Medicine and Surgery
An integrated textbook With STUDENT CONSULT online access
Eric Kian Saik Lim, MB, ChB, MSc, MD, FRCS(C-Th), Consultant Thoracic Surgeon, Royal Brompton Hospital, London
Senior Lecturer in Thoracic Surgery, National Heart and Lung Institute, Imperial College School of Medicine, London, UK
Yoon Kong Loke, MB, BS, MRCP, MD, Senior Lecturer in Clinical Pharmacology, School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK
and Alastair M. Thompson, ALCM, BSc(Hons), MBChB, MD, FRCS(Ed), Professor of Surgical Oncology, Department of Surgery and Molecular Oncology, Ninewells Hospital and Medical School, Dundee, UK

ISBN: 9780443072604
Published July 2007
Paperback
1000 pages /730 ills
Churchill Livingstone
Matthew Lee,
The University of Edinburgh
This book is a beauty. It is very readable, and easy to follow with a relatively large font and very clear coloured and pictured headings. There are key references conveniently located after each section. The layout and formatting of this book is superb, and it is evident that lots of thought has gone into it!
There is a mini contents column on the side of every double page, making it easy to find your stuff, and to be reminded of the chapter's contents. Once I start reading, I find it difficult to close this book!
Also, I like the fact that the content is divided into three levels: (1) common conditions are covered comprehensively, (2) less common diseases, and (3) rarer diseases. It is very practical, and is written to illustrate the clinical decision-making process. Investigations are divided into initial & further investigations. Management is split into initial, medical & surgical management (Integrated indeed!), making it easier to understand & remember.
This book helps readers get to grips with basic sciences too. Sentences are concise, yet thorough, and you have to love the briliant tables & charts & pictures. Although a large book, you don't have to carry it around - online access is available.
I wish I'd gotten this book earlier! A worthwhile investment. Will be exceptionally useful for finals!
Posted 20th Mar 2009
Could this one book be the solution to our exam fears and future careers — the holy grail of a book that we have all been searching for which will provide all the answers we need in one place? While I am known for my compulsive textbook purchasing (some girls buy shoes, I buy anatomy atlases…) and I do love to stare at my creaking bookshelves which make me feel deceptively knowledgeable, the idea of a single book which combines both the MB and the ChB is very appealing. Lim’s Medicine and Surgery does a very good job of this in a clear and concise manner.
The structure of the textbook satisfies all my autistic tendencies by covering common diseases in a systematic way with the headings ‘epidemiology’, ‘pathology’, ‘scope of disease’, ‘clinical features’, ‘investigations’, ‘management’ and ‘prognosis’. Each ‘investigations’ section is divided into initial and further investigations allowing you to think through managing the disease in a real time setting. Explanations of individual investigations and what you might expect to find are particularly useful and clear. Management is further divided into initial management, medical management and surgical management, thus providing a clear way in which to think about options for treatment. One area where I felt a little more detail could have been included is the ‘clinical features’ section which sometimes is not as comprehensive as it could be.
As a surgery textbook there is not as much detail as might be needed for making the most of your surgical attachments. Relevant clinical anatomy and precise descriptions of procedures as can be found in pure surgery texts are not included and I would recommend consulting other books for a more in depth understanding of each surgical specialty — particularly for those of you committed to pursuing a career in ‘cutting’.
The book comes with free online access to a web-based version of the text which can be easily searched and for those of you technology lovers you can download text to your handheld PDA. In addition the image library with very good pictures of various imaging and clinical signs will come in handy when preparing those all too frequent and slightly random group presentations during 4th year. Medicine & Surgery is a book I would recommend to all undergraduates who want a comprehensive textbook to use when revising for final exams. Although a little pricey it includes the majority of the information you need to do well in finals in a fantastically readable and understandable way… And it adds a nice solid chunk of text to those overflowing shelves of mine — I’m feeling way more intelligent already!
Posted 1st Jul 2008
An Integrated textbook? First I was sceptical,preferring texts which have some history and show evolution.But this one is not too bad.It deals finely with the main diseases, or clinical units, of each organ system. The layout is great, with many illustrations, images, tables. With each chapter we have a clear description system which enables absolutely sharp orientation.It covers the important points that a student needs to know.That is most useful.However an effort to reduce reading time made the text a bit dry, uniform, almost definition-based.The clinical medicine part coverage is adequate-the sentences explain the core of the problem and its management.However the surgical-part seems a bit like the Cinderella — it outlines only the basics. But even then — every sentence is a pearl — a must know. So while I would still recommend bigger separate texts, a student who doesn’t like digging through Bibles, lacks time, but wants to be sure that he grasps the most important keypoints of the subject — which after all is the point of the project of an integrated student {and textbook} may find, that this book will give him exactly what he needs — a clear insight into the most important diseases and their management.For the bible-lovers: get something heavy, without pictures, dig through redundant detail and triple your reading time!
Posted 1st Jul 2008