Editorial Review:

This famous text is much beloved by medical students and physicians-in-training throughout the English-speaking world, as its many editions indicate. Despite its relatively narrow focus, it is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: "If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared more than 30 years ago, it has remained the classic treatise on the initial approach to abdominal pain." Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high anxiety situation and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 21st Edition, Dr. Silen has again updated the text in a respectful but significant way. He has strengthened its emphasis on pitfalls in the interpretation of CT and ultrasound scans, on misadventures caused by over-reliance on blood tests and radiographs, and on careful history-taking to avoid the costs of inappropriate lab tests. He has also reviewed the data from a randomized clinical trial indicating that patients should receive adequate analgesia while awaiting a definitive diagnosis, a dictum that is contrary to traditional teaching.

Customer Reviews:

Avg. Customer Rating: 5.0 / 5.0

Early Diagnosis of the Acute Abdomen:

The new addition updates this classic for the 21 century. The importance of history and examination continues to be the foundation, the limitations of imaging studies as well as their strengths are fully discussed. A most have for anyone caring for patients with abdominal pain.

A very practice book.:

As a General Surgeon in an undeveloped country (Dominican Republic) I have found this book very practical in order we may diagnosis in and acute abdominal pathology without the help of TAC. Must of the time we use clinics and ultrasound and the book gives the keys for a close aproximation to the diagnosis.
Perhaps is a popular book in USA but we have no translation of it in Spanish and I think it is excellent for helping medical students and residents to improve in their knowledge about acute abdomen.

a must have book for evrery phs:

historical point of view of surgical practice, this book give a concise but extremely useful method of clinical thinking.
items were treated with a logical approach, in a frendly manner , with wisdom and experience.
best then the chapters in the surgical or emergency txtbooks.

the first book to read on abdominal problems:

One of the most influential medical texts ever. Cope's work gets only more relevant with increasing fragmentation of care. I would argue the book is especially useful for those NOT planning a career in surgery. The work is concise, accurate, and filled with memorable language. If you spend half an hour on the appendicitis section you should be equipped to make the diagnosis correctly. Other sections are equally good, as Dr. Silen has the sense not to fix what is not broken.

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