Kumar and Clark’s Clinical Medicine, 7e

Kumar and Clark’s Clinical Medicine, 7e
  • Author: Parveen Kumar CBE BSc MD FRCP FRCP(
    Publisher: Saunders Ltd
    Genres: Medical
    Publish Date: July 16, 2009
    ISBN-10: 0702029939
    Pages: 1360
    File Type: PDF
    Language: English

Book Preface

The seventh edition of Kumar & Clark’s Clinical Medicine has an online version that can be accessed via www.studentconsult. com. The online version consists of the full text and illustrations for the seventh edition as well as other additional features, some of which are unique to Kumar & Clark. To access the online version, readers should follow the instructions on the book’s inside front cover. The list below provides a guide to some of the online features, and you can also find them listed online in the ‘extras’ folder.


This appendix, which will be updated regularly, provides supplementary information on diseases and problems that are more prevalent in certain parts of the world, up to date for the seventh edition. The need for this material – which enlarges on what can be found in the print version – became plain to the Editors from their travels to various parts of the world. We are grateful to members of the Kumar & Clark International Advisory Panel and other colleagues for their contributions to this unique resource.
– Brucellosis Professor S S Fedail
– Dengue fever Dr R Sood
– Diarrhoeas including amoebiasis Professor S A Azer
– Human avian influenza infection Professor M Ellis
– HIV in resource-limited settings Dr M Mendelson and Professor G Maartens
– Infections caused by Rickettsiae, Orientiae and Coxiella Dr R Premaratna
– Leprosy Dr S A Kamath
– Malaria Dr S A Kamath
– Rabies Professor K N Viswanathan
– Rheumatic fever Professor K N Viswanathan
– Rift Valley fever Professor O. Khalafallah, Dr A A K Jebriel, Dr M El Sadig, Dr M Mirghani, Professor S S Fedail
– Severe acute respiratory syndrome (SARS) Professor K N Lai
– Soil-transmitted helminths Professor N de Silva
– Vaccination for adults Dr R Dewan
– Fluorosis Professor F S Hough
– Tropical sprue Professor S A Azer
– Liver transplantation Dr J T Wells, Professor M R Lucey
– Thrombotic thrombocytopenic purpura (TTP) associated with HIV Professor V J Louw
– Vitamin B12 and folic acid deficiency Professor V J Louw
– IgA nephropathy Professor K N Lai
– Arsenic poisoning Dr A K Kundu
– Drug-drug and drug-food interactions Professor S G Carruthers
– Poisoning – a Sri Lankan perspective Professor J de Silva
– Snake bite Professor Dr CA Gnanathasan and R Sheriff
– Pyogenic meningitis Dr S Shafqat and Dr A Zaidi
– Tropical neurology Dr U K Ranawaka

INTERACTIVE SURFACE ANATOMY from Drake et al: Gray’s Anatomy for Students
This programme relates anatomy to the skills of clinical examination. Over 40 interactive animations take the student through the seven body regions, demonstrating major anatomical features, surface landmarks and other palpable structures. By working through each module students see their role when performing a general physical examination, listening for heart sounds, examining movements of the eye, and many others. We are grateful to the authors of Gray’s Anatomy for Students for the opportunity to provide Kumar & Clark readers with the benefits of this unique interactive learning tool and to introduce them to this outstanding anatomy textbook.

– How to identify specific vertebral spinous processes
– Visualizing the inferior ends of the spinal cord and subarachnoid space

– How to count ribs
– Surface anatomy of the breast in women
– Visualizing structures at the T4/5 vertebral level
– Visualizing structures in the superior mediastinum
– Visualizing the margins of the heart
– Where to listen for heart sounds
– How to visualize the pleural cavities and lungs
– Where to listen to right lung sounds
– Where to listen to left lung sounds Pelvis and perineum
– Identification of structures in the urogenital triangle of women
– Identification of structures in the urogenital triangle of men

■ How to find the superficial inguinal ring
■ How to determine lumbar vertebral levels
■ Visualizing structures at the LI vertebral level
■ Visualizing the position of major blood vessels
■ Using abdominal quadrants to locate major viscera
■ Defining surface regions to which pain from the gut is referred
■ Where to find the kidneys and spleen
Lower limb
■ Avoiding the sciatic nerve
■ Finding the femoral artery in the femoral triangle
■ Identifying structures around the knee
■ Visualizing the contents of the popliteal fossa
■ Finding the tarsal tunnel
■ Identifying tendons around the ankle and in the foot
■ Finding the dorsalis pedis artery
■ Identifying major superficial veins
■ Where to take peripheral arterial pulses in the lower limb

Upper limb
■ Visualizing the axilla, its contents and related structures
■ Locating the brachial artery in the arm
■ Locating the triceps brachii tendon and the position of the radial nerve
■ Identifying the cubital fossa and its contents
■ Identifying tendons and locating major vessels and nerves in the distal forearm
■ Identifying the position of the flexor retinaculum and the recurrent branch of the median nerve
■ Visualizing the positions of the superficial and deep palmar arches
■ Where to take peripheral arterial pulses in the upper limb

Head and neck
■ Visualizing structures at the CIII/CIV and CVI vertebral levels
■ How to outline the anterior and posterior triangles of the neck
■ How to locate the cricothyroid ligament (membrane)
■ How to find the thyroid gland
■ Where to take peripheral arterial pulses in the head and neck
■ Testing eye movements – demonstration illustrating the muscle involved in each activity.

Animations of practical procedures
This feature brings to life a selection of key practical procedures in a way not usually possible outside the clinic or skills laboratory. Once again, the existence of the online version has made it possible to provide this unique feature, where the animations build on the descriptions given in the ‘practical boxes’ in Kumar & Clark.
■ Arterial cannulation
■ Arterial puncture
■ Bladder catheterization: female
■ Bladder catheterization: male
■ Central venous catheterization (CVC): jugular vein
■ Central venous catheterization (CVC): subclavian vein
■ Joint aspiration
■ Lumbar puncture
■ Venepuncture

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