laboratory tests in liver disease and approach to the patient with abnormal tests
Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... Fig 52-3) and to formulate a differential diagnosis (Table 52-4) For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in a different ... of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation would be that the patient ... with a color different from the surrounding skin This differs from a macule only in size Papule: A small, solid lesion,
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... from coalescing rings or incomplete rings Pruritus: A sensation that elicits the desire to scratch Pruritus is often the predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis, ... Scar: A change in the skin secondary to trauma or inflammation Sites may be erythematous, hypopigmented, or hyperpigmented depending on their age or character Sites on hair-bearing areas may be ... associated with xerosis and aged skin Systemic conditions that can be associated with pruritus include chronic renal disease, cholestasis, pregnancy, malignancy, thyroid disease, polycythemia vera, and...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... on the lower legs are seen in this patient with cutaneous small vessel vasculitis (Courtesy of Robert Swerlick, MD; with permission.)[newpage] APPROACH TO THE PATIENT: SKIN DISORDER In examining ... 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 be integrated ... lesions, the shape of individual lesions, and the arrangement of the lesions An ideal skin examination includes evaluation of the skin, hair, and nails as well as the mucous membranes of the mouth,...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
... The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques with ... papulosquamous skin disease is characterized by small and large erythematous papules and plaques with overlying adherent silvery scale Figure 52-8 ...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
... 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 ... erythematous plaques with a target or iris morphology It usually represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's ... (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 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
... selected areas of the body In this procedure, a small area of skin is anesthetized with 1% lidocaine with or without epinephrine The skin lesion in question can be excised or saucerized with a scalpel ... dermatophyte infections, pseudohyphae and budding yeast in Candida infections (see Fig 196-1), and "spaghetti and meatballs" yeast forms in tinea versicolor The same sampling technique can be used to obtain ... biopsy In the latter technique, a punch is pressed against the surface of the skin and rotated with downward pressure until it penetrates to the subcutaneous tissue The circular biopsy is then...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... allergens is applied to the patient' s back under occlusive dressings and allowed to remain in contact with the skin for 48 h The dressings are removed, and the area is examined for evidence of ... lamp, and previously unsuspected areas of involvement often become apparent A Wood's lamp may also aid in the demonstration of tinea versicolor and in recognition of ash leaf spots in patients with ... designed to assess whether a skin lesion will blanch with pressure as, for example, in determining whether a red lesion is hemorrhagic or simply blood-filled Urticaria (Fig 52-11) will blanch with...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
... For the interval between birth and age 39, in 72 men and in 51 women will develop cancer; for the interval between ages 40 and 59, in 12 men and in 11 women will develop cancer; and for the interval ... behind heart disease Deaths from heart disease have declined 45% in the United States since 1950 and continue to decline Cancer has overtaken heart disease as the number one cause of death in ... period of increases, cancer deaths began to decline in 1997 (Fig 77-2) The five leading causes of cancer deaths are shown for various populations in Table 77-2 Along with the decrease in incidence...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
... obtained from every portion of the routine history and physical examination The duration of symptoms may reveal the chronicity of disease The past medical history may alert the physician to the ... that may influence the course of disease and its treatment The family history may suggest an underlying familial cancer predisposition and point out the need to begin surveillance or other preventive ... on invasive tissue biopsy and should never be made without obtaining tissue; no noninvasive diagnostic test is sufficient to define a disease process as cancer Although in rare clinical settings...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
... and/ or tissue adjacent to the tumor, and inspection and biopsy of organs commonly involved in disease spread Pathologic staging includes histologic examination of all tissues removed during the ... examination, radiographs, isotopic scans, CT scans, and other imaging procedures; pathologic staging takes into account information obtained during a surgical procedure, which might include intraoperative ... genes, and genes involved in metastasis are being found to influence response to therapy and prognosis The presence of selected cytogenetic abnormalities may influence survival Tumors with higher...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
... is important to remember the comfort that is provided by holding the patient' s hand, continuing regular examinations, and taking time to talk 2 The National Cancer Institute maintains a database ... possible to gain access electronically to standard treatment protocols and to every approved clinical research study in North America through a personal computer interface with the Internet.2 The ... physician also has much to offer the patient for whom curative therapy is no longer an option Often a combination of guilt and frustration over the inability to cure the patient and the pressure of a...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
... gonadotropin Gestational trophoblastic Pregnancy disease, gonadal germ cell tumor Calcitonin Medullary cancer of the thyroid Catecholamines Pheochromocytoma Oncofetal Antigens Alphafetoprotein Hepatocellular ... Hepatocellular carcinoma, gonadal germ Cirrhosis, cell tumor Carcinoembryonic antigen Adenocarcinomas hepatitis Pancreatitis, of the colon, pancreas, hepatitis, lung, breast, ovary inflammatory bowel disease, ... Lymphoma, Ewing's sarcoma Hepatitis, hemolytic many others Tumor-Associated Proteins anemia, Prostate-specific Prostate cancer Prostatitis, antigen prostatic hypertrophy Monoclonal Myeloma Infection,...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
... and then annually At each visit, a battery of laboratory and radiographic and imaging tests were obtained on the assumption that it is best to detect recurrent disease before it becomes symptomatic ... consequence of the disease and some as a consequence of the treatment An understanding of these disease- and treatment-related problems may help in their detection and management Despite these concerns, ... persists, the multidisciplinary team discusses a new salvage treatment plan If the patient has been rendered disease- free by the original treatment, the patient is followed regularly for disease...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
... participate in the process, including dopamine, serotonin, histamine, opioid, and acetylcholine receptors The serotonin receptor antagonists ondansetron and granisetron are the most effective drugs against ... to indicate the severity of the pain The clinical condition is often dynamic, making it necessary to reassess the patient frequently Pain therapy should not be withheld while the cause of pain ... chemotherapy delivery Acute emesis is the best understood form Stimuli that activate signals in the chemoreceptor trigger zone in the medulla, the cerebral cortex, and peripherally in the intestinal tract...
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Chapter 077. Approach to the Patient with Cancer (Part 11) pot
... bleomycin or g of doxycycline is infused into the chest tube in 50 mL of 5% dextrose in water; the tube is clamped; the patient is rotated on four sides, spending 15 in each position; and, after ... after 1– h, the tube is again attached to suction for another 24 h The tube is then disconnected from suction and allowed to drain by gravity If
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Chapter 077. Approach to the Patient with Cancer (Part 12) pot
... of an incurable disease, and the goal of palliative therapy is embraced in the hope of being able to live with disease; finally, at the disclosure of imminent death, another adjustment in outlook ... affected by the diagnosis and is coping with it is an important goal of patient management It is best to speak frankly with the patient and the family regarding the likely course of disease These discussions ... acceptance, and hope Of course, patients not all progress through all the stages or proceed through them in the same order or at the same rate Nevertheless, developing an understanding of how the patient...
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Báo cáo " Post - systemic - functional achievements in language studies and applications to the postgraduate courses structuring syllabus " pptx
... speakers of all the language communities) to understand the environment, to act on the others in it, and also to interpret the relevance of the first two purposes interims of the topics under discussion ... page 80, showing the problems of theme selection (including kinds of predicator theme, adjunct theme, subject theme, non - wh theme, wh theme, etc); theme more clearly expressed in the use of mood ... schema and instance (making up hierarchies and polysemy network); the uses of S and I in phonology, in symbolic units; the different aspects of meaning including profile, base and domain and also...
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Báo cáo y học: "Percutaneous tracheostomy in patients with severe liver disease and a high incidence of refractory coagulopathy: a prospective trial" doc
... involved with the clinical aspects of the study All authors were involved in drafting and revising the final manuscript Key messages • Percutaneous dilational tracheostomy in patients with liver disease ... compared with previous investigations lies in the stringent a priori definition of refractory coagulopathy and the sole inclusion of patients with liver- related disease processes Only patients with ... 88% in- hospital mortality in patients with cirrhosis admitted to a medical ICU The average SOFA score of the patients in this study was 13, and a third of the patients had chronic liver disease...
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Ascites and Renal Dysfunction in Liver Disease Pathogenesis, Diagnosis, and Treatment docx
... drain into mucosal venules, which in turn drain into collecting venules which join to form main venules and finally drain into the portal vein except the distal rectum, which drains into the internal ... paracrine mediators Catecholamines (except liver and muscle) Catecholamines (only liver and muscle) Angiotensin II, vasopressin Cholecystokinin, secretin, gastrin Serotonin Histamine, bradykinin Platelet-activating ... small intestine and yields a value of 0.5–1.0 mmHg for Pt (in the mucosa of the rat small intestine) that increases during intestinal absorption and decreases during cholera toxin-induced intestinal...
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Tìm thêm: hệ việt nam nhật bản và sức hấp dẫn của tiếng nhật tại việt nam xác định các mục tiêu của chương trình khảo sát các chuẩn giảng dạy tiếng nhật từ góc độ lí thuyết và thực tiễn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản xác định thời lượng học về mặt lí thuyết và thực tế tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam khảo sát các chương trình đào tạo theo những bộ giáo trình tiêu biểu nội dung cụ thể cho từng kĩ năng ở từng cấp độ xác định mức độ đáp ứng về văn hoá và chuyên môn trong ct phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ mở máy động cơ lồng sóc mở máy động cơ rôto dây quấn các đặc tính của động cơ điện không đồng bộ đặc tuyến hiệu suất h fi p2 đặc tuyến dòng điện stato i1 fi p2 động cơ điện không đồng bộ một pha sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ phần 3 giới thiệu nguyên liệu