

Series: Step-Up Series
Paperback: 576 pages
Publisher: LWW; 3 edition (September 5, 2012)
Language: English
ISBN-10: 1609133609
ISBN-13: 978-1609133603
Product Dimensions: 1 x 8.2 x 11.2 inches
Shipping Weight: 3.3 pounds (View shipping rates and policies)
Average Customer Review: 4.4 out of 5 stars See all reviews (207 customer reviews)
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Apparently the publishers of this book took the previous edition (Step-Up to Medicine (Step-Up Series)) and slapped a shiny new cover on it. I don't think there are any actual updates, as this book is terribly outdated. Some examples:- There is no mention of the interferon gamma release assays (IGRAs) used to test for TB. Although relatively new, they are widely used in clinical practice today, especially to confirm positive PPD results and to test for infection in individuals who have been vaccinated with the BCG vaccine. The authors state that a patient who has received the BCG vaccine for TB will have a positive PPD (true) but should be treated for TB like anyone else with a positive PPD (WRONG!). This may have been the standard of care 5 years ago but this would be malpractice now.- The authors mention "Ultralente," a long-acting insulin preparation that was discontinued so long ago I had never heard of it! Meanwhile, there is no mention of insulin Detemir, one of the two long-acting insulins that every MS2 learns about.- In its discussion of treatments for Multiple Sclerosis, the authors mention beta interferons and glatiramer acetate but admit that studies have only been in progress for 5 years. I looked back at the 2008 edition and it says the exact same thing. If it was 5 years in 2008, then it's 10 years in 2013! A lot happens in 5 years (these are now first-line agents for MS backed by very solid evidence).My other gripes with this book: It isn't clear or detailed enough.
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