Franklin IC-118 Manuel utilisateur



Digital Book System

For use with the Franklin



IC-118

DIGITAL BOOK

User’s Manual



Electronic Publishers

Mount Holly, NJ 08060

FCR-28018-00 A PN 7201760 Printed in China

FOLD



Electronic Publishers



THE

MERCK

MANUAL

SIXTEENTH EDITION

READ THIS LICENSE AGREEMENT BEFORE USING THE

DIGITAL BOOK. YOUR USE OF THE DIGITAL BOOK 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 DIGITAL BOOK AND

YOUR PURCHASE PRICE WILL BE REFUNDED. DIGITAL

BOOK means the software product and documentation found in

this package and FRANKLIN means Franklin Electronic Publishers,

Inc.

LIMITED USE LICENSE

All rights in the DIGITAL BOOK remain the property of FRANKLIN.

Through your purchase, FRANKLIN grants you a personal and

nonexclusive license to use the DIGITAL BOOK on a single

FRANKLIN Digital Book System at a time. You may not make any

copies of the DIGITAL BOOK or of the 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 DIGITAL BOOK. You may not export

or re-export, directly or indirectly, the DIGITAL BOOK without

compliance with appropriate governmental regulations. The

DIGITAL BOOK 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.

This digital book was developed for use by medical professionals.

No other use of this digital book can substitute for consultation with

your physician.

License Agreement

Contents

Getting Started .............................................7

Installing Digital Books.......................... 8

Using Menus ........................................... 9

Changing Settings.................................. 11

Viewing Text ...............................................12

Using the Outline.................................... 13

Using the Index....................................... 16

Viewing References................................ 17

Viewing Tables ........................................ 18

Searching for Words..................................20

Entering Search Words.......................... 21

Picking Search Words............................ 24

Fine-tuning Searches ............................. 26

Expanding Searches .............................. 28

Finding Words in Other Books.............. 29

Taking Notes...............................................30

Placing Notes.......................................... 31

Viewing Notes ......................................... 32

Removing Notes ..................................... 33

Appendixes/Index ......................................34

Abbreviations and Symbols .................. 35

Digital Book System®............................. 38

Key Guide................................................ 42

Index ........................................................ 43

NOTE: This foreword of the 16th Edition of

THE MERCK

MANUAL

contains page references not applicable to the digi-

tal book.

It has been 93 years since THE MERCK MANUAL first ap-

peared in 1899 as a slender 262-page text titled MERCK’S

MANUAL OF THE MATERIA MEDICA. It was expressly de-

signed 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 re-

minder “to make him at once master of the situation and en-

able 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 estab-

lished 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 re-

mains 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 spec-

trum of current and accurate information. Specialists require

precise information about subjects outside their areas of ex-

pertise. 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 cel-

lular 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,

Foreword

from a disease orientation, THE MANUAL covers all but the

most obscure disorders of mankind, not only those that a

general internist might expect to encounter but also problems

associated with pregnancy and delivery; common and seri-

ous 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 disor-

ders due to physical agents), or on the basis of disciplines

(e.g., gynecology, obstetrics, pediatrics, genetics, psychia-

try). In addition, THE MANUAL contains information for spe-

cial circumstances, such as radiation reactions and injuries,

problems encountered in deep-sea diving, and dental emer-

gencies. 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 medi-

cine, cross-cultural issues in medicine, anabolic steroid

abuse, and special considerations in performing cardiopul-

monary resuscitation on infants and children. This edition has

140 more pages of text (approximately 5%) than the preced-

ing edition. We therefore urge you to check the Index when-

ever 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 de-

scribed, 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 proce-

Foreword

dures are also described, with comments on their uses, inter-

pretations, and limitations.

Current therapy is presented for each disorder and supple-

mented with a separate section on clinical pharmacology that

describes general principles, new advances, (e.g., the role of

drug receptors, plasma concentration monitoring), and de-

tails of pharmacologic groups and specific agents; it even

discusses the uses of placebos. The use of complex equip-

ment (e.g., respirators) is also described. Prophylaxis is em-

phasized 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 ac-

ceptance. Sections of that book were then sent to outside ex-

perts 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 elimi-

nating sometimes elegant but unneeded words. Each manu-

script 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

Foreword

objective of all these reviews was to ensure accuracy, ade-

quate 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 un-

common. We believe that no other medical text undergoes

as many reviews and revisions as THE MERCK MANUAL

does.

Owing to the extensive subject matter covered and to a

successful tradition, the style and organization of THE MAN-

UAL have some unique characteristics. Readers are urged to

spend a few minutes reviewing the Guide for Readers (p.

viii), the Table of Contents at the beginning of each section

(indicated by a thumb tab), and the Index (p. 2717). Scrutiny

of the arrangement of subject headings within each section,

of internal headings within a subject discussion, and of bold-

faced terms in the text will reveal a pattern of outlining intend-

ed to aid study of the text.

The foregoing description is a simplified review of the com-

plex and arduous but rewarding 5-year enterprise that culmi-

nated in the presentation of the 16th Edition of THE MERCK

MANUAL. The members of the Editorial Board, special con-

sultants, contributing authors, and in-house staff and their af-

filiations are listed on the pages that follow. They deserve a

degree of gratitude that cannot adequately be expressed

here, but we know they will feel sufficiently rewarded if their

efforts serve your needs.

We hope this edition of THE MERCK MANUAL will be a

welcome aid to you, our readers—compatible with your

needs and worthy of frequent use. Suggestions for improve-

ments will be warmly welcomed and carefully considered

Robert Berkow, M.D., Editor-in-Chief

MERCK RESEARCH LABORATORIES

West Point, Pa. 19486

Foreword

Getting Started

If you have never used this digital book,

read this section first.

It explains how to install

and start using this digital book.

Installing Digital Books

You must install this digital book before you can use

it.

Warning:

Never install a digital book when the

Digital Book System is on.

✓Protecting Your Digital Books

If you install or remove a digital book while the

Digital Book System is on, information that you

entered in other installed digital books may be

erased.

1. Turn the Digital Book System off.

2. Install the digital book in a slot on the back.

3. Press

ON/OFF

4. To adjust the contrast, turn the wheel

on the side of the Digital Book System.

If the screen is still blank, check the batteries.

5. Press

CARD

6. Press or to highlight the appropriate

digital book symbol.

7. Press

ENTER

Using Menus

To begin most functions of this digital book, you must

use menus. This lesson shows how to move around

the main menus and select menu items.

1. Press

CLEAR

2. Press

3. Press the arrow keys to highlight menus

and menu items.

The flashing arrows at the bottom of the screen

show which arrow keys you can press.

A slanted arrow to the right of a menu item shows

that a submenu exists.

4. To select a highlighted item, press

ENTER

5. Press

BACK

to return to the main menus.

✓Help is at Hand

Except during the self-demonstration, you can

always view an appropriate help message by

pressing

HELP

To read the message, press or

. To exit it,

press

BACK

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