Current Medical Diagnosis & Treatment 2019
Preface
Current Medical Diagnosis & Treatment 2019 (CMDT 2019) is the 58th edition of this single-source reference for
practitioners in both hospital and ambulatory settings. The book emphasizes the practical features of clinical diagnosis and
patient management in all fields of internal medicine and in specialties of interest to primary care practitioners and to
subspecialists who provide general care.
Our students have inspired us to look at issues of race and justice, which surely impact people’s health. We have therefore
reviewed the content of our work to ensure that it contains the dignity and equality that every patient deserves
INTENDED AUDIENCE FOR CMDT
House officers, medical students, and all other health professions students will find the descriptions of diagnostic and
therapeutic modalities, with citations to the current literature, of everyday usefulness in patient care.
Internists, family physicians, hospitalists, nurse practitioners, physician assistants, and all primary care providers will
appreciate CMDT as a ready reference and refresher text. Physicians in other specialties, pharmacists, and dentists will find
the book a useful basic medical reference text. Nurses, nurse practitioners, and physician assistants will welcome the format
and scope of the book as a means of referencing medical diagnosis and treatment.
Patients and their family members who seek information about the nature of specific diseases and their diagnosis and
treatment may also find this book to be a valuable resource.
NEW IN THIS EDITION OF CMDT
• New color figures throughout the book
• Rewritten section on pain management at the end of life
• Updated American College of Cardiology/American Hear Association (ACC/AHA) guidelines for treatment of valvula heart disease
• ACC consensus document providing decision pathway for use of aortic valve replacement
• Extensively revised sections on long QT syndrome; AV block; and sinus arrhythmia, bradycardia, and tachycardia
• Rewritten section on atrial tachycardia
• Substantial revision of ventricular tachycardia management
New algorithms for managing mitral regurgitation and heart failure with reduced ejjection fracti
• New table outlining management strategies for women with valvular heart disease, complex congenital heart disease,
pulmonary hypertension, aortopathy, and dilated cardiomyopathy
• New ACC/AHA and Hypertension Canada blood pressure guidelines
• New table outlining blood pressure values across a range of measurement methods (ie, home and ambulatory
monitoring)
• New table comparing blood pressure treatment thresholds and targets in the 2017 ACC/AHA guidelines with the 2017
Hypertension Canada guidelines
• New FDA-approved medications for relapsing or refractory forms of leukemia
• Rewritten section on monoclonal gammopathy of uncertain significance
• New FDA-approved direct-acting oral anticoagulant
• Information regarding commercially available freeze-drie capsule fecal formulation for treatment of recurrent and
refractory Clostridium difficile infection
• New FDA-approved medications for treatment of breast cancer
• Cancer Care Ontario and American Society of Clinical Oncology jointly published guidelines outlining adjuvant
therapy plan for postmenopausal breast cancer patients
• Substantial revision of the targeted therapies for hormone receptor–positive metastatic breast cancer
• American College of Obstetricians and Gynecologists support for considering use of low-dose aspirin to prevent
preeclampsia
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OUTSTANDING FEATURES OF CMDT
• Medical advances up to time of annual publication
• Detailed presentation of primary care topics, includin gynecology, obstetrics, dermatology, ophthalmology,
otolaryngology, psychiatry, neurology, toxicology, urology, geriatrics, orthopedics,
women’s health, preventive medicine,
and palliative car
• Concise format, facilitating efficient use in any practice setting
• More than 1000 diseases and disorders
•Annual update on HIV/AIDS and other newly emerging infections
• Specific disease prevention information
• Easy access to medication dosages, with trade names indexed and costs updated in each edition
• Recent references, with unique identifiers (PubMed, PMID numbers) for rapid downloading
article abstracts and, in
some instances, full-text reference articles
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