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CURRENT Medical Diagnosis and Treatment 2002

ISBN: 9780071376884 | 0071376887
Edition: 41st
Format: Paperback
Publisher: Appleton
Pub. Date: 10/23/2001

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SummaryTable of Contents
Authorsxiii
Prefacexix
General Approach to the Patient; Health Maintenance & Disease Prevention; & Common Symptoms
1(32)
... MORE
Stephen J. McPhee
Michael Pignone
Steven A. Schroeder
General Approach to the Patient
1(1)
Health Maintenance & Disease Prevention
2(14)
Prevention of Infectious Diseases
2(2)
Cardiovascular Diseases
4(6)
Physical Inactivity & Sedentary Lifestyle
10(1)
Cancer Prevention
11(2)
Prevention of Injuries & Violence
13(1)
Substance Abuse: Alcohol & Illicit Drugs
14(2)
Common Symptoms
16(15)
Pain
16(11)
Fever & Hyperthermia
27(2)
Weight Loss
29(1)
Fatigue
29(2)
Relevant World Wide Web Sites
31(2)
Preperative Evaluation
33(14)
Joshua S. Adler
Lee Goldman
Physiologic Effects of Anesthesia & Surgery
33(1)
Evaluation of the Asymptomatic Patient
33(1)
Cardiac Risk Assessment
33(5)
Pulmonary Evaluation in Non-Lung Resection Surgery
38(1)
Evaluation of the Patient with Liver Disease
39(1)
Properative Hematologic Evaluation
40(1)
Neurologic Evaluation
41(1)
Management of Endocrine Diseases
41(2)
Renal Disease
43(1)
Antibiotic Prophylaxis of Surgical Wound Infections
43(2)
Relevant World Wide Web Sites
45(2)
Geriatric Medicine
47(20)
William L. Lyons
C. Bree Johnston
Kenneth E. Covinsky
Neil M. Resnick, MD
General Principles of Geriatric Medicine
47(2)
General Approach to the Older Patient
49(5)
Assessment of the Elderly
50(3)
Selected Preventive Measures in Geriatric Practice
53(1)
Common Problems of the Frail Elderly
54(11)
Dementia
54(3)
Depression
57(1)
Delirium
57(1)
Immobility
58(1)
Falls & Gait Disorders
59(1)
Urinary Incontinence
60(3)
Weight Loss & Malnutrition
63(1)
Pharmacotherapy & Polypharmacy
64(1)
Relevant World Wide Web Sites
65(2)
Cancer
67(50)
Hope S. Rugo
Incidence & Etiology
67(4)
Prevention of Cancer
71(8)
Primary Prevention
71(6)
Secondary Prevention
77(1)
Special Topics in Prevention
78(1)
Staging of Cancer
79(1)
Primary Cancer Treatment
80(21)
Surgery & Radiation Therapy
80(2)
Systemic Cancer Therapy
82(7)
Adjuvant Chemotherapy for Micrometastases
89(7)
Toxicity & Dose Modification of Chemotherapeutic Agents
96(5)
Evaluation of Tumor Response
101(2)
Tumor Size
102(1)
Tumor Markers
102(1)
General Well-Being, Performance Status, & Supportive Care
103(1)
Cancer Complications: Diagnosis & Management
104(6)
Oncologic Emergencies
104(3)
Other Complications
107(3)
The Paraneoplastic Syndromes
110(3)
Novel Therapies for Cancer Treatment
113(2)
Alternative & Complementary Therapies for Cancer Treatment
115(1)
Relevant World Wide Web Sites
116(1)
Care at the End of Life
117(12)
Michael W. Rabow
Steven Z. Pantilat
The End of Life
117(2)
Diagnosis of the End of Life
117(1)
Expectations About the End of Life
117(1)
Communication & the Role of the Physician at the End of Life
118(1)
Caring for the Family
118(1)
The Limits of Care at the End of Life
118(1)
The Setting & Structure of Care
119(3)
Ethical & Legal Background
119(1)
Advance Directives
120(1)
DNAR Orders
120(1)
Hospice Care
121(1)
Cultural Issues
121(1)
The Specific Tasks of Caring
122(5)
Symptom Management
122(2)
Nutrition & Hydration
124(1)
Withdrawal of Support
124(1)
Psychologic, Social, & Spiritual Issues
125(2)
Tasks After Death
127(1)
The Pronouncement & Death Certificate
127(1)
Autopsy & Organ Donation
127(1)
Follow-Up & Grieving
127(1)
Relevant World Wide Web Sites
128(1)
Skin, Hair, & Nails
129(66)
Timothy G. Berger
Diagnosis of Skin Disorders
129(1)
Principles of Dermatologic Therapy
129(65)
Common Dermatoses
135(1)
Pigmented Lesions
135(3)
Scaling Disorders
138(14)
Vesicular Dermatoses
152(5)
Weeping or Encrusted Lesions
157(2)
Pustular Disorders
159(6)
Figurate Erythemas
165(4)
Blistering Diseases
169(3)
Papules
172(3)
Violaceous to Purple Papules & Nodules
175(2)
Pruritus (Itching)
177(4)
Inflammatory Nodules
181(2)
Photodermatitis
183(1)
Ulcers
184(2)
Miscellaneous Dermatologic Disorders
186(1)
Pigmentary Disorders
186(2)
Baldness (Alopecia)
188(1)
Nail Disorders
189(1)
Dermatitis Medicamentosa (Drug Eruption)
190(4)
Relevant World Wide Web Sites
194(1)
Eye
195(32)
Paul Riordan-Eva
Symptoms of Ocular Disease
195(1)
Ocular Examination
196(2)
Ophthalmologic Referrals
198(1)
Refractive Errors
198(1)
Disorders of the Lids & Lacrimal Apparatus
199(2)
Conjunctivities
201(2)
Pinguecula & Pterygium
203(1)
Corneal Ulcer
203(2)
Acute (Angle-Closure) Glaucoma
205(1)
Open-Angle Glaucoma
206(1)
Uveitis
207(1)
Cataract
208(1)
Retinal Detachment
209(1)
Vitreous Hemorrhage
210(1)
Age-Related Macular Degeneration
210(1)
Central & Branch Retinal Vein Occlusions
211(1)
Central & Branch Retinal Artery Occlusions
211(1)
Amaurosis Fugax
212(1)
Retinal Disorders Associated With Systemic Diseases
212(3)
Anterior Ischemic Optic Neutropathy
215(1)
Optic Neuritis
215(1)
Optic Disk Swelling
216(1)
Ocular Motor Palsies
216(1)
Dysthyroid Eye Disease
216(1)
Orbital Cellulitis
217(1)
Ocular Trauma
217(2)
Principles of Treatment of Ocular Infections
219(1)
Techniques Used in the Treatment of Ocular Disorders
219(1)
Precautions in Management of Ocular Disorders
219(6)
Adverse Ocular Effects of Systemic Drugs
225(1)
Relevant World Wide Web Sites
225(2)
Ear, Nose, & Throat
227(42)
Robert K. Jackler
Michael J. Kaplan
Diseases of the Ear
227(14)
Diseases of the Nose & Paranasal Sinuses
241(9)
Diseases of the Oral Cavity & Pharynx
250(6)
Diseases of the Salivary Glands
256(2)
Diseases of the Larynx
258(3)
Tracheotomy & Cricothyrotomy
261(1)
Foreign Bodies in the Upper Aerodigestive Tract
262(1)
Diseases Presenting as Neck Masses
263(3)
Otolaryngologic Manifestations of HIV Infection
266(2)
Relevant World Wide Web Sites
268(1)
Lung
269(94)
Mark S. Chesnutt
Thomas J. Prendergast
Common Manifestations of Lung Disease
269(3)
Dyspnea
269(1)
Cough
270(1)
Hemoptysis
271(1)
Approach to the Patient
272(4)
Physical Examination
272(1)
Pulmonary Function Tests
273(3)
Disorders of the Airways
276(23)
Pulmonary Infections
299(18)
Pulmonary Neoplasms
317(10)
Interstitial Lung Disease
327(5)
Disorders of the Pulmonary Circulation
332(12)
Environmental & Occupational Lung Disorders
344(6)
Pleural Diseases
350(6)
Disorders of Control of Ventilation
356(2)
Acute Respiratory Failure
358(2)
Acute Respiratory Distress Syndrome (ARDS)
360(2)
Relevant World Wide Web Sites
362(1)
Heart
363(96)
Barry M. Massie
Thomas M. Amidon
Symptoms & Signs
363(3)
Diagnostic Testing
366(1)
Congenital Heart Disease
367(5)
Valvular Heart Disease
372(11)
Coronary Heart Disease
383(27)
Disturbances of Rate & Rhythm
410(15)
Bradycardias & Conduction Disturbances
425(4)
Cardiac Failure
429(11)
Myocarditis & the Cardiomyopathies
440(5)
Acute Rheumatic Fever & Rheumatic Heart Disease
445(2)
Diseases of the Pericardium
447(3)
Pulmonary Hypertension & Heart Disease
450(1)
Neoplastic Diseases of the Heart
451(1)
Cardiac Involvement in Miscellaneous Systemic Diseases
452(1)
Traumatic Heart Disease
453(1)
The Cardiac Patient & Surgery
453(1)
The Cardiac Patient & Pregnancy
454(3)
Relevant World Wide Web Sites
457(2)
Systemic Hypertension
459(26)
Barry M. Massie
Management of Hypertension
459(7)
Drug Therapy
466(16)
Hypertensive Urgencies & Emergencies
482(2)
Relevant World Wide Web Sites
484(1)
Blood Vessels & Lymphatics
485(32)
Louis M. Messina
Lawrence M. Tierney, Jr.
Diseases of the Aorta
485(5)
Atherosclerotic Occlusive Disease
490(9)
Vasomotor Disorders
499(3)
Venous Diseases
502(9)
Diseases of the Lymphatic Channels
511(1)
Hypotension & Shock
512(4)
Relevant World Wide Web Sites
516(1)
Blood
517(54)
Charles A. Linker
Anemias
517(17)
Neutropenia
534(1)
Leukemias & Other Myeloproliferative Disorders
535(12)
Lymphomas
547(5)
Disorders of Hemostasis
552(13)
Hypercoagulable States
565(2)
Blood Transfusions
567(2)
Relevant World Wide Web Sites
569(2)
Alimentary Tract
571(104)
Kenneth R. McQuaid
Symptoms & Signs of Gastrointestinal Disease
571(21)
Diseases of the Peritoneum
592(5)
Diseases of the Esophagus
597(17)
Diseases of the Stomach & Duodenum
614(17)
Diseases of the Small Intestine
631(13)
Diseases of the Colon & Rectum
644(24)
Anorectal Diseases
668(4)
Relevant World Wide Web Sites
672(3)
Liver, Biliary Tract, & Pancreas
675(46)
Lawrence S. Friedman
Jaundice (Icterus)
675(3)
Diseases of the Liver
678(27)
Diseases of the Biliary Tract
705(8)
Diseases of the Pancreas
713(7)
Relevant World Wide Web Sites
720(1)
Breast
721(24)
Armando E. Giuliano
Benign Breast Disorders
721(3)
Fibrocystic Disease
721(1)
Fibroadenoma of the Breast
722(1)
Nipple Discharge
722(1)
Fat Necrosis
723(1)
Breast Abscess
723(1)
Disorders of the Augmented Breast
723(1)
Carcinoma of the Female Breast
724(19)
Incidence & Risk Factors
724(1)
Early Detection of Breast Cancer
725(6)
Differential Diagnosis
731(1)
Staging
731(1)
Pathologic Types
731(1)
Special Clinical Forms of Breast Cancer
731(3)
Hormone Receptor Sites
734(1)
Curative Treatment
734(4)
Palliative Treatment
738(2)
Prognosis
740(1)
Follow-Up Care
741(2)
Carcinoma of the Male Breast
743(1)
Relevant World Wide Web Sites
744(1)
Gynecology
745(36)
H. Trent MacKay
Abnormal Premenopausal Bleeding
745(2)
Postmenopausal Vaginal Bleeding
747(1)
Premenstrual Syndrome (Premenstrual Tension)
747(1)
Dysmenorrhea
748(1)
Vaginitis
748(2)
Cervicitis
750(1)
Cervical Polyps
750(1)
Cyst & Abscess of Bartholin's Duct
750(1)
Effects of Exposure to Diethylstilbestrol In Utero
750(1)
Cervical Intraepithelial Neoplasia
751(2)
Carcinoma of the Cervix
753(1)
Leiomyoma of the Uterus
754(1)
Carcinoma of the Endometrium
755(1)
Carcinoma of the Vulva
756(1)
Endometriosis
757(1)
Genital Prolapse
758(1)
Uterine Prolapse
758(1)
Pelvic Inflammatory Disease
758(2)
Ovarian Tumors
760(3)
Persistent Anovulation
763(1)
Painful Intercourse (Dyspareunia)
764(1)
Infertility
765(3)
Contraception
768(7)
Rape
775(2)
Menopausal Syndrome
777(2)
Relevant World Wide Web Sites
779(2)
Obstetrics
781(26)
William R. Crombleholme
Diagnosis & Differential Diagnosis of Pregnancy
781(1)
Essentials of Prenatal Care
781(3)
Nutrition in Pregnancy
784(1)
Travel & Immunizations During Pregnancy
785(1)
Vomiting of Pregnancy & Hyperemesis Gravidarum
785(1)
Spontaneous Abortion
785(2)
Recurrent (Habitual) Abortion
787(1)
Ectopic Pregnancy
787(1)
Preeclampsia-Eclampsia
788(3)
Gestational Trophoblastic Neoplasia
791(1)
Third-Trimester Bleeding
792(1)
Medical Conditions Complicating Pregnancy
793(7)
Surgical Complications During Pregnancy
800(1)
Prevention of Hemolytic Disease of the Newborn
801(1)
Prevention of Preterm (Premature) Labor
802(1)
Lactation
802(3)
Puerperal Mastitis
805(1)
Relevant World Wide Web Sites
805(2)
Allergic & Immunologic Disorders
807(26)
Jeffrey L. Kishiyama
Daniel C. Adelman
Allergic Diseases
807(8)
Atopic Disease
808(1)
Allergic Rhinitis
809(3)
Anaphylaxis, Urticaria, & Angioedema
812(1)
Drug Allergy
813(1)
Immune Complex Disease (Serum Sickness)
814(1)
Pseudoallergic Reactions
815(1)
Clinical Immunology
815(16)
Cells Involved in Immunity
815(3)
Tests for Cellular Immunity
818(1)
Immunoglobulin Structure & Function
819(1)
Immunodeficiency Disorders
820(1)
Selective Immunoglobulin A Deficiency
821(1)
Common Variable Immunodeficiency
821(1)
Diseases of Immunoglobulin Overproduction
822(1)
Autoimmunity
823(1)
Autoimmune Diseases
824(1)
Tests for Autoantibodies Associated with Disease
824(1)
Immunogenetics & Transplantation
824(1)
Genetic Control of the Immune Response
824(2)
Associations between HLA Antigens & Specific Diseases
826(1)
Clinical Transplantation
826(3)
Mechanism of Action of Immunosuppressive Drugs
829(1)
Immunomodulating Therapies
830(1)
Relevant World Wide Web Sites
831(2)
Arthritis & Musculoskeletal Disorders
833(58)
David B. Hellmann
John H. Stone
Diagnosis & Evaluation
833(1)
Degenerative & Crystal-Induced Arthritis
834(7)
Pain Syndromes
841(12)
Autoimmune Diseases
853(17)
Vasculitis Syndromes
870(6)
Seronegative Spondyloarthropathies
876(4)
Infectious Arthritis
880(3)
Infections of Bones
883(3)
Tumors & Tumor-Like Lesions of Bone
886(1)
Other Rheumatic Disorders
887(1)
Some Orthopedic Procedures for Arthritic Joints
888(1)
Relevant World Wide Web Sites
889(2)
Fluid & Electrolyte Disorders
891(28)
Masafumi Fukagawa
Kiyoshi Kurokawa
Maxine A. Papadakis
Diagnosis of Fluid & Electrolyte Disorders
891(1)
Treatment of Specific Fluid, Electrolyte, & Acid-Base Disorders
892(24)
Disorders of Sodium Concentration
892(5)
Disorders of Potassium Concentration
897(4)
Disorders of Calcium Concentration
901(2)
Disorders of Phosphorus Concentration
903(3)
Disorders of Magnesium Concentration
906(1)
Hyperosmolar Disorders & Osmolar Gaps
907(1)
Acid-Base Disorders
907(9)
Fluid Management
916(1)
Relevant World Wide Web Sites
917(2)
Kidney
919(36)
Suzanne Watnick
Gail Morrison
Approach to Renal Disease
919(4)
Acute Renal Failure
923(6)
Chronic Renal Disease
929(8)
Glomerulonephropathies
937(10)
Tubulointerstitial Diseases
947(2)
Cystic Diseases of the Kidney
949(2)
Medullary Sponge Kidney
951(1)
Multisystem Diseases with Variable Kidney Involvement
951(1)
The Kidney & Aging
952(1)
Relevant World Wide Web Sites
953(2)
Urology
955(44)
Marshall L. Stoller
Joseph C. Presti
Peter R. Carroll
Urologic Evaluation
955(5)
Evaluation of Hematuria
960(1)
Genitourinary Tract Infections
960(8)
Acute Cystitis
962(1)
Acute Pyelonephritis
962(2)
Acute Bacterial Prostatitis
964(1)
Chronic Bacterial Prostatitis
965(1)
Nonbacterial Prostatitis
965(1)
Prostatodynia
966(1)
Acute Epididymitis
967(1)
Urinary Stone Disease
968(4)
Urinary Incontinence
972(2)
Intestitial Cystitis
974(1)
Male Erectile Dysfunction & Sexual Dysfunction
975(2)
Male Infertility
977(1)
Benign Prostatic Hyperplasia
978(7)
Malignant Genitourinary Tract Disorders
985(12)
Prostate Cancer
985(5)
Bladder Cancer
990(3)
Cancers of the Ureter & Renal Pelvis
993(1)
Primary Tumors of the Kidney
993(1)
Secondary Tumors of the Kidney
994(1)
Primary Tumors of the Testis
995(2)
Secondary Tumors of the Testis
997(1)
Relevant World Wide Web Sites
997(2)
Nervous System
999(60)
Michael J. Aminoff
Headache
999(4)
Facial Pain
1003(2)
Epilepsy
1005(5)
Syncope & Dysautonomia
1010(1)
Sensory Disturbances
1011(1)
Weakness & Paralysis
1011(1)
Transient Ischemic Attacks
1012(2)
Stroke
1014(7)
Intracranial & Spinal Space-Occupying Lesions
1021(5)
Nonmetastatic Neurologic Complications of Malignant Disease
1026(1)
Pseudotumor Cerebri
1027(1)
Selected Neurocutaneous Diseases
1027(1)
Movement Disorders
1028(7)
Dementia
1035(1)
Multiple Sclerosis
1035(2)
Vitamin E Deficiency
1037(1)
Spasticity
1037(1)
Myelopathies in AIDS
1037(1)
Myelopathy of Human T Cell Leukemia Virus
1037(1)
Subacute Combined Degeneration of the Spinal Cord
1038(1)
Wernicke's Encephalopathy
1038(1)
Stupor & Coma
1038(2)
Head Injury
1040(1)
Spinal Trauma
1041(1)
Syringomyelia
1042(1)
Motor Neuron Diseases
1042(1)
Peripheral Neuropathies
1043(7)
Discogenic Neck Pain
1050(3)
Brachial & Lumbar Plexus Lesions
1053(1)
Disorders of Neuromuscular Transmission
1053(2)
Myopathic Disorders
1055(2)
Periodic Paralysis Syndrome
1057(1)
Relevant World Wide Web Sites
1057(2)
Psychiatric Disorders
1059(62)
Stuart J. Eisendrath
Jonathan E. Lichtmacher
Psychiatric Assessment
1059(3)
Treatment Approaches
1062(1)
Common Psychiatric Disorders
1063(41)
Substance Use Disorders
1104(8)
Delirium, Dementia, & Other Cognitive Disorders
1112(3)
Geriatric Psychiatric Disorders
1115(2)
Psychiatric Problems Associated with Hospitalization & Medical & Surgical Disorders
1117(2)
Relevant World Wide Web Sites
1119(2)
Endocrine Disorders
1121(82)
Paul A. Fitzgerald
Common Presentations in Endocrinology
1121(5)
Diseases of the Hypothalamus & Pituitary Gland
1126(9)
Diseases of the Thyroid Gland
1135(24)
The Parathyroids
1159(7)
Metabolic Bone Disease
1166(7)
Diseases of the Adrenal Cortex
1173(10)
Diseases of the Adrenal Medulla
1183(3)
Pancreatic Neuroendocrine Tumors
1186(2)
Diseases of the Testes
1188(3)
Amenorrhea & Menopause
1191(7)
Multiple Endocrine Neoplasia
1198(1)
Clinical Use of Glucocorticoids
1199(2)
Relevant World Wide Web Sites
1201(2)
Diabetes Mellitus & Hypoglycemia
1203(48)
Umesh Masharani
John H. Karam
Diabetes Mellitus
1203(35)
Diabetic Coma
1238(6)
The Hypoglycemic States
1244(6)
Relevant World Wide Web Sites
1250(1)
Lipid Abnormalities
1251(12)
Robert B. Baron
Lipids & Lipoproteins
1251(1)
Lipoproteins & Atherogenesis
1251(1)
Lipid Fractions & the Risk of Coronary Heart Disease
1252(1)
Therapeutic Effects of Lowering Cholesterol
1253(1)
Secondary Conditions That Affect Lipid Metabolism
1254(1)
Clinical Presentations
1254(1)
Screening for High Blood Cholesterol
1255(2)
Treatment of High LDL Cholesterol
1257(4)
High Blood Triglycerides
1261(1)
Relevant World Wide Web Sites
1262(1)
Nutrition
1263(32)
Robert B. Baron
Nutritional Requirements
1263(6)
Assessment of Nutritional Status
1269(4)
Nutritional Disorders
1273(5)
Eating Disorders
1278(2)
Disorders of Vitamin Metabolism
1280(5)
Diet Therapy
1285(3)
Nutritional Support
1288(6)
Relevant World Wide Web Sites
1294(1)
General Problems in Infectious Diseases
1295(28)
Richard A. Jacobs
Fever of Unknown Origin (FUO)
1295(2)
Infections in the Immunocompromised Patient
1297(4)
Nosocomial Infections
1301(1)
Infections of the Central Nervous System
1302(3)
Animal & Human Bite Wounds
1305(1)
Sexually Transmitted Diseases
1306(1)
Infections in Drug Users
1307(1)
Acute Infectious Diarrhea
1308(1)
Traveler's Diarrhea
1309(3)
Active Immunization Against Infectious Diseases
1312(7)
Recommended Immunization of Infants, Children, & Adolescents
1312(1)
Recommended Immunization of Adults
1312(5)
Recommended Immunizations for Travelers
1317(2)
Hypersensitivity Tests & Desensitization
1319(1)
Relevant World Wide Web Sites
1320(3)
HIV Infection
1323(346)
Mitchell H. Katz
Harry Hollander
Epidemiology
1325(1)
Etiology
1326(1)
Pathogenesis
1326(1)
Pathophysiology
1326(1)
Clinical Findings
1327(10)
Differential Diagnosis
1337(1)
Prevention
1337(3)
Treatment
1340(12)
Course & Prognosis
1352(1)
Relevant World Wide Web Sites
1353(316)
Diagnostic Testing & Medical Decision Making
1669(12)
C. Diana Nicoll
Michael Pignone
Benefits; Costs & Risks
1669(1)
Performance of Diagnostic Tests
1669(1)
Test Characteristics
1670(2)
Use of Tests in Diagnosis & Management
1672(1)
Odds-Likelihood Ratios
1673(6)
Relevant World Wide Web Sites
1679(2)
Information Technology in Patient Care: The Internet, Telemedicine, & Clinical Decision Support
1681(10)
Rick G. Kulkarni
Justin V. Graham
The Internet in Clinical Practice
1681(1)
Information Reliability & Quality Assessment
1682(1)
Legal Aspects of Medical Informatics
1683(1)
Patient-Clinician E-Mail
1684(1)
Interactive Forums
1685(1)
Telemedicine
1686(1)
Clinical Decision Support Systems
1687(1)
Personal Digital Assistants (Handhelds)
1688(1)
Medical Coding & Terminology
1689(1)
Relevant World Wide Web Sites
1690(1)
Complementary & Alternative Medicine
1691(18)
Bradly P. Jacobs
Ellen F. Hughes
Brian M. Berman
Herbal Medicines
1692(5)
Dietary Supplements
1697(3)
Acupuncture
1700(6)
Homeopathy
1706(2)
Relevant World Wide Web Sites
1708(1)
Appendix: Therapeutic Drug Monitoring & Reference Ranges1709(12)
C. Diana Nicoll
Index1721

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