READ THIS LICENSE AGREEMENT BEFORE USING THE MEDICAL BOOK
SYSTEM.
YOUR USE OF THE MEDICAL BOOK SYSTEM DEEMS THAT YOU ACCEPT
THE TERMS OF THIS LICENSE. IF YOU DO NOT AGREE WITH THESE
TERMS, YOU MAY RETURN THIS PACKAGE WITH PURCHASE RECEIPT
TO THE DEALER FROM WHICH YOU PURCHASED THE MEDICAL BOOK
SYSTEM AND YOUR PURCHASE PRICE WILL BE REFUNDED. The MEDICAL BOOK SYSTEM means the software product, hardware, and documentation
found in this package and FRANKLIN means Franklin Electronic Publishers, Inc.
LIMITED USE LICENSE
All rights in the MEDICAL BOOK SYSTEM remain the property of FRANKLIN.
Through your purchase, FRANKLIN grants you a personal and nonexclusive license to use the MEDICAL BOOK SYSTEM. You may not make any copies of the
MEDICAL BOOK SYSTEM or of the preprogrammed data stored therein, whether
in electronic or print format. Such copying would be in violation of applicable
copyright laws. Further, you may not modify, adapt, disassemble, decompile, translate, create derivative works of, or in any way reverse engineer the MEDICAL
BOOK SYSTEM. You may not export or re-export, directly or indirectly, the
MEDICAL BOOK SYSTEM without compliance with appropriate governmental
regulations. The MEDICAL BOOK SYSTEM contains Franklin’s confidential and
propriety information which you agree to take adequate steps to protect from unauthorized disclosure or use. This license is effective until terminated. This license
terminates immediately without notice from FRANKLIN if you fail to comply
with any provision of this license.
WARNING This book card can be
used only with the Medical Book
System platform and will not function in any other Franklin BOOK-
®
platform.
MAN
The Medical Book System platform
can use Franklin BOOKMAN book
cards as well as Medical Book System book cards. However, Franklin
BOOKMAN platforms cannot use
Medical Book System book cards.
➤
For More Information
To learn more about the Medical
Book System
™
or other products
from Franklin Electronic Publishers,
call 800-665-5450 or visit the Franklin Web site at www.franklin.com.
➤
Understanding the Keys
The functions of the keys may vary
according to which book card is installed and selected in the platform.
To learn how to use a particular book
card, read its user’s guide.
2
Color Keys
MORE
(red) Expands a word search.
SPEC
(green) At text, displays the
Outline location.
SEARCH
(yellow) Displays the search
screen.
LIST
(blue) Lets you add, find, or re-
move notes.
Function Keys
BACK
Erases typed letters, or displays
the previous screen.
CAP
Shifts keys to type capitals or
punctuation.
CARD
Exits the currently selected book.
CLEAR
Clears to the default state.
Enters a word, selects a menu
ENTER
item, or starts the highlight in
text.
HELP
Displays help messages.
MENU
Highlights the Outline menu.
ON/OFF
Turns the Medical Book System
platform on or off.
SPACE
At entry screens, types a space.
At menus and text, pages down.
Key Guide
?*
+
✩
+
✩
+
✩
+ At text, displays the next or
✩
CAP
or
* Hold the first key while pressing the second.
3
At menus, displays the full title
of a highlighted item. At text,
displays the Outline location.
Direction Keys
Moves the cursor, text, or highlight.
Pages up or down.
Key Combinations*
BACK
Displays the top level of
a menu from a lower level.
CARD
Lets you look up a word
from or in another installed
book card.
ENTER
At a highlighted menu item,
displays the related text. At
text, highlights a special
marker (e.g., footnote).
previous section or subsection.
+ At text, displays the next or
previous section or subsec
tion. At a menu, goes to the
first or last item.
Foreword
NOTE: This foreword of the 16th Edition of THE MERCK MANUAL contains
page references not applicable to the book card.
It has been 93 years since THE MERCK MANUAL first appeared in 1899 as a
slender 262-page text titled MERCK’S MANUAL OF THE MATERIA MEDICA.
It was expressly designed to meet the needs of general practitioners in selecting
medications, noting that “memory is treacherous” and that even the most thoroughly informed physician needs a reminder “to make him at once master of the
situation and enable him to prescribe exactly what his judgment tells him is needed
for the occasion.” It was well received and, by the 6th Edition (1934), THE
MERCK MANUAL had become highly valued by medical students and house staff
as well; by the end of World War II the pocket-sized manual was an established favorite ready—reference book. Today THE MANUAL is the most widely used
medical text in the world. While the book has grown to about 2800 pages, its primary purpose remains the same—to provide useful clinical information to practicing physicians, medical students, interns, residents, and other health care
professionals.
Fewer physicians now attempt to manage the whole range of medical disorders that
can occur in infants, children, and adults, but those who do must have available a
broad spectrum of current and accurate information. Specialists require precise information about subjects outside their areas of expertise. All physicians need more
and more information for study and examination purposes, as well as for patient
care. Keeping up with the rapid and extraordinary advances in cellular and molecular biology, molecular genetics, and medical technology is more challenging that
ever, but THE MERCK MANUAL continues to try to meet these needs, excluding
only details of surgical procedures.
Precisely how to we attempt to meet these needs? First, from a disease orientation,
THE MANUAL covers all but the most obscure disorders of mankind, not only
4
Foreword
those that a general internist might expect to encounter but also problems associated with pregnancy and delivery; common and serious disorders of neonates, infants, and children; and many special situations. Disorders are organized mainly
according to the organ systems primarily affected, on the basis of their etiology (as
with most of the infectious diseases and disorders due to physical agents), or on
the basis of disciplines (e.g., gynecology, obstetrics, pediatrics, genetics, psychiatry). In addition, THE MANUAL contains information for special circumstances,
such as radiation reactions and injuries, problems encountered in deep-sea diving,
and dental emergencies. The entire book is updated for each new edition, and new
subjects are added, such as discussions of genetic evaluation and counseling, human immunodeficiency virus (HIV) infection in children, sports medicine, hospice
medicine, cross-cultural issues in medicine, anabolic steroid abuse, and special
considerations in performing cardiopulmonary resuscitation on infants and children. This edition has 140 more pages of text (approximately 5%) than the preceding edition. We therefore urge you to check the Index whenever you need
information, even on unusual subjects or those not commonly found in other texts.
A completely disease-oriented compendium, however, would have serious limitations. Since patients usually present with complaints or concerns that must be meticulously described, sorted, and deciphered, many chapters are devoted to
discussions of symptoms and signs and of how to elicit the historical and physical
data required for diagnosis. Common clinical procedures and laboratory tests used
as diagnostic and management aids are described, with emphasis on their indications, contraindications, and possible complications. New and sophisticated laboratory and technologic procedures are also described, with comments on their
uses, interpretations, and limitations.
Current therapy is presented for each disorder and supplemented with a separate
section on clinical pharmacology that describes general principles, new advances,
5
Foreword
(e.g., the role of drug receptors, plasma concentration monitoring), and details of
pharmacologic groups and specific agents; it even discusses the uses of placebos.
The use of complex equipment (e.g., respirators) is also described. Prophylaxis is
emphasized wherever possible. Finally, reference guides are provided for checking
normal values, for calculating dosages, and for converting weights, measures, and
volumes to metric equivalents.
Can so many subjects by adequately covered in a single book? You, the reader,
must be the ultimate judge, but we believe the answer is in the affirmative. This
edition required a concerted effort by many people, beginning with an internal
analysis and critique of the previous edition, even though it enjoyed highly favorable reviews and outstanding reader acceptance. Sections of that book were then
sent to outside experts who had had nothing to do with its preparation, to solicit
their most candid criticism. Published reviews and letters from readers were analyzed. Next, the Editorial Board met to compare reviews and critiques and to plan
this 16th Edition. Distinguished special consultants were enlisted to provide additional expertise. Then, 290 authors with outstanding qualifications, experience,
and knowledge were engaged. Their manuscripts were painstakingly edited by our
in-house staff to retain every valuable morsel of knowledge while eliminating
sometimes elegant but unneeded words. Each manuscript was then reviewed by a
member of the Editorial Board or a consultant. In many cases, additional special
reviewers were invited to comment. Every mention of a drug and its dosage was
reviewed by still another outside consultant. The objective of all these reviews was
to ensure accuracy, adequate and relevant coverage of each subject, and simple and
clean exposition. The authors then reworked, modified, and polished their manuscripts. Almost all of the manuscripts were revised at least 6 times; 15 to 20 revisions were not uncommon. We believe that no other medical text undergoes as
many reviews and revisions as THE MERCK MANUAL does.
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