acc aha svs collaborative recommendations intervention for treatment of claudicants
Care of the Patient with Retinal Detachment And Related Peripheral Vitreoretinal Disease docx
... procedure for formation of chorioretinal adhesions for correction of retinal breaks, retinal detachment, and other retinal conditions Scleral buckle Surgical procedure for repair of detachment of the ... The present status of the treatment of retinal detachment Trans Ophthalmol Soc UK 1959; 69:221-48 77 Stein R, Feller-Ofry V, Romano A The effect of treatment in the prevention of retinal detachment ... coalescence of the cystoid cavities is believed to be partially responsible for the formation of the lesions.34 Peripheral vitreous traction often plays a major role in retinoschisis formation...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... the interpretation of skin lesions, a variety of descriptive terms have been developed to characterize cutaneous lesions (Tables 52-1, 52-2, and 52-3 as well as Fig 52-3) and to formulate a differential ... development of associated symptoms such as pruritus or pain) Figure 52-2 Table 52-1 Description of Primary Skin Lesions Macule: A flat, colored lesion, 0.5 cm in diameter...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... Erosion: Loss of epidermis without an associated loss of dermis Ulcer: Loss of epidermis and at least a portion of the underlying dermis Excoriation: Linear, angular ... configuration of skin lesions formed from coalescing rings or incomplete rings Pruritus: A sensation that elicits the desire to scratch Pruritus is often the predominant symptom of inflammatory ... Atrophy: An acquired loss of substance In the skin, this may appear as a depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as sites of shiny, delicate, wrinkled...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... that the general character of the skin and the distribution of lesions can be evaluated Indeed, distribution of lesions often correlates highly with diagnosis (Fig 52-6) For example, a hospitalized ... minimize chances of missing important individual skin 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 ... 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, the shape of individual...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
... A–D The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
... 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 ... a hypersensitivity 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
... treated with to drops of a solution of 10–20% KOH KOH dissolves keratin and allows easier visualization of fungal elements Brief heating of the slide accelerates dissolution of keratin When the ... procedures can yield valuable information In most instances, they can be performed at the bedside with a minimum of equipment Skin Biopsy A skin biopsy is a straightforward minor surgical procedure; ... arthralgias) Ongoing or previous illnesses History of allergies Presence of photosensitivity Review of systems Family history (particularly relevant for patients with melanoma, atopy, psoriasis, or...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... 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 ... the skin for 48 h The dressings are removed, and the area is examined for evidence of delayed hypersensitivity reactions (e.g., erythema, edema, or papulovesicles) This test is best performed by ... 52-4) will not Diascopy is performed by pressing a microscope slide or magnifying lens against a lesion and noting the amount of blanching that occurs Granulomas often have an opaque to transparent,...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
... a body part, is diseased The Magnitude of the Problem No nationwide cancer registry exists; therefore, the incidence of cancer is estimated on the basis of the National Cancer Institute's Surveillance, ... death figures from nine sites, accounting for about 10% of the U.S population, and from population data from the U.S Census Bureau In 2007, 1.445 million new cases of invasive cancer (766,860 men, ... risk factor for cancer overall is age; two-thirds of all cases were in those over age 65 Cancer incidence increases as the third, fourth, or fifth power of age in different sites For the interval...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
... Patient Management Important information is obtained from every portion of the routine history and physical examination The duration of symptoms may reveal the chronicity of disease The past medical ... medical history may alert the physician to the presence of underlying diseases that may affect the choice of therapy or the side effects of treatment The social history may reveal occupational exposure ... therapy for unaffected siblings of the patient The review of systems may suggest early symptoms of metastatic disease or a paraneoplastic syndrome Diagnosis The diagnosis of cancer relies most heavily...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
... disappearance of all evidence of disease, and a partial response as >50% reduction in the sum of the products of the perpendicular diameters of all measurable lesions The determination of partial ... evaluating new treatments Ad hoc modifications of standard protocols are likely to compromise treatment results The choice of treatment approaches was formerly dominated by the local culture in both ... 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 busy schedule...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
... Pregnancy disease, gonadal germ cell tumor Calcitonin Medullary cancer of the thyroid Catecholamines Pheochromocytoma Oncofetal Antigens Alphafetoprotein Hepatocellular carcinoma, gonadal germ ... gonadal germ Cirrhosis, cell tumor Carcinoembryonic antigen Adenocarcinomas hepatitis Pancreatitis, of the colon, pancreas, hepatitis, lung, breast, ovary inflammatory bowel disease, smoking Enzymes ... Prostatitis, prostatic hypertrophy Neuron-specific enolase Lactate dehydrogenase Small cell cancer of the lung,neuroblastoma Lymphoma, Ewing's sarcoma Hepatitis, hemolytic many others Tumor-Associated...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
... known For many years, a routine practice has been to follow the patient monthly for 6–12 months, then every other month for a year, every months for a year, every months for a year, every months for ... examination are the major investigations performed As time passes, the likelihood of recurrence of the primary cancer diminishes For many types of cancer, survival for years without recurrence is tantamount ... treated for cancer and must be examined (Chap e13) Some problems emerge as a consequence of the disease and some as a consequence of the treatment An understanding of these disease- and treatment- related...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
... aseptic necrosis of the femoral head) In 10% of cases, pain is unrelated to cancer or its treatment Assessment of pain requires the methodical investigation of the history of the pain, its location, ... 6–24 h before treatment Ondansetron, mg PO every h the day before therapy and IV on the day of therapy, plus dexamethasone, 20 mg IV before treatment, is an effective regimen Addition of oral aprepitant ... treat the cancer Three forms of emesis are recognized on the basis of their timing with regard to the noxious insult Acute emesis, the most common variety, occurs within 24 h of treatment Delayed...
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Chapter 077. Approach to the Patient with Cancer (Part 11) pot
... needs of patients vary with their situation Patients undergoing treatment experience fear, anxiety, and depression Self-image is often seriously compromised by deforming surgery and loss of hair ... better also feel better Loss of control over how one spends time can contribute to the sense of vulnerability Juggling the demands of work and family with the demands of treatment may create enormous ... will not adversely affect the course of treatment Cancer survivors have other sets of difficulties Patients may have fears associated with the termination of a treatment they associate with their...
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Chapter 077. Approach to the Patient with Cancer (Part 12) pot
... preparation for the end of life and may go through stages of adjustment to the diagnosis These stages include denial, isolation, anger, bargaining, depression, acceptance, and hope Of course, ... self-fulfillment Efforts at stress reduction, maintenance of a balanced life, and setting realistic goals may combat this disorder End -of- Life Decisions Unfortunately, a smooth transition in treatment ... all cases because of the occurrence of serious treatment- related complications or rapid disease progression Vigorous and invasive medical support for a reversible disease or treatment complication...
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báo cáo khoa học: "Evolution of T-cell clonality in a patient with Ph-negative acute lymphocytic leukemia occurring after interferon and imatinib therapy for Ph-positive chronic myeloid leukemia" pot
... cycle of runoff reaction with fluorophorelabelled Ca-fam or Cb-fam primer respectively The labelled runoff PCR products (2 μl) were heat-denatured at 94°C for with 9.5 μl formamide (Hi-Di Formamide, ... was performed on a DNA thermal cycler (BioMetra, Germany) After denaturation at 94°C, 40 PCR cycles were performed, each cycle consisting of 94°C for min, 60°C for Table The sequence of primers ... expressional number of TCR Va/Vb between the disease stage of CP and that of Ph-negative ALL Only of all 29 Va and of all 24 Vb subfamilies could be detected at the time of CP, while 13/29 Va...
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Báo cáo khoa học: "Hepatic splenosis mimicking HCC in a patient with hepatitis C liver cirrhosis and mildly raised alpha feto protein; the important role of explorative laparoscopy" potx
... part of a new protocol for confirming the diagnosis of suspected intrahepatic masses Consent Written informed consent was obtained from the patient for publication of this case report and accompanying ... impact of clinical plans and patients management It is already recognized that laparoscopy provides a port of minimally invasive entry for the visualisation of suspect masses, and allows access for ... proceed would be for a laparoscopic exploration and a secure diffinition of the lesions nature before planning for future management Laparoscopy was sufficient in confirming diagnosis of splenosis,...
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Báo cáo y học: " WT1 PEPTIDE VACCINATION IN COMBINATION WITH IMATINIB THERAPY FOR A PATIENT WITH CML IN THE CHRONIC PHASE"
... tetramer+CD8+ cells / (Number of PB-MNCs seeded in a well of MLPC) x (total number of wells for MLPC) x (ratio of number of PB-CD8+ cells in PB-MNCs) As to the frequencies of modified-type and wild-type ... administration of WT1 peptides, Treg cells increased after 20 weeks from the initiation of WT1 vaccination, which was a simultaneous event as increase of bcr-abl transcripts of PB cells The association of ... subcutaneously at the dose of mg/body at different sites such as the upper arm and thigh The administration of WT1 peptides was performed after informed consent was obtained according to the protocol...
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