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Challenging Cases in Endocrinology (Contemporary Endocrinology)

by Mark E. Molitch

Distinguished clinician-scientists describe in concise studies their most difficult cases and reveal what they did, how they did it, and why. The cases cover a wide range of endocrine problems. Each case study reviews how the patient was managed, details the reasons why various tests and treatments-many only recently available-were carried out, and provides references to ensure that those novel methodologies can be easily translated into the endocrine specialist's daily practice. The authors provide practical solutions for these difficult-to-manage cases, and successfully apply knowledge fresh from the laboratory to decisions about patient management. Practical and stimulating, Challenging Cases in Endocrinology demonstrates for every clinical endocrinologist precisely how specialists approach their most challenging cases and how these approaches can be effectively applied in the daily practice of endocrinology.

Challenging Cases in Gynecologic Surgical Pathology

by Ozlen Saglam

Challenging Cases in Gynecologic Surgical Pathology discusses unusual clinical cases and uncommon presentations of usual diagnostic entities. The book is divided into four sections that contain over 14 years of teaching material from major academic institutions and cancer centers. The pathology case presentations are from different anatomical sites of the gynecological tract, including ovary and fallopian tubes, uterine corpus, cervix, and vulva. The chapters within each section contain epithelial, mesenchymal, or germ cell tumors and mimickers of cancer. Each case title has a brief clinical correlation at the end. The sample cases therein may be diagnostically challenging for practicing pathologists in routine practice or relatively recently described entities. The intent of the book is not a complete review of gynecologic pathology. Instead, the focus is on unusual patterns of common gynecologic pathology cases and uncommon tumors of the gynecological tract with their relevant clinical work-up and differential diagnosis. The case illustrations provide a practical approach to diagnosing challenging gynecologic cancers. The aim is to be a valuable resource for practicing general pathologists and pathology trainees who encounter complicated cases in daily practice.

Challenging Cases in Neurologic Localization: An Evidence-Based Guide

by Raghav Govindarajan Joel I. Shenker Nakul Katyal Junaid Siddiqui

This concise book is about using clinical stories to learn how to practice neurology. Each chapter represents a neurological case from different sub-specialty of neurology; authors illustrate how clinical neurology storytelling remains heavily tied to a detailed understanding of neuroanatomy, then consideration of a differential diagnosis for neuroanatomic localization before determining an etiologic a differential diagnosis. The neuroanatomic localization can be focal (one spot or region), multifocal (two or more physically discrete separate regions), or diffuse (widely dispersed across a broad but selected part of neuroanatomy). These stories capture the hypothesis testing point of view by offering different diagnostic possibilities based on presenting history alone, and then the storyteller revises those possibilities after testing them further with physical exam findings and later with test data. At each point, the exercise is to understand what the possibilities are based only on the information available at that point of the hypothesis testing and data collection processes. This interesting read for the upcoming residents and medical student educates on presenting complex neurological case in an explicit way.

Challenging Cases in Paediatric Radiology

by Asthik Biswas Farha Furruqh Manda Raz Michael Ditchfield

The book covers challenging clinical radiological cases spanning the central nervous system, respiratory and cardiovascular systems, gastrointestinal system, genitourinary system, musculoskeletal system, as well as multi-organ cases in paediatric patients. Each case includes pathognomonic images followed by a quiz to test the reader and a discussion of the case with a focus on key diagnostic features to help the reader recognise the case in working and examination environments. It combines the expertise of radiology consultants and trainees in order to provide pertinent information conducive to better clinical practice and focused specialty exam preparation in paediatric radiology

Challenging Cases in Palliative Care (Challenging Cases)

by Felicity Dewhurst Polly Edmonds Suzie Gillon Amy Hawkins Mary Miller Sarah Yardley

Palliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia. Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the 'messiness' of clinical care, as well as the increasingly complex needs of patients today. As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in approach.

Challenging Cases in Palliative Care (Challenging Cases)

by Felicity Dewhurst Polly Edmonds Suzie Gillon Amy Hawkins Mary Miller Sarah Yardley

Palliative care has evolved rapidly in recent years. Not only is the field dealing with an increasingly elderly and multi-morbid population, it is also addressing a wider variety of complex diagnoses such as heart failure, renal failure, advanced lung disease, frailty, and dementia. Challenging Cases in Palliative Care is unique, as it uses examples of real-world cases from palliative care practices. It also includes expert commentary to support modern clinicians in managing the 'messiness' of clinical care, as well as the increasingly complex needs of patients today. As part of our Challenging Cases series, the cases in this book not only cover a range of physical and psychosocial problems seen in palliative care, they also reflect the core curriculum for UK speciality trainees. Each case brings together expert interpretation of the available evidence, management strategies, guidelines and best practice, while discussing complexities in clinical decision-making and controversies in approach.

Challenging Cases in Pleural Diseases

by Najib Rahman Radhika Banka

Although we live in an era of evidence-based medicine, case histories have always had an important role in medical education. This book aims to provide complex case-based learning in pleural medicine, which is an integral part of respiratory medicine. It delivers practical knowledge learned through the experience of leading international authorities. Each case comprises clinical history, investigations, diagnosis, management, and detailed answers with discussion and key points. These interesting/challenging/puzzling real case histories will stimulate the reader’s mind with interactive questions and answers, imparting in-depth knowledge in diagnosis and management of complex pleural cases. Key Features: Contains high-quality illustrations of challenging cases to aid learning for speciality and certification exams Serves as an invaluable resource for pulmonologists, radiologists, critical care physicians, and trainees First case history-based book to be published exclusively for pleural medicine

Challenging Cases in Pleural Diseases

by Najib M Rahman

Although we live in an era of evidence-based medicine, case histories have always had an important role in medical education. This book aims to provide complex case-based learning in pleural medicine, which is an integral part of respiratory medicine. It delivers practical knowledge learned through the experience of leading international authorities. Each case comprises clinical history, investigations, diagnosis, management, and detailed answers with discussion and key points. These interesting/challenging/puzzling real case histories will stimulate the reader’s mind with interactive questions and answers, imparting in-depth knowledge in diagnosis and management of complex pleural cases. Key Features: Contains high-quality illustrations of challenging cases to aid learning for speciality and certification exams Serves as an invaluable resource for pulmonologists, radiologists, critical care physicians, and trainees First case history-based book to be published exclusively for pleural medicine

Challenging Cases in Pulmonology

by Massoud Mahmoudi

From acute respiratory diseases to chronic lung conditions, pulmonology is a vital area of clinical medicine. Due to a wide array of respiratory diseases, clinical presentation of pulmonary conditions can be complex and oftentimes challenging. In addition to recognizing common characteristics of lung diseases, identifying unusual clinical presentation of pulmonary conditions remains an important educational experience. This concise and easy-to-read title provides that experience in practical context, using a case-based system of learning where a unique case is presented and discussed and questions are provided to challenge the learner and reinforce the transmission of knowledge. Challenging Cases in Pulmonology is not an exhaustive review but rather focuses on common and important problems, with emphasis on evaluation and treatment. The book offers 16 chapters consisting of two or more cases followed by five to ten multiple choice questions. A valuable resource for pulmonologists, allergists, primary care physicians, internal medicine, fellows in allergy and pulmonology, and residents in training, this practical title will also be of interest to nurses, physician assistants, and medical students studying pulmonology. Challenging Cases in Pulmonology complements two previously published case-based titles edited by Dr. Mahmoudi: Challenging Cases in Allergy and Immunology (Humana Press, 2009) and Challenging Cases in Allergic and Immunologic Diseases of the Skin (Springer, 2010).

Challenging Cases in Rheumatology and Diseases of the Immune System

by Massoud Mahmoudi

Challenging Cases in Rheumatology and Diseases of the Immune System is the latest title in a growing collection of thought-provoking case-based titles from Massoud Mahmoudi, D.O., Ph.D. Like his three preceding titles, Challenging Cases in Allergy and Immunology (2009), Challenging Cases in Allergic and Immunologic Diseases of the Skin (2010), and Challenging Cases in Pulmonology (2011), this easy-to-read title presents the topic in a challenging and enjoyable case-based format. Developed by 30 distinguished contributors, the book consists of six parts and 16 chapters, with each chapter presenting two cases. The style of this title follows the previous books: each topic begins with an abstract, followed by a case presentation, working diagnosis, data, final diagnosis, and discussion. In addition, to enhance a review of the subject and stimulate critical thinking, there are 5 to 10 multiple choice questions and answers in each chapter. Challenging Cases in Rheumatology and Diseases of the Immune System is an indispensable resource for all clinicians who care for patients with rheumatic and immunologic disorders.

Challenging Cases in Urological Surgery (Challenging Cases)

by Karl Pang James Catto

From challenges presented in everyday clinical practice to the complex cases without simple answers, Challenging Cases in Urological Surgery is an effective reference and revision aid for trainees and consultants alike. As part of the Challenging Cases series, cases are examined from a multidisciplinary approach considering all aspects of diagnostic, practical and evidence-based skills to provide a comprehensive and detailed demonstration of clinical investigation within real-world scenarios. With contributions from over 40 experienced and renowned consultants from the UK, the opinions within the 'Expert Commentary' includes an insight into real world case management and problem solving in complex cases. Using the most up-to-date evidence and clinical presentations highlighted in the UK ISCP curriculum, this book features the use of 'Clinical Tips', 'Evidence Base' and 'Future Advances' text boxes to highlight critical information in an easy-to-read format for efficient and effective learning. This book is split into 15 comprehensive sections; these include Urinary Tract Infection, Bladder Cancer, Male Infertility and Sexual Dysfunction and Emergency Urology and Trauma among other key areas in the field of Urology. Each chapter is a case-based guide which provides readers with practical yet clinically relevant advice on management of urological surgery cases. With every-day clinical observations, controversial topics and challenging cases, this book is a highly valuable resource for all those interested in urological surgery, trainees in the field and those sitting postgraduate urology examinations.

Challenging Cases in Urological Surgery (Challenging Cases)

by Karl Pang James Catto

From challenges presented in everyday clinical practice to the complex cases without simple answers, Challenging Cases in Urological Surgery is an effective reference and revision aid for trainees and consultants alike. As part of the Challenging Cases series, cases are examined from a multidisciplinary approach considering all aspects of diagnostic, practical and evidence-based skills to provide a comprehensive and detailed demonstration of clinical investigation within real-world scenarios. With contributions from over 40 experienced and renowned consultants from the UK, the opinions within the 'Expert Commentary' includes an insight into real world case management and problem solving in complex cases. Using the most up-to-date evidence and clinical presentations highlighted in the UK ISCP curriculum, this book features the use of 'Clinical Tips', 'Evidence Base' and 'Future Advances' text boxes to highlight critical information in an easy-to-read format for efficient and effective learning. This book is split into 15 comprehensive sections; these include Urinary Tract Infection, Bladder Cancer, Male Infertility and Sexual Dysfunction and Emergency Urology and Trauma among other key areas in the field of Urology. Each chapter is a case-based guide which provides readers with practical yet clinically relevant advice on management of urological surgery cases. With every-day clinical observations, controversial topics and challenging cases, this book is a highly valuable resource for all those interested in urological surgery, trainees in the field and those sitting postgraduate urology examinations.

Challenging Concepts in Congenital and Acquired Heart Disease in the Young: A Case-Based Approach with Expert Commentary

by Salim G M Jivanji, Michael L Rigby, Aung Myat

A comprehensive guide to the assessment, diagnosis, investigation and management of complex clinical scenarios in congenital cardiovascular medicine. Challenging Concepts in Congenital and Acquired Heart Disease in the Young contains a series of challenging concepts in paediatric cardiology covering all subspecialty areas including general paediatric cardiology, intervention, cardiac imaging, electrophysiology, heart failure and cardiomyopathies, cardiac devices, transplant medicine, epidemiology and foetal cardiology. Each case provides an in-depth review of current practice, the application of national and international guidelines and a summary of evidence from the medical literature. Data sets, investigation results and cardiac imaging give the reader a 'real-life' sense of being in the outpatient clinic, emergency room, cardiac intensive care unit, cardiac catheterisation laboratory or cardiac operating theatre. Every description is punctuated by 'Clinical Tips', 'Learning Points' and 'Landmark Trial Summaries' to enhance the learning process alongside an 'Expert Commentary' written by internationally-renowned leaders in the field of paediatric cardiology. This book will appeal to all those involved in the treatment of congenital patients; Paediatric Cardiology Trainees, Paediatricians with an interest in Cardiology, Adult Congenital Heart Disease (ACHD) Trainees, Paediatric Cardiology Consultants, ACHD Consultants, Congenital Paediatric Nurses, Congenital Adult Nurses, Cardiac Physiologists and Echocardiographers.

Challenging Concepts in Congenital and Acquired Heart Disease in the Young: A Case-Based Approach with Expert Commentary


A comprehensive guide to the assessment, diagnosis, investigation and management of complex clinical scenarios in congenital cardiovascular medicine. Challenging Concepts in Congenital and Acquired Heart Disease in the Young contains a series of challenging concepts in paediatric cardiology covering all subspecialty areas including general paediatric cardiology, intervention, cardiac imaging, electrophysiology, heart failure and cardiomyopathies, cardiac devices, transplant medicine, epidemiology and foetal cardiology. Each case provides an in-depth review of current practice, the application of national and international guidelines and a summary of evidence from the medical literature. Data sets, investigation results and cardiac imaging give the reader a 'real-life' sense of being in the outpatient clinic, emergency room, cardiac intensive care unit, cardiac catheterisation laboratory or cardiac operating theatre. Every description is punctuated by 'Clinical Tips', 'Learning Points' and 'Landmark Trial Summaries' to enhance the learning process alongside an 'Expert Commentary' written by internationally-renowned leaders in the field of paediatric cardiology. This book will appeal to all those involved in the treatment of congenital patients; Paediatric Cardiology Trainees, Paediatricians with an interest in Cardiology, Adult Congenital Heart Disease (ACHD) Trainees, Paediatric Cardiology Consultants, ACHD Consultants, Congenital Paediatric Nurses, Congenital Adult Nurses, Cardiac Physiologists and Echocardiographers.

Challenging Concepts in Critical Care: Cases with Expert Commentary (Challenging Cases)


A case-based guide with expert commentary, Challenging Concepts in Critical Care shows how the experts approach and deal with real-life clinical scenarios. Each chapter presents a clinically challenging case complete with a case history, evidence based tips, and up-to-date learning points. To give further insight into the field, each chapter has commentary from an expert who identifies and explains the key points and controversies of the case. Practical yet rich in detail, Challenging Concepts in Critical Care is a key title for anyone preparing for intensive care exams. For each case, key information is highlighted through the use of boxes to stimulate interest and facilitate learning: 'Learning points', 'Clinical tips', 'Evidence base', and 'Expert commentary'. With new information on key trials, clinical practise, and evidence based research, this book is also an invaluable resource for experienced critical care clinicians looking for a concise update on a wide range of challenging topics in the field. In addition, it is of high value to senior ICU nurses, allied health professionals, and anyone with an interest in intensive care medicine.

Challenging Concepts in Emergency Medicine: Cases with Expert Commentary (Challenging Cases)

by Dr Sam Thenabadu Dr Fleur Cantle Dr Chris Lacy

Providing the inside track on how the experts approach and deal with real-world clinical scenarios, Challenging Concepts in Emergency Medicine selects specific challenging cases that are encountered in everyday clinical practice but do not have simple answers. A case-based guide to challenging areas in emergency medicine, this book covers the core and sub-specialty areas, in particular the often grey areas of intensive care and paediatric emergency medicine. Complex cases are comprehensively examined from a multidisciplinary perspective with detailed consideration given to management options and the contemporary evidence base behind these decisions. An effective revision aid for MCEM and FCEM and a reference during workplace-based assessments, Challenging Concepts in Emergency Medicine highlights critical information through the use of boxed features: 'Learning points', 'Clinical tips', 'Evidence base', and 'Future advances'. Each chapter has been reviewed by a national or international expert in the field and they have provided an 'Expert commentary', giving a unique insight into how today's opinion leaders confront and deal with the very same management challenges that all clinicians can potentially face on a daily basis. Containing summaries of current national and international guidelines, this book is ideal for continuing medical education and revalidation as well as for trainees preparing for examinations.

Challenging Concepts in Emergency Medicine: Cases with Expert Commentary (Challenging Cases)

by Sam Thenabadu Fleur Cantle Chris Lacy

Providing the inside track on how the experts approach and deal with real-world clinical scenarios, Challenging Concepts in Emergency Medicine selects specific challenging cases that are encountered in everyday clinical practice but do not have simple answers. A case-based guide to challenging areas in emergency medicine, this book covers the core and sub-specialty areas, in particular the often grey areas of intensive care and paediatric emergency medicine. Complex cases are comprehensively examined from a multidisciplinary perspective with detailed consideration given to management options and the contemporary evidence base behind these decisions. An effective revision aid for MCEM and FCEM and a reference during workplace-based assessments, Challenging Concepts in Emergency Medicine highlights critical information through the use of boxed features: 'Learning points', 'Clinical tips', 'Evidence base', and 'Future advances'. Each chapter has been reviewed by a national or international expert in the field and they have provided an 'Expert commentary', giving a unique insight into how today's opinion leaders confront and deal with the very same management challenges that all clinicians can potentially face on a daily basis. Containing summaries of current national and international guidelines, this book is ideal for continuing medical education and revalidation as well as for trainees preparing for examinations.

Challenging Concepts in Infectious Diseases and Clinical Microbiology: Cases with Expert Commentary (Challenging Cases)


Challenging Concepts in Infectious Diseases and Clinical Microbiology details over 30 challenging cases from a wide area of infectious diseases, medical microbiology and virology and includes topics ranging from typhoid fever to secondary syphilis. This case-based learning book ideal for trainees and speciality registrars. Each case is supported by the commentary of a renowned expert in the field, allowing readers to improve their own management of these patients. As the reader works through each case there are 'Clinical Tips', 'Learning Points' and 'Evidence Base' boxes to enhance the learning process along with the 'Expert Commentary', providing an inside track on how the experts approach challenging cases ranging from secondary syphilis to typhoid fever and vial haemorrhagic fever.

Challenging Concepts in Interventional Radiology (Challenging Cases)

by Miltiadis Krokidis, Irfan Ahmed and Tarun Sabharwal

Challenging Concepts in Interventional Radiology is a cased based guide to the most challenging aspects of interventional radiology and endovascular procedures. The 31 Cases have been selected to cover a wide-spectrum of scenarios, from the endovascular repair of thoracic and abdominal aortic aneurysms to the ablation of lung and kidney tumours. Cases are examined from a multidisciplinary approach with consideration of diagnosis, practical procedures, evidence base, and guidelines. Case commentaries from renowned experts in the field provide a useful and high level narrative across each case and compliment the clinical tips and evidence provided throughout. The collaboration of authorship between trainees and experts provides a unique insight into the management of the most complex and important cases in the radiology field. With a highly user friendly format, the textbook provides clinical tips and expert commentary for easy use in every day clinical practice. Suitable for candidates for the European Board of Interventional Radiology exam, fellows of Interventional Radiology, British Society of Endovascular Therapy fellows and radiologists, Challenging Concepts in Interventional Radiology appeals to a wide-ranging level of radiologists.

Challenging Concepts in Interventional Radiology (Challenging Cases)


Challenging Concepts in Interventional Radiology is a cased based guide to the most challenging aspects of interventional radiology and endovascular procedures. The 31 Cases have been selected to cover a wide-spectrum of scenarios, from the endovascular repair of thoracic and abdominal aortic aneurysms to the ablation of lung and kidney tumours. Cases are examined from a multidisciplinary approach with consideration of diagnosis, practical procedures, evidence base, and guidelines. Case commentaries from renowned experts in the field provide a useful and high level narrative across each case and compliment the clinical tips and evidence provided throughout. The collaboration of authorship between trainees and experts provides a unique insight into the management of the most complex and important cases in the radiology field. With a highly user friendly format, the textbook provides clinical tips and expert commentary for easy use in every day clinical practice. Suitable for candidates for the European Board of Interventional Radiology exam, fellows of Interventional Radiology, British Society of Endovascular Therapy fellows and radiologists, Challenging Concepts in Interventional Radiology appeals to a wide-ranging level of radiologists.

Challenging Concepts in Neurology: Cases with Expert Commentary (Challenging Cases)

by Dr Krishna Chinthapalli Dr Nadia Magdalinou Professor Nicholas Wood

Part of the Challenging Concepts in series, this book is a case-based guide to challenging clinical scenarios in neurology, covering 25 sub-speciality areas of the neurology curriculum. Each chapter is based around a potential real-life case, which is used as a platform to discuss the subject in a broader way and to explore the most up-to-date evidence regarding diagnosis and management. The book is written in a concise and easy to use format using "learning points", "clinical tips" and "evidence-base" boxes as well as an "expert commentary" written by an internationally renowned expert in the field. The editors, expert commentators, and contributors are drawn from the National Hospital of Neurology and Neurosurgery (NHNN) at Queen Square, which has a unique position in the field of Neurology as a tertiary referral centre of world renown.

Challenging Concepts in Neurology: Cases with Expert Commentary (Challenging Cases)


Part of the Challenging Concepts in series, this book is a case-based guide to challenging clinical scenarios in neurology, covering 25 sub-speciality areas of the neurology curriculum. Each chapter is based around a potential real-life case, which is used as a platform to discuss the subject in a broader way and to explore the most up-to-date evidence regarding diagnosis and management. The book is written in a concise and easy to use format using "learning points", "clinical tips" and "evidence-base" boxes as well as an "expert commentary" written by an internationally renowned expert in the field. The editors, expert commentators, and contributors are drawn from the National Hospital of Neurology and Neurosurgery (NHNN) at Queen Square, which has a unique position in the field of Neurology as a tertiary referral centre of world renown.

Challenging Concepts in Neurosurgery: Cases with Expert Commentary (Challenging Cases)

by Robin Bhatia Ian Sabin

Part of the Challenging Concepts in series, this book is a case-based guide to challenging clinical scenarios in neurosurgery covering the major sub-speciality areas of oncology, vascular neurosurgery, brain and spine trauma, paediatrics, spinal degenerative disease, peripheral and cranial nerves, functional neurosurgery and infection. Specific cases are examined with consideration of clinical presentation, diagnostics, and surgical principles, with a summary of evidence from the neurosurgical literature highlighting areas of interest and controversy. This book serves as a useful and engaging resource for consultants and trainees in neurosurgery as well as in the disciplines of neurology, maxillofacial surgery, spinal surgery and neuro-oncology.

Challenging Concepts in Obstetrics and Gynaecology: Cases with Expert Commentary (Challenging Cases)

by Dr Natasha Hezelgrave Dr Danielle Abbott Professor Andrew H. Shennan

Challenging Concepts in Obstetrics and Gynaecology is a case-based guide to difficult scenarios faced in both fields, covering many of the major sub-speciality areas of each. The 24 cases have been selected to cover a spectrum of challenges in obstetrics and gynaecology. Recognising that any attempt to cover the whole curriculum is impossible, the authors have instead chosen specific, challenging scenarios that are commonly encountered in clinical practice, but by no means have simple answers or outcomes. Complex cases are examined from a multidisciplinary approach with consideration of diagnostic procedures, practical skills, evidence base, and the application of national and international guidelines. There is also a summary of evidence from the medical literature in various subspecialty areas of obstetrics and gynaecology, alongside current controversies in management. Cases are punctuated by easy-to-read "Learning Points", "Clinical Tips", and "Evidence Base" boxes, speeding the learning process as well as providing a handy dip-into guide for those just refreshing their memory. Each case is set off by an 'Expert Commentary' written by an internationally-renowned expert in each field, leaving the reader with both a solid base of knowledge and a nuanced view of current challenges in obstetrics and gynaecology. This collaboration between trainees and experts provides a unique insight into the management of complex and often rare but important obstetrics and gynaecology cases, within a highly user-friendly format and a ready-made means of self-learning and self-testing. Challenging Concepts in Obstetrics and Gynaecologymakes a useful, relevant and interesting read, enabling the reader to readily transfer the knowledge gained to everyday clinical practice.

Challenging Concepts in Obstetrics and Gynaecology: Cases with Expert Commentary (Challenging Cases)

by Natasha Hezelgrave Danielle Abbott Andrew Shennan

Challenging Concepts in Obstetrics and Gynaecology is a case-based guide to difficult scenarios faced in both fields, covering many of the major sub-speciality areas of each. The 24 cases have been selected to cover a spectrum of challenges in obstetrics and gynaecology. Recognising that any attempt to cover the whole curriculum is impossible, the authors have instead chosen specific, challenging scenarios that are commonly encountered in clinical practice, but by no means have simple answers or outcomes. Complex cases are examined from a multidisciplinary approach with consideration of diagnostic procedures, practical skills, evidence base, and the application of national and international guidelines. There is also a summary of evidence from the medical literature in various subspecialty areas of obstetrics and gynaecology, alongside current controversies in management. Cases are punctuated by easy-to-read "Learning Points", "Clinical Tips", and "Evidence Base" boxes, speeding the learning process as well as providing a handy dip-into guide for those just refreshing their memory. Each case is set off by an 'Expert Commentary' written by an internationally-renowned expert in each field, leaving the reader with both a solid base of knowledge and a nuanced view of current challenges in obstetrics and gynaecology. This collaboration between trainees and experts provides a unique insight into the management of complex and often rare but important obstetrics and gynaecology cases, within a highly user-friendly format and a ready-made means of self-learning and self-testing. Challenging Concepts in Obstetrics and Gynaecologymakes a useful, relevant and interesting read, enabling the reader to readily transfer the knowledge gained to everyday clinical practice.

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