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Prostaglandins in Human Reproduction

The diagnosis of the acute abdomen remains one of the bastions of clinical medicine. Armed only with his own senses, reinforced in some instances by some simple side-room laboratory tests and plain radiographs of the abdomen and chest, it behoves the general practitioner or surgical resident, there and then, to make what may often prove to be a life-saving decision. Whereas in so many other situations we may await the progress of events or delay management until sophisticated special investigations come through, this is rarely the case in the acute abdominal emergency. Fortunately for doctor and patient alike there has been a tradition in Great Britain of fine clinical teachers who have guided us by their spoken and written word in the importance of accurate early diagnosis and logical management. Mr. John Shepherd has already earned his place in this respect with his monumental Surgery of the Acute Abdomen, which is encyclopaedic in its breadth. The present volume represents a concise text designed principally for students and surgical residents. It serves its purpose well as a brief and readable account of the diagnosis and management of these emergency conditions. After preliminary sections on general principles, the author discusses the major diseases on an anatomical basis; then chapters follow on intra-abdominal haemorrhage, gastrointestinal bleeding, and those medical conditions which simulate the acute abdomen. There is a final useful word of advice to young men who wish to publish reports on unusual cases. The author can be congratulated, once again, on making a useful contribution to a subject in which he already has an established reputation as a wise surgical teacher.