of Texas Health Science Center at Houston, for critically reviewing the manuscript; and our wives, Judy Fred and Yoka van Dijk, for their love and support.

Preface

When sophisticated medical technology became available in the 1970s, it established diagnoses with unprecedented speed and accuracy. But it also affected the practice and teaching of medicine, shifting focus from the bedside to the laboratory and giving rise to a laboratory-oriented rather than a patient-oriented mindset. As a result, physicians’ bedside skills have steadily deteriorated, and using one’s mind and sensory faculties to make diagnoses has become a lost art.

The images assembled here—some rare, many extraordinary, but every one instructive—are, with few exceptions, related to patients I have personally seen during my 53 years (and counting) as a full-time medical educator. They are presented non-thematically and as unknowns (the way patients typically show up in the hospital emergency department, the clinic, or the doctor’s office). Thus, readers must draw upon their entire diagnostic armamentarium in each case.

From the material we provide—limited at times to the image alone—informed readers should be able to make or strongly suspect the correct diagnosis. To find out how you fared, simply turn the page. There you will find the answer and a pertinent commentary. We deliberately have kept the commentaries brief, hoping to stimulate self-learning through additional reading.

The challenge is yours. Enjoy the journey.

Herbert L. Fred, MD, MACP

Questions & Answers

what are the products of Nano chemistry?
Maira Reply
There are lots of products of nano chemistry... Like nano coatings.....carbon fiber.. And lots of others..
learn
Even nanotechnology is pretty much all about chemistry... Its the chemistry on quantum or atomic level
learn
Preparation and Applications of Nanomaterial for Drug Delivery
Hafiz Reply
Application of nanotechnology in medicine
what is variations in raman spectra for nanomaterials
Jyoti Reply
I only see partial conversation and what's the question here!
Crow Reply
what about nanotechnology for water purification
RAW Reply
please someone correct me if I'm wrong but I think one can use nanoparticles, specially silver nanoparticles for water treatment.
Damian
yes that's correct
Professor
I think
Professor
what is the stm
Brian Reply
is there industrial application of fullrenes. What is the method to prepare fullrene on large scale.?
Rafiq
industrial application...? mmm I think on the medical side as drug carrier, but you should go deeper on your research, I may be wrong
Damian
How we are making nano material?
LITNING Reply
what is a peer
LITNING Reply
What is meant by 'nano scale'?
LITNING Reply
What is STMs full form?
LITNING
scanning tunneling microscope
Sahil
how nano science is used for hydrophobicity
Santosh
Do u think that Graphene and Fullrene fiber can be used to make Air Plane body structure the lightest and strongest. Rafiq
Rafiq
what is differents between GO and RGO?
Mahi
what is simplest way to understand the applications of nano robots used to detect the cancer affected cell of human body.? How this robot is carried to required site of body cell.? what will be the carrier material and how can be detected that correct delivery of drug is done Rafiq
Rafiq
if virus is killing to make ARTIFICIAL DNA OF GRAPHENE FOR KILLED THE VIRUS .THIS IS OUR ASSUMPTION
Anam
analytical skills graphene is prepared to kill any type viruses .
Anam
Any one who tell me about Preparation and application of Nanomaterial for drug Delivery
Hafiz
what is Nano technology ?
Bob Reply
write examples of Nano molecule?
Bob
The nanotechnology is as new science, to scale nanometric
brayan
nanotechnology is the study, desing, synthesis, manipulation and application of materials and functional systems through control of matter at nanoscale
Damian
Is there any normative that regulates the use of silver nanoparticles?
Damian Reply
what king of growth are you checking .?
Renato
What fields keep nano created devices from performing or assimulating ? Magnetic fields ? Are do they assimilate ?
Stoney Reply
why we need to study biomolecules, molecular biology in nanotechnology?
Adin Reply
?
Kyle
yes I'm doing my masters in nanotechnology, we are being studying all these domains as well..
Adin
why?
Adin
what school?
Kyle
biomolecules are e building blocks of every organics and inorganic materials.
Joe
anyone know any internet site where one can find nanotechnology papers?
Damian Reply
research.net
kanaga
sciencedirect big data base
Ernesto
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Source:  OpenStax, Images of memorable cases: 50 years at the bedside. OpenStax CNX. Dec 08, 2008 Download for free at http://cnx.org/content/col10449/1.7
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