Cecil medicine 23rd edition
The 23rd Edition of Cecil Medicine symbolizes a time of extraordinary advances in medicine and in technological innovations for the dissemination of information. This textbook and its associated electronic products incorporate the latest medical knowledge in formats that are designed to appeal to learners who prefer to access information in a variety of ways.
The contents of Cecil have remained true to the tradition of a comprehensive textbook of medicine that carefully explains the why (the underlying normal physiology and pathophysiology of disease, now at the cellular and molecular as well as the organ level) and the how (now frequently based on Grade A evidence from randomized controlled trials). Descriptions of physiology and pathophysiology include the latest genetic advances in a practical format that strives to be useful to the nonexpert. Medicine has entered an era when the acuity of illness and the limited time available to evaluate a patient have diminished the ability of physicians to satisfy their intellectual curiosity. As a result, the acquisition of information, quite easily achieved in this era, is often confused with knowledge. We have attempted to counteract this tendency with a textbook that not only informs but also stimulates new questions and gives a glimpse of the future path to new knowledge. Grade A evidence is specifically highlighted in the text and referenced at the end of each chapter. In addition to the information provided in the textbook, the Cecil website supplies expanded content and functionality. In many cases, the full articles referenced in each chapter can be accessed from the Cecil website. The website is also continuously updated to incorporate subsequent Grade A information, other evidence, and new discoveries.
The sections for each organ system begin with a chapter that summarizes an approach to patients with key symptoms, signs, or laboratory abnormalities associated with dysfunction of that organ system. As summarized in Table 1-1 , the text specifically provides clear, concise information regarding how a physician should approach more than 100 common symptoms, signs, and laboratory abnormalities, usually with a flow diagram or a table, or both, for easy reference. In this way, Cecil remains a comprehensive text to guide diagnosis and therapy, not only for patients with suspected or known diseases but also for patients who may have undiagnosed abnormalities that require an initial evaluation.
Just as each edition brings new authors, it also reminds us of our gratitude to past editors and authors. Previous editors of Cecil Medicine include a short but remarkably distinguished group of leaders of American medicine: Russell Cecil, Paul Beeson, Walsh McDermott, James Wyngaarden, Lloyd H. Smith, Jr., Fred Plum, and J. Claude Bennett. As we welcome two new associate editors—David Clemmons and Nicholas LaRusso—we also express our appreciation to Don W. Powell, Gordon N. Gill, and W. Michael Scheld, editors from the previous edition on whose foundation we have built. We also would like to thank Steven Calderwood and Scott Hammer, who served as consulting editors for the Infectious Diseases and HIV/AIDS sections for this edition. Our returning associate editors—William P. Arend, James O. Armitage, Jeffrey M. Drazen, and Robert C. Griggs—continue to make critical contributions to the selection of authors and the review and approval of all manuscripts. The editors, however, are fully responsible for the book as well as the integration among chapters.
The tradition of Cecil Medicine is that all chapters are written by distinguished experts in each field. We are also most grateful for the editorial assistance in San Francisco of Deborah Airo and Vida Lynum. In addition to editorial support, Jane Newman and Elizabeth Foster in Boston brought us into the current century by developing a web-based manuscript submission system that consolidated workflow for both authors and editors, making our jobs much easier. These individuals have shown extraordinary dedication and equanimity in working with authors and editors to manage the unending flow of manuscripts, figures, and permissions. We thank Margaret Chesney, who helped update Chapter 36 during Dr. Stephen Straus's terminal illness. We also thank Benjamin Lebwohl, Kirsten O. Healy, Elizabeth C. Verna, and Shepard Weiner for their assistance with the Grade A references and Suggested Readings. At Elsevier, Rolla Couchman, Heather Krehling, Lee Ann Draud, and Frank Polizzano have been critical to the planning and production process under the direction of Kimberly Murphy. Many of the clinical photographs were supplied by Charles D. Forbes and William F. Jackson, authors of Color Atlas and Text of Clinical Medicine, Third Edition, published in 2003 by Elsevier Science Ltd. We thank them for graciously permitting us to include their pictures in our book. We have been exposed to remarkable physicians in our lifetimes and would like to acknowledge the mentorship and support of several of those who exemplify this paradigm—George DeVito, John Ausiello, Robert H. Gifford, and Lloyd H. Smith, Jr. Finally, we would like to thank our families—Jill, Jeff, Abigail, Daniel, and Robyn Goldman, and the Ausiello famiglia and its newest member, Mia—for their understanding of the time and focus required to edit a book that attempts to sustain the tradition of our predecessors and to meet the needs of today's physician.
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