There is highlighting through out the book, no torn pages noted. The product is the "CURRENT Medical Diagnosis and Treatment 2018" textbook by Maxine A. Papadakis, Stephen J. McPhee, and Michael W. Rabow. It was published by McGraw-Hill Education in 2017 in trade paperback format, featuring 1934 pages. The book covers clinical medicine, allied health services, and diagnosis, making it a valuable resource for medical professionals and students.