Mark H Swartz Md Facp


I wish to acknowledge all of my professional colleagues and friends who have supported and guided me in writing this Sixth Edition. I express my heartfelt thanks to the following people, without whose assistance I could not have brought this book to a reality:

To all my teachers, students, and patients who have taught me so much about medicine. Special thanks to the following people who have helped in reviewing chapters for this edition:

Jerry A. Colliver, PhD

Former Director of Statistics and Research Consulting and Professor of Medical

Education (1981-2007) Southern Illinois University School of Medicine Springfield, Illinois

Margaret Clark Golden, MD

Clinical Associate Professor of Pediatrics Director, Third Year Pediatric Clerkship Department of Pediatrics State University of New York (SUNY) Downstate College of Medicine Brooklyn, New York

Mark Kosinski, DPM

Professor of Medicine

New York College of Podiatric Medicine

New York, New York

Instructor of Surgery

New York Medical College

Valhalla, New York

Robert Kushner, MD

Professor of Medicine

Northwestern University Feinberg School of Medicine Chicago, Illinois

Robert W. Marion, MD

Professor of Pediatrics and Obstetrics and Gynecology Ruth L. Gottesman Professor of

Child Development Director of the Children's Evaluation and Rehabilitation Center Co-Director, Medical Student Education,

Department of Pediatrics Albert Einstein College of Medicine Co-Chief, Section of Genetics, and Director,

Center for Congenital Disorders Children's Hospital at Montefiore Bronx, New York

Mimi McEvoy, RN, CPNP, MA

Assistant Professor of Pediatrics Albert Einstein College of Medicine Bronx, New York

Joanna F. Shulman, MD

Assistant Professor of Obstetrics and

Gynecology Director, Third Year OB/GYN Clerkship Department of Obstetrics, Gynecology & Reproductive Science Mount Sinai School of Medicine New York, New York

Talia H. Swartz, MD, PhD

Department of Internal Medicine Mount Sinai Medical Center New York, New York

And to the following people who helped in previous editions:

James R. Bonner, MD Dennis W. Boulware, MD

University of Alabama School of Medicine Birmingham, Alabama

Sheldon Jacobson, MD

Mount Sinai School of Medicine New York, New York

Gabriele Chryssanthou, CO

New York, New York

Peter B. Liebert, MD

Mount Sinai School of Medicine New York, New York

Tracie L. DeMack

University of Chicago School of Medicine Chicago, Illinois

Meryl H. Mendelson, MD

Mount Sinai School of Medicine New York, New York

Ethan D. Fried, MD

Columbia University College of Physicians and Surgeons New York, New York

And finally, special thanks:

To Wendy Beth Jackelow, who has artistically illustrated all editions of this book.

To Frederick S. Bobrow for his tireless efforts to expertly produce the DVD-ROM in this book, as well as the DVD-ROM and CD-ROM in earlier editions.

To Margaret Clark Golden, MD, for all of her time and help in preparing the pediatric and adolescent portions of the DVD-ROM. Dr. Golden wishes to acknowledge with thanks Dr. Robert Louis Gatson, who taught her what it means to be a pediatrician.

To Ella-Jean L. Richards-Francois, MD, for preparing the adolescent history portion of the DVD-ROM.

To Joan Kendall, Meg Anderson, Lily Burd, Tom Pennacchini, Sandra Parris, and Lane Binkley, who were the remarkable actors portraying the patients in the DVD-ROM.

To the many employees at Elsevier for their expert assistance and cooperation. In particular, I would like to acknowledge the help of James Merritt, my editor, and the production team of Christine Abshire, Sharon Lee, Lou Forgione, David Rushing, and Lisa Damico, whose efforts have been critical in the planning, production, design, media, and marketing of this edition.

And finally to my wife, Vivian Hirshaut, for her personal support, endless patience, and understanding. Without her boundless affection, indefatigable help, sustained devotion, and encouragement, this book could never have come to fruition.

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