approach to the patient with a prostate nodule or elevated prostate specific antigen level
Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... 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 ... 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: ... 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,...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
... epidermal atrophy) 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 ... 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 ... hair-bearing areas may be characterized by destruction of hair follicles Table 52-3 Common Dermatologic Terms Alopecia: Hair loss; it may be partial or complete Annular: Ring-shaped lesions Cyst: A soft,...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
... erythematous exanthem is more likely to have a drug eruption than is a patient with a similar rash limited to the sun-exposed portions of the face Once the distribution of the lesions has been established, ... 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
... 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
... 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 ... 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 (e.g., ... 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
... 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 ... malaise, fever, arthralgias) Ongoing or previous illnesses History of allergies Presence of photosensitivity Review of systems Family history (particularly relevant for patients with melanoma, atopy, ... 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...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
... edematous, 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 ... 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, ... certain skin disorders For example, a Wood's lamp will cause erythrasma (a superficial, intertriginous infection caused by Corynebacterium minutissimum) to show a characteristic coral pink color,...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
... remain functional and maintain a self-image as a fully intact person with just a malfunctioning part, a diseased organ ( "a bum ticker") By contrast, the patient with pancreatic cancer has a completely ... pain takes on desperate significance Cancer is an exception to the coordinated interaction among cells and organs In general, the cells of a multicellular organism are programmed for collaboration ... the traitorous behavior of cancer cells is that the patient feels betrayed by his or her body The cancer patient feels that he or she, and not just a body part, is diseased The Magnitude of the...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
... in Asia than North America or Africa The most common cancers in Africa are cervical, breast, and liver cancers It has been estimated that nine modifiable risk factors are responsible for more ... reveal the chronicity of disease The past 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 to carcinogens or habits, such as smoking or alcohol consumption, that may influence the course of disease and its treatment The family history may...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
... by the International Union Against Cancer and the American Joint Committee on Cancer (AJCC) The TNM classification is an anatomically based system that categorizes the tumor on the basis of the ... particular tumors for spread to adjacent or distant organs helps direct the staging evaluation Information obtained from staging is used to define the extent of disease either as localized, as ... Performance Functional Capability of the Patient 100 Normal; no complaints; no evidence of disease 90 Able to carry on normal activity; minor signs or Status symptoms of disease 80 Normal activity...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
... regular examinations, and taking time to talk 2 The National Cancer Institute maintains a database called PDQ (Physician Data Query) that is accessible on the Internet under the name CancerNet at ... Surgical procedures may precede or follow other treatment approaches It is best for the treatment plan either to follow a standard protocol precisely or else to be part of an ongoing clinical research ... control for the information provided through these services is rigorous Management of Disease and Treatment Complications Because cancer therapies are toxic (Chap 81), patient management involves addressing...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
... Medullary cancer of the thyroid Catecholamines Pheochromocytoma Oncofetal Antigens Alphafetoprotein Hepatocellular carcinoma, gonadal germ Cirrhosis, cell tumor Carcinoembryonic antigen Adenocarcinomas ... Neuron -specific enolase Lactate dehydrogenase Small cell cancer of the lung,neuroblastoma Lymphoma, Ewing's sarcoma Hepatitis, hemolytic many others Tumor-Associated Proteins anemia, Prostate- specific ... Adenocarcinomas hepatitis Pancreatitis, of the colon, pancreas, hepatitis, lung, breast, ovary inflammatory bowel disease, smoking Enzymes Prostatic acid Prostate cancer phosphatase Prostatitis, prostatic...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
... month for a year, every months for a year, every months for a year, every months for a year, and then annually At each visit, a battery of laboratory and radiographic and imaging tests were obtained ... breast cancer, melanoma, lung cancer, colon cancer, and lymphoma have all failed to support the notion that asymptomatic relapses are more readily cured by salvage therapy than symptomatic relapses ... patients are more likely to discuss with the physician what they are actually doing The appearance of unexpected toxicity may be an indication that a supplemental therapy is being taken.3 Information...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
... be related to bowel inflammation from the therapy and can be controlled with oral dexamethasone and oral metoclopramide, a dopamine receptor antagonist that also blocks serotonin receptors at high ... location, character, temporal features, provocative and palliative factors, and intensity (Chap 12); a review of the oncologic history and past medical history as well as personal and social ... few patients will have inadequate pain relief if appropriate measures are taken A specific approach to pain relief is detailed in Chap 11 Nausea Emesis in the cancer patient is usually caused...
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Chapter 077. Approach to the Patient with Cancer (Part 11) pot
... this area may provide more tools in the future as cytokine-mediated mechanisms are further elucidated Psychosocial Support The psychosocial needs of patients vary with their situation Patients ... 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 ... appears that cancer therapy is substantially more toxic and less effective in the face of malnutrition Nevertheless, it remains unclear whether nutritional intervention can alter the natural history...
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Chapter 077. Approach to the Patient with Cancer (Part 12) pot
... how the patient has been 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 ... of disease These discussions can be difficult for the physician as well as for the patient and family The critical features of the interaction are to reassure the patient and family that everything ... to provide the patient with the necessary medical care as well as the psychological and spiritual support that will prevent the isolation and depersonalization that can attend in-hospital death...
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Báo cáo hóa học: " A fixed-point approach to the stability of a functional equation on quadratic forms" doc
... doi:10.1016/j.na.2005.06.028 Bae, J-H, Park, W-G: On a cubic equation and a Jensen-quadratic equation Abstr Appl Anal 2007 (2007) Article ID 45179 Găvruta, P: A generalization of the Hyers-Ulam-Rassias stability of approximately ... Ω as n ® ∞ By using an idea of Cădariu and Radu (see [15]), we will prove the Hyers-Ulam stability of the functional equation related to quadratic forms Theorem 2.3 Assume that satisfies the ... : = ax2 + bxy + cy2 is a solution of the Equation 1.1 The authors [12] acquired the general solution and proved the stability of the functional Equation 1.1 for the case that X and Y are real...
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Báo cáo hóa học: "Research Article A Fixed Point Approach to the Stability of a Functional Equation of the Spiral of Theodorus" pptx
... Hyers-Ulam-Rassias Stability of Functional Equations in Mathematical Analysis, Hadronic Press, Palm Harbor, Fla, USA, 2001 G L Forti, “Hyers-Ulam stability of functional equations in several variables,” ... T Aoki, “On the stability of the linear transformation in Banach spaces,” Journal of the Mathematical Society of Japan, vol 2, pp 64–66, 1950 D G Bourgin, “Classes of transformations and bordering ... and arg f x are for any n ∈ {0, 1, 2, }, In this paper, we will adopt the idea of C˘ dariu and Radu and apply a fixed point method a for proving the Hyers-Ulam-Rassias stability of the Theodorus...
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Báo cáo hóa học: " Research Article A Fixed Point Approach to the Stability of a Volterra Integral Equation" pptx
... Point Theory and Applications and proved the Hyers theorem That is, Rassias proved the Hyers-Ulam-Rassias stability of the Cauchy additive functional equation Since then, the stability of several ... paper, we will adopt the idea of C˘ dariu and Radu [12] and prove the Hyersa Ulam-Rassias stability and the Hyers-Ulam stability of the Volterra integral equation (1.2) Hyers-Ulam-Rassias stability ... Hyers-Ulam-Rassias Stability of Functional Equations in Mathematical Analysis, Hadronic Press, Palm Harbor, Fla, USA, 2001 [10] Th M Rassias, “On the stability of functional equations and a problem...
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Báo cáo y học: " Control of allergic rhinitis and asthma test – a formal approach to the development of a measuring tool" ppt
... the Formal Consensus Process Ana Arrobas Ana Todo-Bom Ângela Gaspar Aurora Carvalho Carlos Alves Carlos Lopes Fernando Calvário Authors' contributions LNS participated in data collection, analysis ... of the patients considered the question-answer format to be easier to understand The chosen layout for the questionnaire was a semi-tabular format, in order to make it as clear as possible to the ... patients with ARA were enrolled at a hospital-based allergy outpatient clinic Patients older than 18 years of age, with a medical diagnosis of ARA, able to read and fill the questionnaire and without...
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