approach to a patient with dyspnea ppt
Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
... dermatitis with erosions caused by scratching.
Figure 52-1
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 1)
Harrison's Internal Medicine > Chapter 52. Approach to ... trivial ones, and in integrating pertinent signs
and symptoms into an appropriate differential diagnosis. The fact that the largest
organ in the body is visible is both an advantage and a disadvantage ... of scaling
papules (present in patients with psoriasis or atopic dermatitis) places the patient
in a different diagnostic category than would hemorrhagic papules, which may
indicate vasculitis...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
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...
Psoriasis. This papulosquamous skin disease is characterized by small and
large erythematous papules and plaques with overlying adherent silvery scale.
Figure 52-8
Chapter 052. Approach to ... overlying adherent silvery scale.
Figure 52-8
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 5)
Figure 52-6
...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
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06/07/2014, 20:20
... Family history (particularly relevant for patients with melanoma,
atopy, psoriasis, or acne)
10. Social, sexual, or travel history as relevant to the patient
DIAGNOSTIC TECHNIQUES
Many ... skin diseases can be diagnosed on gross clinical appearance, but
sometimes relatively simple diagnostic procedures can yield valuable information.
In most instances, they can be performed at the ... pressed against the surface of the
skin and rotated with downward pressure until it penetrates to the subcutaneous
tissue. The circular biopsy is then lifted with forceps, and the bottom is cut with...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
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06/07/2014, 20:20
... freckles are
accentuated, while dermal pigment such as postinflammatory hyperpigmentation
fades under a Wood's light. Vitiligo (Fig. 52-12) appears totally white under a
Wood's lamp, and ... lesion and
noting the amount of blanching that occurs. Granulomas often have an opaque to
transparent, brown-pink "apple jelly" appearance on diascopy.
Figure 52-11
Chapter 052. Approach ... (eds): Fitzpatrick's Dermatology in General Medicine, 7th ed.
New York, McGraw-Hill, 2008
Urticaria. Discrete and confluent, edematous, erythematous papules and
plaques are characteristic...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
Ngày tải lên :
06/07/2014, 20:20
...
predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis,
allergic contact dermatitis); it is also commonly associated with xerosis and aged
skin. Systemic conditions that can ... their age or
character. Sites on hair-bearing areas may be characterized by destruction of hair
follicles.
Table 52-3 Common Dermatologic Terms
A schematic representation of several common ... epidermis without an associated loss of dermis.
Ulcer: Loss of epidermis and at least a portion of the underlying dermis.
Excoriation: Linear, angular erosions that may be covered by crust and are...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
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06/07/2014, 20:20
... correlates highly with diagnosis (Fig. 52-6).
For example, a hospitalized patient with a generalized erythematous exanthem is
more likely to have a drug eruption than is a patient with a similar ... scaly papule that soon
forms erythematous plaques covered with a white scale, whereas that of dermatitis
herpetiformis is an urticarial papule that quickly becomes a small vesicle. In this
manner, ... examining the skin it is usually advisable to assess the patient before
taking an extensive history. This way, the entire cutaneous surface is sure to be
evaluated, and objective findings can...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
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06/07/2014, 20:20
...
contact (Fig. 52-10) or primary irritant dermatitis. In contrast, lesions with a
generalized arrangement are common and suggest a systemic etiology.
Figure 52-9
Erythema multiforme. ...
This eruption is characterized by multiple erythematous plaques with a
target or iris morphology. It usually represents a hypersensitivity reaction to drugs
(e.g., sulfonylamides) or infections ... drugs
(e.g., sulfonylamides) or infections (e.g., HSV). (Courtesy of the Yale Resident's
Slide Collection; with permission.)
Figure 52-10
...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
Ngày tải lên :
07/07/2014, 01:20
...
prognosis and response to therapy (Chaps. 79, 80).
Occasionally a patient will present with a metastatic disease process that is
defined as cancer on biopsy but has no apparent primary site of disease. ... most treatable causes (Chap. 95).
Once the diagnosis of cancer is made, the management of the patient is best
undertaken as a multidisciplinary collaboration among the primary care physician,
medical ... history
and physical examination. The duration of symptoms may reveal the chronicity of
disease. The past medical history may alert the physician to the presence of
underlying diseases that...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
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...
Ovary 3 22,430
Chapter 077. Approach to the
Patient with Cancer
(Part 1)
Harrison's Internal Medicine > Chapter 77. Approach to the Patient with
Cancer
Approach to the Patient ...
symptoms of congestive heart failure (median survival, ~8 months). However, the
patient with heart disease may remain functional and maintain a self-image as a
fully intact person with just a ... a malfunctioning part, a diseased organ (" ;a bum
ticker"). By contrast, the patient with pancreatic cancer has a completely altered
self-image and is viewed differently by family and...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
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07/07/2014, 01:20
... occasional assistance but is able to care
for most needs
50
Requires considerable assistance and frequent
medical care
40 Disabled; requires special care and assistance
30 Severely disabled; ... Instead, surrogate markers for physiologic reserve are
used, such as the patient& apos;s age or Karnofsky performance status (Table 77-4).
Older patients and those with a Karnofsky performance ... Gynecologists and Obstetricians (FIGO) classification
for gynecologic cancers, and the Ann Arbor classification for Hodgkin's disease.
1
Certain tumors cannot be grouped on the basis of anatomic...
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