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DavidsonsPrinciplesand

PracticeofMedicine

22 keypointsaboutthe22nd Edition

22 keypointsaboutthe22nd Edition
1. Everychapterhasbeenrevisedindetailbyexpertsinthefieldtobringituptodate,and
subjectedtorigorouseditorialreview.Theresultisabookwhichisnotincreasedinlength,but
containsalloftheimportantcontemporaryupdatesinmedicalpractice,presentedwiththe
clarityandsimplicitythatisDavidsonstrademark.
2. Asimplifiedclassificationprovidesaclearerpresentationofthe1350boxesusedthroughout
thebook.PopularInOldAge,InPregnancy,Emergency andPracticePointboxesareretained
whiletheEvidenceBasedMedicineboxeswhichensurethatreadersareawareofinnovationsin
practicehavebeenupdatedwithdescriptionsofnewguidelines.

22 keypointsaboutthe22nd Edition
3.NewInAdolescenceboxeshighlightthefactthatmany
chronicdisordersthatbegininchildhoodgoontobecome
theresponsibilityofphysicianspractisingadultmedicine.
Theseboxesacknowledgetheoverlaptransitionalphase
andthekeypointsforadultphysicianswhenlookingafter
youngpeople.

22 keypointsaboutthe22nd Edition
4.TheverypopularClinicalExaminationoverviewsatthestartofeachofthesystemsbased
chaptersareretained,andhavebeenrefreshedwithnewimagesforthemanikinsontheleft
pageandnewexamplesofexaminationmethodsandinterpretationontherightpage.

22 keypointsaboutthe22nd Edition
5.RobertBritton,whoseartwork hasunderpinnedtheclarityofillustrationsinDavidsonsover
manyeditions,hasdesignedallofthenewandrevisedfigures,ensuringtheirconsistencyof
qualityandstyle.

22 keypointsaboutthe22nd Edition
6. Theregularintroductionofnewauthorsandeditorsmaintainsthefreshnessofeachnew
edition.DrIanPenmanhasjoinedtheeditorialteamand18newauthorshavehelpedtobring
thecontentrightuptodate.
7. AnexpandedInternationalAdvisoryBoardnowcomprises38membersfrom16different
countries.Theirsystematicreviewofthe21stEditionproducedimportantsuggestionswhich
wereincorporatedinchapterplanningforthe22ndEdition.
CountriesrepresentedontheInternationalAdvisoryBoard:
Australia
Malaysia
Bangladesh
NewZealand
Egypt
Pakistan
HongKong
Poland
India
SaudiArabia
Japan
SouthAfrica
Jordan
SriLanka
Libya
Sweden

22 keypointsaboutthe22nd Edition
8. AnewchapteronTherapeuticsandGoodPrescribing
bySimonMaxwellprovidesastrongeremphasisonthe
underlyingprinciplesofClinicalPharmacologyanda
moredetaileddescriptionofthepracticalitiesofdrug
prescribing.Thisrecognisesthecentralroleofdrug
prescriptionsinthepracticeofmedicine,addresses
recentlydocumenteddeficienciesinprescribingskillsof
medicalstudentsandrecentgraduates,andhelps
readerstonegotiatetheincreasinglycomplex
polypharmacy thatoccursintheageingpopulation.

9. AnewchapteronStroke
MedicinebyPeterLanghorne
recognisestheemergenceofthis
disciplineasaspecificmedicalsub
specialty,andhighlightsthestrong
evidencebaseforcontemporary
therapyofstroke.

22 keypointsaboutthe22nd Edition
10.AnewsectiononObesitybyJohnWildingintheEnvironmentalandNutritionalFactorsin
Diseasechapterprovidesapracticalguidetomanagementofthishighlyprevalentproblem,and
newfiguresdescribetheincreasingroleofbariatricsurgicalprocedures.

22 keypointsaboutthe22nd Edition
11.Anewparadigmincancerbiology,thetenhallmarksofcancerisintroducedinthe
Oncologychapterandeloquentlydescribesthekeymechanismsinvolvedincancerdevelopment
andprogression.

12. Managementofelderlypatientsremainsahorizontalthemethroughoutthebook,captured
intheInOldAgeboxes,buttheintroductorychapteronAgeingandDiseasehasbeenrevisedby
newauthorMilesWitham,detailingthelatestmethodsforassessingfrailty,disabilityand
rehabilitationneeds.

22 keypointsaboutthe22nd Edition
13. TheHIV/AIDSchapterhasbeenextensivelyrevisedbyGaryMaartens,whoseextensive
experienceoftheconditioninSouthAfricaisreflectedinahighlyaccessibleandpractical
chapter.

14. Newalgorithmsforadultlifesupport,themanagementofacutecoronarysyndromeand
hypertension,andthelatestincardiacCTandMRimaging,ensuretheCardiology chapter
reflectsstateoftheartknowledgeforalldoctors.

22 keypointsaboutthe22nd Edition
15. NewauthorsoftheDiabetes chapter,
RoryMcCrimmon andEwanPearson,have
broughtmanypracticalguidelinestolifein
newillustrationsandalgorithms,conveying
howalldoctorsshouldrespondtothis
increasinglyprevalentandresource
consumingdisease.

22 keypointsaboutthe22nd Edition
16. NewauthorsDavidJonesandQuentinAnstee
haveextensivelyupdatedthechapteronLiver
Disease toreflecttherapidlyevolvingfieldsof
viralhepatitis,fattyliverandtransplantation.A
newapproachtotheassessmentofpatientsis
presented,highlightingtheimportanceofcareful
clinicalevaluationindeterminingacutefrom
chronicliverdisease.
17. TheNeurology chapterhasbeenthoroughly
updatedbynewauthorsJohnPaulLeachand
RichardDavenport,includingnewpractical
guidanceonthechallengesoftheclinical
approachandlocalisationoflesionsinneurology.
18. ThechapteronSkinDiseasehasbeen
extensivelyrestructuredandupdatedbynew
authors,SallyIbbotsonandRobertDawe.New
sectionsonphotosensitiveandphotoaggravated
conditionsandtheapproachtocommonskin
problemsarematchedbyover25newhigh
qualityphotographs.

22 keypointsaboutthe22nd Edition
19.ThechapteronKidneyandUrinaryTractDiseasehasbeencompletelyrestructuredto
includeanewexaminationsection,anextensivelyrevisedsectiononpresentingproblems,and
updatedsectionsondiseasesofthecollectingsystem,prostatediseaseandtumoursofthe
kidneyandurinarytract.
20.TheRheumatologyandBoneDiseasechapter
hasbeenfullyrevisedwithnewauthorIain
McInnes toincludeanupdatedsectionon
imagingwhichemphasisestheincreasing
importanceofmusculoskeletalultrasoundand
MRIscanninginclinicalpractice,informationon
newdiagnosticcriteriaforrheumatoidarthritis
andseronegative spondyloarthropathies andan
extensivelyupdatedsectionondrugtreatment
whichputstheroleofdifferentdrugsincontext,
andincludesinformationonthelatestbiological
therapiesthatareavailable.

22 keypointsaboutthe22nd Edition
21.BiologicaltherapiesareintroducedintheTherapeutics
chapterandtheiruseisexplainedintheImmunology
chapterandwhererelevantthroughoutthebook.The
emergenceandrapidexpansionofthisgroupoftherapies
forinflammatorydiseasesandcancerrepresentsonethe
mostsignificantdevelopmentsinmedicineinthelast
decade.
22.Therevolutioninmedicalgeneticsandthepotentialof
groundbreakingcellbasedtherapiesisreflectedinan
updatedMolecularandGeneticMechanismsofDisease
chapter.