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18th Ed Review
on November 7, 2011
Having owned the 17th ed. of Harrison's and used it extensively, I thought I'd post up a review after having gotten then 18th ed. and used it a fair bit now. I'm a final year Canadian med student that i's surgery bound.
- has the same super-thin paper with lots of colour photos and diagrams
- only comes in 2 volumes, which saves people the mistake of purchasing this in a 1 vol. tome.
-looks ~ 10% thicker than the previous edition
- side of pages has improved section colour-coding
- 397 Chapters and 57 eChapters which is up from 392 and 38
- when comparing chapters between the editions, there is changes in a fair bit of the text and many tables, although most images have been (rightly) retained
- same good structure, with cardinal manifestations first then other topics clustered together (eg. Infectious Disease which is further subdivided by specific groups of bugs)
- they have made an effort to start new chapters at the top of the page, which might seem trivial but I definitely appreciate
- eChapters appropriately mentioned in logical points/relevant topics
- to be honest, I rarely use this although I'm excited for Harrison's on the iPad as mentioned on the site
- the eChapters seem pretty much identical to what physical chapters are like , omitted to save space I would guess.
- eChapters tend to have some of the more soft-side of medicine things (ie Ethical Issues, Economics of Medical Care, etc)
In the end, this continues to be one of the best books covering all the topics in internal medicine. These revisions help improve on something that was already a very good textbooks. It can be too much information for someone who is just looking for a brief overview of a topic, but I guess that's what we might use Wikipedia for. This is a great book if you really want to understand the disease well. Even as a surgeon, sometimes it's nice to know why the bones get soft but this book is geared towards docs/residents/medstudents in Internal Medicine!