The Laryngectomee Guide Expanded Edition

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Publisher :
ISBN 13 : 9781976852398
Total Pages : 254 pages
Book Rating : 4.8/5 (523 download)

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Book Synopsis The Laryngectomee Guide Expanded Edition by : Itzhak Brook

Download or read book The Laryngectomee Guide Expanded Edition written by Itzhak Brook and published by . This book was released on 2018-01-09 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 254 pages expanded Laryngectomy Guide is an updated and revised edition of the original Laryngectomee Guide. It provides information that can assist laryngectomees and their caregivers with medical, dental and psychological issues. It contains information about side effects of radiation and chemotherapy; methods of speaking; airway, stoma, and voice prosthesis care; eating and swallowing; medical, dental and psychological concerns; respiration; anesthesia; and travelling.

Clinical Care and Rehabilitation in Head and Neck Cancer

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Author :
Publisher : Springer
ISBN 13 : 3030047024
Total Pages : 518 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Clinical Care and Rehabilitation in Head and Neck Cancer by : Philip C. Doyle

Download or read book Clinical Care and Rehabilitation in Head and Neck Cancer written by Philip C. Doyle and published by Springer. This book was released on 2019-03-21 with total page 518 pages. Available in PDF, EPUB and Kindle. Book excerpt: Malignancies involving structures of the head and neck frequently impact the most fundamental aspects of human existence, namely, those functions related to voice and speech production, eating, and swallowing. Abnormalities in voice production, and in some instances its complete loss, are common following treatment for laryngeal (voice box) cancer. Similarly, speech, eating, and swallowing may be dramatically disrupted in those where oral structures (e.g., the tongue, jaw, hard palate, pharynx, etc.) are surgically ablated to eliminate the cancer. Consequently, the range and degree of deficits that may be experienced secondary to the treatment of head and neck cancer (HNCa) are often substantial. This need is further reinforced by the Centers for Disease Control and Prevention who have estimated that the number of individuals who will be newly diagnosed with HNCa will now double every 10 years. This estimate becomes even more critical given that an increasing number of those who are newly diagnosed will be younger and will experience the possibility of long-term survival post-treatment. Contemporary rehabilitation efforts for those treated for HNCa increasingly demand that clinicians actively consider and address multiple issues. Beyond the obvious concerns specific to any type of cancer (i.e., the desire for curative treatment), clinical efforts that address physical, psychological, communicative, and social consequences secondary to HNCa treatment are essential components of all effective rehabilitation programs. Comprehensive HNCa rehabilitation ultimately seeks to restore multiple areas of functioning in the context of the disabling effects of treatment. In this regard, rehabilitation often focuses on restoration of function while reducing the impact of residual treatment-related deficits on the individual’s overall functioning, well-being, quality of life (QOL), and ultimately, optimize survivorship. Regardless of the treatment method(s) pursued for HNCa (e.g., surgery, radiotherapy, chemoradiation, or combined methods), additional problems beyond those associated with voice, speech, eating and swallowing frequently exist. For example, post-treatment changes in areas such as breathing, maintaining nutrition, limitations in physical capacity because surgical reconstruction such as deficits in shoulder functioning, concerns specific to cosmetic alterations and associated disfigurement, and deficits in body image are common. Those treated for HNCa also may experience significant pain, depression, stigma and subsequent social isolation. Concerns of this type have led clinicians and researchers to describe HNCa as the most emotionally traumatic form of cancer. It is, therefore, essential that clinicians charged with the care and rehabilitation of those treated for HNCa actively seek to identify, acknowledge, and systematically address a range of physical, psychological, social, and communication problems. Efforts that systematically consider this range of post-treatment sequelae are seen as critical to any effort directed toward enhanced rehabilitation outcomes. Actively and purposefully addressing post-treatment challenges may increase the likelihood of both short- and long-term rehabilitation success in this challenging clinical population. Current information suggests that successful clinical outcomes for those with HNCa are more likely to be realized when highly structured, yet flexible interdisciplinary programs of care are pursued. Yet contemporary educational resources that focus not only on management of voice, speech, eating, and swallowing disorders, but also address issues such as shoulder dysfunction due to neck dissection, the significant potential for cosmetic alterations can offer a much broader perspective on rehabilitation. Contemporary surgical treatment frequently involves reconstruction with extensive procedures that require donor sites that include both soft tissue from a variety of locations (e.g., forearm, thigh, etc.), as well as bone (e.g., the scapula). Collectively, resources that address these issues and many other concerns and the resultant social implications of HNCa and its treatment can serve to establish a comprehensive framework for clinical care. Consequently, providing a highly specialized and comprehensive educational resource specific to HNCa rehabilitation is currently needed. The proposed edited book is designed to address this void in a single authoritative resource that is also accessible to the clinical readership. Integral to this proposed book is information that guides clinical approaches to HNCa rehabilitation, in addition to offering emphasis on the direct impact of changes in voice, speech, and swallowing and the impact of such losses on outcomes. Finally, while several other published sources currently exist (see attached list), the emphasis of these books is directed either toward the identification and diagnosis of malignant disease, clinical and surgical pathology, associated efforts directed toward biomedical aspects of cancer and its treatment, or those with a focus on a single clinical problem or approach to rehabilitation. Therefore, the content of the proposed multi-chapter text centers on delivering a systematically structured, comprehensive, and clinically-oriented presentation on a range of topics that will provide readers at a variety of levels with a strong, well-integrated, and empirically driven foundation to optimize the clinical care of those with HNCa. The primary audience for this textbook is undergraduate and graduate-level students in Speech-Language Pathology, as well as practitioners, especially hospital-based practitioners, in Speech-Language Pathology; other key audiences include junior and senior level otolaryngology residents and fellows, translational researchers in head and neck cancer, related medical specialists (e.g., radiation oncology), oncology nurses, and potentially other rehabilitation professionals such as occupational therapists, counseling psychologists, social workers, and rehabilitation counselors.

VOICE RESTORATION AFTER TOTAL LARYNGECTOMY: CURRENT SCIENCE AND FUTURE PERSPECTIVES

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Author :
Publisher : Byword Books Private Limited
ISBN 13 : 8181930460
Total Pages : 151 pages
Book Rating : 4.1/5 (819 download)

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Book Synopsis VOICE RESTORATION AFTER TOTAL LARYNGECTOMY: CURRENT SCIENCE AND FUTURE PERSPECTIVES by : Rehan Kazi

Download or read book VOICE RESTORATION AFTER TOTAL LARYNGECTOMY: CURRENT SCIENCE AND FUTURE PERSPECTIVES written by Rehan Kazi and published by Byword Books Private Limited. This book was released on 2009-04 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: Post-laryngectomy rehabilitation has generated tremendous interest in recent times owing to the development of innovative prosthetic devices and other appliances aimed at making life more comfortable for the laryngectomee. This book addresses not only the very essential function of voice rehabilitation, but also other equally important aspects such as pulmonary, olfactory and psycho-social rehabilitation as well as quality-of-life issues after laryngectomy. With more and more ENT, head and neck surgeons performing laryngectomies on a regular basis, this book aims to provide both the trainees and practicing surgeons a comprehensive and practical guide to the total rehabilitation of these patients.

Case Studies in Communication Disorders

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Publisher : Cambridge University Press
ISBN 13 : 1107154871
Total Pages : 527 pages
Book Rating : 4.1/5 (71 download)

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Book Synopsis Case Studies in Communication Disorders by : Louise Cummings

Download or read book Case Studies in Communication Disorders written by Louise Cummings and published by Cambridge University Press. This book was released on 2016-10-06 with total page 527 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a collection of 48 highly useful case studies of children and adults with communication disorders.

Head and Neck Reconstruction

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Author :
Publisher : Saunders
ISBN 13 :
Total Pages : 336 pages
Book Rating : 4.0/5 (89 download)

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Book Synopsis Head and Neck Reconstruction by : Charles E. Butler

Download or read book Head and Neck Reconstruction written by Charles E. Butler and published by Saunders. This book was released on 2009 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accompanying DVD-ROM contains ... "video clips of key procedures, performed by an expert surgeon."--Page 4 of cover.

The Promise of Assistive Technology to Enhance Activity and Work Participation

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Publisher : National Academies Press
ISBN 13 : 030945784X
Total Pages : 503 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis The Promise of Assistive Technology to Enhance Activity and Work Participation by : National Academies of Sciences, Engineering, and Medicine

Download or read book The Promise of Assistive Technology to Enhance Activity and Work Participation written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-09-01 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.

Anesthesia for Otolaryngologic Surgery

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Publisher : Cambridge University Press
ISBN 13 : 1139789481
Total Pages : 371 pages
Book Rating : 4.1/5 (397 download)

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Book Synopsis Anesthesia for Otolaryngologic Surgery by : Basem Abdelmalak

Download or read book Anesthesia for Otolaryngologic Surgery written by Basem Abdelmalak and published by Cambridge University Press. This book was released on 2012-10-18 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anesthesia for Otolaryngologic Surgery offers a comprehensive synopsis of the anesthetic management options for otolaryngologic and bronchoscopic procedures. Authored by world authorities in the fields of anesthesiology and otolaryngology, both theoretical concepts and practical issues are addressed in detail, providing literature-based evidence wherever available and offering expert clinical opinion where rigorous scientific evidence is lacking. A full chapter is dedicated to every common surgical ENT procedure, as well as less common procedures such as face transplantation. Clinical chapters are enriched with case descriptions, making the text applicable to everyday practice. Chapters are also enhanced by numerous illustrations and recommended anesthetic management plans, as well as hints and tips that draw on the authors' extensive experience. Comprehensively reviewing the whole field, Anesthesia for Otolaryngologic Surgery is an invaluable resource for every clinician involved in the care of ENT surgical patients, including anesthesiologists, otolaryngologists and pulmonologists.

Pearls and Pitfalls in Head and Neck Surgery

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Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805599722
Total Pages : 224 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Pearls and Pitfalls in Head and Neck Surgery by : Claudio R. Cernea

Download or read book Pearls and Pitfalls in Head and Neck Surgery written by Claudio R. Cernea and published by Karger Medical and Scientific Publishers. This book was released on 2012 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise, compact, and handy manual: revised and extended In this unique volume, leading international experts share their experiences in the management of head and neck tumors, providing a guidebook for all surgeons dealing with head and neck neoplasms. Each chapter offers a concise description of useful 'pearls' and dangerous 'pitfalls' which must be avoided. Contributions cover topics from thyroid glands, neck metastases, and oral tumors to laryngeal, pharyngeal, and nasopharyngeal tumors, as well as salivary gland tumors, skull base tumors, and reconstruction surgery. In addition to frequent diseases which are encountered in everyday practice, some new therapeutic topics such as video- assisted thyroidectomy, robotic surgery, and management of the neck after organ preservation treatment are discussed. The 2nd edition has been extended by topical chapters of major practical interest including the latest findings and techniques. The new chapters are clearly indicated and can be recognized easily. Head and neck surgeons, otolaryngologists, neurosurgeons, maxillofacial surgeons, plastic surgeons, radiation and clinical oncologists, and general surgeons, as well as students and residents interested in the management of head and neck tumors, will find this publication an indispensable manual.

Surgery of Larynx and Trachea

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Publisher : Springer Science & Business Media
ISBN 13 : 3540791361
Total Pages : 312 pages
Book Rating : 4.5/5 (47 download)

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Book Synopsis Surgery of Larynx and Trachea by : Marc Remacle

Download or read book Surgery of Larynx and Trachea written by Marc Remacle and published by Springer Science & Business Media. This book was released on 2010-01-08 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive volume covers all the subspecialities of laryngology, from phonosurgery to cancer. Each surgical procedure is explained and well illustrated in a step-by-step manner. In addition, coverage evaluates different surgical methods such as endoscopic versus open surgery and the use of cold instrument versus laser so that the reader receives guidance for the use of these complimentary methods.

The Handbook of Language and Speech Disorders

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Publisher : John Wiley & Sons
ISBN 13 : 1118448715
Total Pages : 674 pages
Book Rating : 4.1/5 (184 download)

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Book Synopsis The Handbook of Language and Speech Disorders by : Nicole Müller

Download or read book The Handbook of Language and Speech Disorders written by Nicole Müller and published by John Wiley & Sons. This book was released on 2012-07-10 with total page 674 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Speech and Language Disorders presents a comprehensive survey of the latest research in communication disorders. Contributions from leading experts explore current issues, landmark studies, and the main topics in the field, and include relevant information on analytical methods and assessment. A series of foundational chapters covers a variety of important general principles irrespective of specific disorders. These chapters focus on such topics as classification, diversity considerations, intelligibility, the impact of genetic syndromes, and principles of assessment and intervention. Other chapters cover a wide range of language, speech, and cognitive/intellectual disorders.

Neurologic and Neurodegenerative Diseases of the Larynx

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Publisher : Springer Nature
ISBN 13 : 3030288528
Total Pages : 428 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Neurologic and Neurodegenerative Diseases of the Larynx by : Philip A. Weissbrod

Download or read book Neurologic and Neurodegenerative Diseases of the Larynx written by Philip A. Weissbrod and published by Springer Nature. This book was released on 2020-03-03 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive text summarizes what is known about the myriad of different neurological conditions that cause dysfunction of communication, swallowing, and breathing as it relates to the upper aerodigestive tract. It serves to provide clinicians and scientists, at all levels of experience, a practical and thorough review of these diseases, their management, and frontiers in science. Chapters are written by experts in these conditions from a broad spectrum of medical specialties in order to create a book that is inclusive of diagnostic and therapeutic considerations that clinicians should think about when caring for patients with these conditions. Neurologic and Neurodegenerative Diseases of the Larynx will be an instrumental resource in guiding clinicians to better recognize the subtle and not so subtle voice, swallowing, and airway manifestations of these diseases, and improve management of patient symptoms and concerns in order to maximize both quality of life and longevity. It will aide otolaryngologists, laryngologists, neurologists, speech language pathologists, and other allied health care professionals in developing a more efficient, evidence-based, patient-focused, and multi-specialty approach to managing these complex and challenging patients.

Restoration, Reconstruction and Rehabilitation in Head and Neck Cancer

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Publisher : Springer
ISBN 13 : 981132736X
Total Pages : 365 pages
Book Rating : 4.8/5 (113 download)

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Book Synopsis Restoration, Reconstruction and Rehabilitation in Head and Neck Cancer by : Vijay V. Haribhakti

Download or read book Restoration, Reconstruction and Rehabilitation in Head and Neck Cancer written by Vijay V. Haribhakti and published by Springer. This book was released on 2019-06-12 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a comprehensive set of principles that lead to ideal outcomes following treatment for Head and Neck Cancers, especially in those patients who need major reconstructive procedures. It goes beyond the scope of basic Head and Neck Cancer textbooks, or of reconstructive surgery texts, in that the essential focus is on optimal outcomes beyond fundamental evaluation and management. The book addresses a range of essential aspects: the chapters on Functional and Aesthetic considerations underscore crucial basics that should be understood by all surgeons, while other chapters relevant to all members of the Head and Neck team address Imaging, Robotics, Radiation Morbidities, Prosthetics and Quality of Life. Throughout the book, particular attention is given to high-quality photographs, flow diagrams and tables wherever possible, combined with crisp writing to achieve effective communication. The book is unique in the completeness of its approach: from the time of initial presentation, to the time patients resume their normal lives. Although written primarily for surgeons, its value extends to all members of the multi-disciplinary team managing Head and Neck Cancer patients today.

Atlas of Head and Neck Cancer Surgery

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Publisher : Springer
ISBN 13 : 8132220501
Total Pages : 308 pages
Book Rating : 4.1/5 (322 download)

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Book Synopsis Atlas of Head and Neck Cancer Surgery by : Nirav Trivedi

Download or read book Atlas of Head and Neck Cancer Surgery written by Nirav Trivedi and published by Springer. This book was released on 2014-12-03 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Surgery for head neck cancer has evolved greatly in the recent years. Appropriate surgical resection with negative margins still remain corner-stone in achieving good oncological outcome. This atlas proposes a new concept of " The Compartment Surgery " to achieve negative margins in third dimensions which is the problem area in majority of cases. Reconstructive techniques have evolved vastly in the recent years with use of microvascular free flaps and this has significantly improved the functional outcome. Performing each step in appropriate manner cumulatively enables us to perform more complex procedures. Theme of this atlas revolves around this fact. This atlas on head and neck cancers takes a fresh stylistic approach where each surgical procedure is described in a step-wise manner through labeled high-resolution images with minimal incorporation of text. This allows the surgeons to rapidly revise the operative steps of a procedure within minutes just before they start a surgery. Head and neck has multidimensional anatomy and surgical treatment requires specific approach for each subsite. This operative atlas covers the entire spectrum of common, uncommon and rare cancers of the head and neck area. Each subsite is addressed in a separate chapter with further subdivisions for surgery of tumors with varying extent. Each procedure is demonstrated with photographs of each surgical step and line diagrams. Commonly used flaps (regional and free flaps) are demonstrated in separate chapter for reconstruction. With over 1000 images, and coverage of both the ablative and reconstructive surgical procedures, this is a technique-focused atlas in comparison to the available comprehensive texts. There are two chapters on very advanced cancers, and surgery in resource constrained surgical units making the book relevant to a wide range of cancer surgeons and fellows-in-training in varied clinical settings.

Physical and Psychosocial Consequences of Total Laryngectomy

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Author :
Publisher :
ISBN 13 : 9789090078724
Total Pages : 158 pages
Book Rating : 4.0/5 (787 download)

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Book Synopsis Physical and Psychosocial Consequences of Total Laryngectomy by : Annemieke Henriëtte Ackerstaff

Download or read book Physical and Psychosocial Consequences of Total Laryngectomy written by Annemieke Henriëtte Ackerstaff and published by . This book was released on 1995 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Tracheoesophageal Voice Restoration Following Total Laryngectomy

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Author :
Publisher : Singular
ISBN 13 :
Total Pages : 168 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Tracheoesophageal Voice Restoration Following Total Laryngectomy by : Eric D. Blom

Download or read book Tracheoesophageal Voice Restoration Following Total Laryngectomy written by Eric D. Blom and published by Singular. This book was released on 1998 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explores clinical issues of the 20-year-old tracheoesophageal puncture technique which allows for esophageal speech with pulmonic air. After a brief overview of the history of the technique, topics discussed include preoperative assessment methods, patient selection considerations, surgical techniques of primary and secondary puncture, surgical approaches to laryngopharyngectomy, surgical complications, postoperative therapeutic issues, the preservation of tracheoesophogeal prostheses, and the use of botulinum neurotoxin to nonsurgically optimize the pharynx muscles for alaryngeal phonation. Annotation copyrighted by Book News, Inc., Portland, OR

The Voice and Voice Therapy

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Author :
Publisher :
ISBN 13 : 9780133007022
Total Pages : 0 pages
Book Rating : 4.0/5 (7 download)

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Book Synopsis The Voice and Voice Therapy by : Daniel R. Boone

Download or read book The Voice and Voice Therapy written by Daniel R. Boone and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Key Benefit: Comprehensive in its approach, the Ninth Edition covers both processes of diagnosis and therapy with an extensive pedagogy list helpful to both clinician and student, and remains the best-selling voice therapy text on the market. Key Topics: The Ninth Edition divides voice disorders into three causal areas (functional, organic, and neurogenic), with each identified issue presented with particular evaluation procedures and strategies. An overview of the chapters include: an introduction to voice disorders and their management; the anatomy and physiology of normal voice throughout the lifespan; functional voice disorders; organic voice disorders; neurogenic voice disorders; evaluating the voice; voice therapy facilitating approaches; therapy for special patient populations; management and therapy following laryngeal cancer; and resonance disorders. Market: Written for students of voice therapy, clinical speech-language pathologists, and the practicing laryngologists.

Symptom-Based Diagnosis in Pediatrics (CHOP Morning Report)

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 0071601759
Total Pages : 544 pages
Book Rating : 4.0/5 (716 download)

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Book Synopsis Symptom-Based Diagnosis in Pediatrics (CHOP Morning Report) by : Samir S. Shah

Download or read book Symptom-Based Diagnosis in Pediatrics (CHOP Morning Report) written by Samir S. Shah and published by McGraw Hill Professional. This book was released on 2014-01-03 with total page 544 pages. Available in PDF, EPUB and Kindle. Book excerpt: A CASE-BASED GUIDE TO PEDIATRIC DIAGNOSIS, CONVENIENTLY ORGANIZED BY PRESENTING SYMPTOMS Symptom-Based Diagnosis in Pediatrics features 19 chapters, each devoted to a common pediatric complaint. Within each chapter, five to eight case presentations teach the diagnostic approach to the symptom. The case presentations follow a consistent outline of History, Physical Examination, and Course of Illness, and are followed by discussion of the Differential Diagnosis, Diagnosis Incidence and Epidemiology, Clinical Manifestations, Diagnostic Approach, and Treatment. Cases are illustrated with vibrant full-color photographs and include numerous tables comparing potential diagnoses. Organized by symptoms--the way patients actually present More than 100 cases teach the diagnostic approach to a symptom Cases illustrate how the same complaint can have a variety of causes Full-color clinical photos and illustrations sharpen your visual diagnosis skills Valuable tables detail the most frequent causes of common symptoms CASE-BASED COVERAGE OF THE SYMPTOMS YOU'RE MOST LIKELY TO ENCOUNTER IN PEDIATRIC PRACTICE Wheezing * Decreased Activity Level * Vomiting * Coughing * Back, Joint, and Extremity Pain * Poor Weight Gain * Abdominal Pain * Altered Mental Status * Rash * Pallor * Fever * Constipation * Neck Swelling * Chest Pain * Jaundice * Abnormal Gait * Diarrhea * Syncope * Seizures Editors Samir S. Shah, MD, MSCE is Director, Division of Hospital Medicine, James M. Ewell Endowed Chair, and Attending Physician in Hospital Medicine & Infectious Diseases at Cincinnati Children’s Hospital Medical Center; and Professor in the Department of Pediatrics at the University of Cincinnati College of Medicine. Stephen Ludwig, MD is Chairman of the Graduate Medical Education Committee and Continuing Medical Education Committee and an attending physician in general pediatrics at The Children's Hospital of Philadelphia; and Emeritus Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.