Medicina Ambulatoriale – 6th edition

Ambulatory medicine is a field in which physicians often work alone, without the support of a medical team as in hospital wards. They frequently have to act and decide quickly, without the possibility of consulting colleagues, making decisions that may be crucial for the patient and for which they are directly accountable. In this context, responsibility depends not only on professional skills and clinical knowledge, and on the application of validated protocols, but also on familiarity with regulations that are rarely taught during university training or hospital internships.

This book is designed to make ambulatory physicians feel less isolated by providing key tools for their daily work: legal and regulatory guidance, clinical tools and practical advice. The regulatory section includes laws and rules governing practice, as well as guidance on how to correctly write prescriptions, requests for services, exemptions, certificates and mandatory documents. The professional tools consist of a comprehensive ambulatory medicine formulary, with diagnostic and therapeutic schemes for the most common conditions, aligned with internationally accepted treatment protocols. Numerous tips are also provided on frequent mistakes and on what to do – or avoid – in many potentially risky situations.

This new edition of the Manuale di Medicina Ambulatoriale is published in what appears to be the closing phase of the SARS-CoV-2 pandemic, which has caused millions of deaths and demanded a tremendous effort from doctors and healthcare workers. Only large-scale vaccination campaigns have made the virus less aggressive and easier to manage. Many new insights and medications have been added to our therapeutic arsenal and are concisely described in the volume.

The sixth edition is further enriched with new topics such as pelvic inflammatory disease, coeliac disease, protein-calorie malnutrition, abdominal and thoracic aortic aneurysms, long QT syndrome and West Nile fever.