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management of the patient with a foot at risk peripheral arterial disease and diabetes

Care of the Patient with Retinal Detachment And Related Peripheral Vitreoretinal Disease docx

Care of the Patient with Retinal Detachment And Related Peripheral Vitreoretinal Disease docx

Sức khỏe trẻ em

... surgery, approximately 40 percent of patients with a retinal detachment have had prior cataract extraction.73 Cataract patients with extracapsular cataract extraction (ECCE) and intraocular lens ... Retinal Dialysis A retinal tear that occurs at the ora serrata, concentric with the ora, is called a retinal dialysis Most of these tears are less than 90 degrees, and they are rarely bilateral The ... practitioners about the complications and prevention of retinal disease and the availability of treatment Statement of the Problem I STATEMENT OF THE PROBLEM A retinal detachment can have devastating...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt

Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt

Sức khỏe giới tính

... 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 diagnostic ... lesions If the examiner focuses on linear erosions overlying an area of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and scale are secondary, ... raised, often translucent lesion >0.5 cm in diameter Wheal: A raised, erythematous, edematous papule or plaque, usually representing short-lived vasodilatation and vasopermeability Telangiectasia:...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx

Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx

Sức khỏe giới tính

... of 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 ... that elicits the desire to scratch Pruritus is often the predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis, allergic contact dermatitis); it is also commonly associated ... 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

Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc

Sức khỏe giới tính

... 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, ... with relevant historic data Four basic features of a skin lesion must be noted and considered during a physical examination: the distribution of the eruption, the types of primary and secondary ... lesions and make it possible to assess the distribution of the eruption accurately The patient should first be viewed from a distance of about 1.5–2 m (4–6 ft) so that the general character of the...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx

Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx

Sức khỏe giới tính

... A D 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 ... 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

Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf

Sức khỏe giới tính

... 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 ... 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 ... reaction to 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 052. Approach to the Patient with a Skin Disorder (Part 7) ppt

Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt

Sức khỏe giới tính

... blade, and the removed scale is collected on a glass microscope slide then treated with to drops of a solution of 10–20% KOH KOH dissolves keratin and allows easier visualization of fungal elements ... or saucerized with a scalpel or removed by punch 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 ... 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...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx

Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx

Sức khỏe giới tính

... erythematous papules and plaques are characteristic of this whealing eruption Wood's Light A Wood's lamp generates 360-nm ultraviolet (or "black") light that can be used to aid the evaluation of ... noting the amount of blanching that occurs Granulomas often have an opaque to transparent, brown-pink "apple jelly" appearance on diascopy Figure 52-11 Urticaria Discrete and confluent, edematous, ... under a Wood's 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...
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Báo cáo y học:

Báo cáo y học: "Clinical Management of Adult Patients with a History of Nonsteroidal Anti-Inflammatory Drug–Induced Urticaria/ Angioedema: Update" ppt

Báo cáo khoa học

... Clinical Management of Adult Patients with NSAID-Induced Urticaria/Angioedema 10 Pastorello E, Zara C, Riario-Sforza GG, et al Atopy and intolerance of antimicrobial drugs increase the risk of reactions ... urticaria patients with NSAID intolerance and patients with AERD are characterized by elevated baseline urinary LTE4 levels and found that such levels are markedly increased by aspirin administration.27,28 ... keeping with the observations of another study that both multiple- and single-NSAID reactors with a history of aspirin-induced urticaria seem at higher risk of chronic urticaria than patients with a...
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Báo cáo khoa học:

Báo cáo khoa học: "Highly malignant soft tissue sarcoma of the extremity with a delayed diagnosis" ppsx

Báo cáo khoa học

... form the basis of a diagnosis According to Lawrence et al [3], approximately 50% of soft tissue sarcoma patients are diagnosed at about months after patient recognition, and an additional 20% are ... one case of synovial sarcoma (Figure 1) and one case of alveolar soft part sarcoma showed calcification on plain radiographs In all three cases of alveolar soft part Figure A plain radiograph ... histiocytoma, two cases each of myxofibrosarcoma and high-grade leiomyosarcoma, and one case of clear cell sarcoma were diagnosed Four of the seven cases of synovial sarcoma, two of the three cases of alveolar...
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Báo cáo y học:

Báo cáo y học: "Reconstruction of the urethra with a Surgisis onlay patch in urethral reconstructive surgery: two case reports" pdf

Báo cáo khoa học

... manuscript and in the review of the literature and in performing the clinical follow-up HG was involved in drafting the manuscript and in the review of the literature SH participated in the surgery and ... Neither of our patients showed a significant lower flow after a median follow-up time of 22 months, and no further operation was necessary in either case Neither patient showed complications of ... (Figures 2B and 3B) The percutanous cystostomy catheter was removed on day 25 in both patients Postoperative uroflowmetry performed on the first patient on day 25 revealed a maximal uroflow of 49.1ml/sec...
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Báo cáo y học:

Báo cáo y học: " Penetrating injury of the hand with a door handle: a case report" ppt

Báo cáo khoa học

... Lateral radiograph of hand debridement and washout was performed The wound was then reviewed after 48 hours and a delayed primary closure performed The patient had regained good hand function and ... initial management of the patient and reviewed the manuscript NS was the senior author responsible for the management of the patient References Figure Antero-posterior radiograph of hand Antero-posterior ... Journal of Medical Case Reports 2008, 2:377 http://www.jmedicalcasereports.com/content/2/1/377 Figure Clinical photograph of hand Clinical photograph of hand Figure Lateral radiograph of hand Lateral...
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Báo cáo y học:

Báo cáo y học: "Soft-tissue perineurioma of the retroperitoneum in a 63-year-old man, computed tomography and magnetic resonance imaging findings: a case report" doc

Báo cáo khoa học

... 8-3-33, Kamiochiai, Chuo-ku, Saitama, Saitama, Japan 2Department of Pathology Saitama Red Cross Hospital, 8-3-33, Kamiochiai, Chuo-ku, Saitama, Saitama, Japan Authors’ contributions MY conceived the ... unencapsulated [2] Neurilemmomas are encapsulated, and neurofibromas are unencapsulated tumors [6], and the possibility of neurofibroma can be excluded if the findings suggest the presence of a capsule ... the study YK and RM performed the literature review AA and KK performed histopathologic and immunohistochemical analyses All authors read and approved the final version of the manuscript Competing...
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Báo cáo y học:

Báo cáo y học: "Soft-tissue perineurioma of the retroperitoneum in a 63-year-old man, computed tomography and magnetic resonance imaging findings: a case report." pps

Báo cáo khoa học

... 8-3-33, Kamiochiai, Chuo-ku, Saitama, Saitama, Japan 2Department of Pathology Saitama Red Cross Hospital, 8-3-33, Kamiochiai, Chuo-ku, Saitama, Saitama, Japan Authors’ contributions MY conceived the ... unencapsulated [2] Neurilemmomas are encapsulated, and neurofibromas are unencapsulated tumors [6], and the possibility of neurofibroma can be excluded if the findings suggest the presence of a capsule ... the study YK and RM performed the literature review AA and KK performed histopathologic and immunohistochemical analyses All authors read and approved the final version of the manuscript Competing...
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Báo cáo y học:

Báo cáo y học: "Association of current smoking with airway inflammation in chronic obstructive pulmonary disease and asymptomatic smokers" pps

Báo cáo khoa học

... collection and the interpretation of the data and revised the manuscript All authors read and approved the final manuscript Additional material Additional File Description of the clinical characteristics ... inflammation as asymptomatic and symptomatic smokers without airway obstruction Current smoking was associated with airway inflammation in patients with COPD and in asymptomatic smokers, whereas ... immunohistochemical staining and quantification of the bronchial biopsies, performed the statistical analysis and interpretation of the data and drafted and revised the manuscript NtH contributed to the conception...
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Assessment and Management of the Elderly Patient with Multiple Sclerosis pot

Assessment and Management of the Elderly Patient with Multiple Sclerosis pot

Sức khỏe người cao tuổi

... benzodiazepines are traditionally poorly tolerated in the older population and are associated with an increased half-life and a higher association of paradoxical reactions, agitation, and disequilibrium ... spasticity, ataxia, heat intolerance, fatigue, pain, and bowel and genitourinary dysfunction As the patient with MS ages, morbidities and p ­ hysiological changes associated with the normal aging ... exacerbations, progression of the disease, normal physiological aging and disease processes associated with the elderly Initiating proper diagnostic workup and evaluation along with appropriate treatment...
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Báo cáo Y học: Structural study on lipid A and the O-specific polysaccharide of the lipopolysaccharide from a clinical isolate of Bacteroides vulgatus from a patient with Crohn’s disease ppt

Báo cáo Y học: Structural study on lipid A and the O-specific polysaccharide of the lipopolysaccharide from a clinical isolate of Bacteroides vulgatus from a patient with Crohn’s disease ppt

Báo cáo khoa học

... length of the fatty acid on the acyoxyacyl group to be mainly 15, confirming the result of the compositional analysis In the minor triacylated lipid A, the fragmentation patterns of the parent ion at ... phosphate The latter component may be a byproduct of the hydrolysis reaction or a natural contaminant These results indicate that the LPS from B vulgatus mainly contains lipid A carrying four fatty ... spectra, indicating a nonsubstituted Rha The signal of H4 -a was approximately one third the intensity of that of H1 -a or H1-b, indicating its ratio Table NMR data for OPS The spectra were measured...
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báo cáo khoa học:

báo cáo khoa học: "Littoral cell angioma of the spleen in a patient with previous pulmonary sarcoidosis: a TNF-α related pathogenesis?" pot

Báo cáo khoa học

... infections, we had to exclude fungal disease, septic emboli and granulomatous diseases such as sarcoidosis and tuberculosis Associated adenopathic, pulmonary and mediastinal diseases suspecting sarcoidosis ... erythematosus [19] Reviewing literature for similarities of immune-mediated diseases and LCA we found two cases of LCA in patients with Gaucher’s disease [20,21], a lipid storage disorder characterized ... RI) and the 75 kDa receptor (TNF RII) [23] Elevated serum levels of these receptors have been demonstrated in a variety of diseases, e.g rheumatic diseases, malignancies and Crohn’s disease, and...
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Báo cáo khoa học:

Báo cáo khoa học: "Retroperitoneal abscess complicated with necrotizing fasciitis of the thigh in a patient with sigmoid colon cancer" ppt

Báo cáo khoa học

... SI participated in treatment of the patient and helped to draft the manuscript MY, TH, DS, HT, YK, MS and MT participated in treatment of the patients MO and HO participated in treatment planning ... complications of colorectal cancers that can potentially be fatal, particularly in patients who are immunocompromised because of chemotherapy In the presence of these unclear risk factors, accurate ... reported case highlights the importance of the removal of the primary tumor in an aymptomatic patient as an attempt to avoid concomitant serious complications Retroperitoneal abscess and NF are rare...
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Báo cáo y học:

Báo cáo y học: ":Evaluation of the Patient Acceptable Symptom State in a pooled analysis of two multicentre, randomised, double-blind, placebo-controlled studies evaluating lumiracoxib and celecoxib in patients with osteoarthritis" pptx

Báo cáo khoa học

... Assessment of patient satisfaction by means of the PASS criteria can be approached in a number of ways: satisfaction at the end of a study period, time taken to achieve patient satisfaction, or time taken ... PASS during and at the end of the study period and on patient achievement of sustained satisfaction by PASS Materials and methods A pooled analysis of data taken from two international, multicentre, ... Research & Therapy Vol No Dougados et al Figure Patient' s global assessment of disease activity (a) Percentage of patients considering their state as satisfactory according to Patient Acceptable activity...
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