progression of acute dvt to chronic venous insufficiency
Care of the Patient with Retinal Detachment And Related Peripheral Vitreoretinal Disease docx
Ngày tải lên :
22/03/2014, 09:20
... vitreoretinal disease Asymptomatic Monitor for progression to break and/or detachment Asymptomatic with localized detachment or patient at-risk* Monitor for progression to detachment Consult with ... into the potential space between the sensory retina and the Common Signs, Symptoms, and Complications Early symptoms of retinal detachment (photopsia and/or a sudden shower of floaters due to ... accumulate in the inferior region of the fundus, presumably due to gravitational forces Progression of this condition leads to coalescence of these exudates into a hazy white plaque over the ora...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
... nevomelanocytic nevus (Fig 52-2) can be difficult to recognize To aid in the interpretation of skin lesions, a variety of descriptive terms have been developed to characterize cutaneous lesions (Tables ... diameter >6 mm, and a history of change (e.g., an increase in size or development of associated symptoms such as pruritus or pain) Figure 52-2 Table 52-1 Description of Primary Skin Lesions Macule: ... presence of pustules does not necessarily signify the existence of an infection Bulla: A fluid-filled, raised, often translucent lesion >0.5 cm in diameter Wheal: A raised, erythematous, edematous...
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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
... 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 skin ... 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 ... 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 characterized by destruction of...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
Ngày tải lên :
06/07/2014, 20:20
... distribution of the eruption, the types of primary and secondary lesions, the shape of individual lesions, and the arrangement of the lesions An ideal skin examination includes evaluation of the skin, ... 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 nature of the ... 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 skin and...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
Ngày tải lên :
06/07/2014, 20:20
... 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...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
Ngày tải lên :
06/07/2014, 20:20
... multiple 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...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
Ngày tải lên :
06/07/2014, 20:20
... Associated systemic symptoms (e.g., malaise, fever, arthralgias) Ongoing or previous illnesses History of allergies Presence of photosensitivity Review of systems Family history (particularly relevant ... Periods of resolution or improvement in chronic eruptions Symptoms associated with the eruption a Itching, burning, pain, numbness b What, if anything, has relieved symptoms c Time of day when symptoms ... require expertise in skin diseases and knowledge of superficial anatomic structures in selected areas of the body In this procedure, a small area of skin is anesthetized with 1% lidocaine with...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
Ngày tải lên :
06/07/2014, 20:20
... as a result of loss of melanocytes Patch Tests Patch testing is designed to document sensitivity to a specific antigen In this procedure, a battery of suspected allergens is applied to the patient's ... 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, erythematous ... is often helpful in the evaluation of patients with chronic dermatitis FURTHER READINGS Dermatology Lexicon Project: www.futurehealth.rochester.edu/dlp2/ James WD et al: Andrews' Diseases of...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
Ngày tải lên :
07/07/2014, 01:20
... cell competes to survive using natural mutability and natural selection to seek advantage over normal cells in a recapitulation of evolution One consequence of the traitorous behavior of cancer cells ... continue to decline Cancer has overtaken heart disease as the number one cause of death in persons under age 85 years (Fig 77-1) After a 70-year period of increases, cancer deaths began to decline ... same as the prognosis of the person with aortic stenosis who develops the first symptoms of congestive heart failure (median survival, ~8 months) However,...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
Ngày tải lên :
07/07/2014, 01:20
... 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 presence of underlying ... adequate tissue to permit careful evaluation of the histology of the tumor, its grade, and its invasiveness and to yield further molecular diagnostic information, such as the expression of cellsurface ... 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 4) pps
Ngày tải lên :
07/07/2014, 01:20
... resection of regional lymph nodes 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 ... thoracotomy, mediastinoscopy, or laparotomy Surgical staging may occur in a separate procedure or may be done at the time of definitive surgical resection of the primary tumor Knowledge of the ... localized, as exhibiting spread outside of the organ of origin to regional but not distant sites, or as metastatic to distant sites The most widely used system of staging is the TNM (tumor, node,...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
Ngày tải lên :
07/07/2014, 01:20
... either to follow a standard protocol precisely or else to be part of an ongoing clinical research protocol evaluating new treatments Ad hoc modifications of standard protocols are likely to compromise ... myelosuppression (Chap 81) Tools are now available to minimize the acute toxicity of cancer treatment New symptoms developing in the course of cancer treatment should always be assumed to be reversible ... 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...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
Ngày tải lên :
07/07/2014, 01:20
... Pregnancy disease, gonadal germ cell tumor Calcitonin Medullary cancer of the thyroid Catecholamines Pheochromocytoma Oncofetal Antigens Alphafetoprotein Hepatocellular carcinoma, gonadal germ Cirrhosis, ... Carcinoembryonic antigen Adenocarcinomas hepatitis Pancreatitis, of the colon, pancreas, hepatitis, lung, breast, ovary inflammatory bowel disease, smoking Enzymes Prostatic acid Prostate cancer ... prostatic hypertrophy Neuron-specific enolase Lactate dehydrogenase Small cell cancer of the lung,neuroblastoma Lymphoma, Ewing's sarcoma Hepatitis, hemolytic many others Tumor-Associated Proteins...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
Ngày tải lên :
07/07/2014, 01:20
... cured of cancer return to normal lives Supportive Care In many ways, the success of cancer therapy depends on the success of the supportive care Failure to control the symptoms of cancer and its treatment ... readily cured by salvage therapy than symptomatic relapses In view of the enormous cost of a full battery of diagnostic tests and their manifest lack of impact on survival, new guidelines are ... lead patients to abandon curative therapy Of equal importance, supportive care is a major determinant of quality of life Even when life cannot be prolonged, the physician must strive to preserve...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
Ngày tải lên :
07/07/2014, 01:20
... 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, ... dexamethasone and oral metoclopramide, a dopamine receptor antagonist that also blocks serotonin receptors at high dosages The best strategy for preventing anticipatory emesis is to control emesis in ... which 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...
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Chapter 077. Approach to the Patient with Cancer (Part 11) pot
Ngày tải lên :
07/07/2014, 01:20
... paracentesis of small volumes of fluid If the underlying malignancy is unresponsive to systemic therapy, peritoneovenous shunts may be inserted Despite the fear of disseminating tumor cells into the ... lead to a decrease in nutrient intake of sufficient magnitude to cause weight loss and alteration of intermediary metabolism The prevalence of this problem is difficult to estimate because of variations ... if symptoms recur within weeks Fluid is aspirated until the flow rate is
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Chapter 077. Approach to the Patient with Cancer (Part 12) pot
Ngày tải lên :
07/07/2014, 01:20
... acknowledgment 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 ... 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, patients ... of the occurrence of serious treatment-related complications or rapid disease progression Vigorous and invasive medical support for a reversible disease or treatment complication is assumed to...
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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
Ngày tải lên :
10/08/2014, 22:21
... for eradication of minimal residual leukemic cells by activating autologous or allogeneic cytotoxic cells In particular, specific CTLs may be a promising tool in the treatment of myelogenous leukemia ... or twice per year from 2001 to 2005 In May 2005, we boosted the dose of IFN-a from 1.5 to MU/day Unfortunately, the patient failed to tolerate full-dose IFN-a due to leukopenia (1 × 109/L) complicated ... response of TCR repertoire pattern It would be interesting to detect the evolution of T-cell clonality in the patient at different disease status The features of restrictive usage and absence of partial...
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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
Ngày tải lên :
09/08/2014, 04:20
... World Journal of Surgical Oncology 2009, 7:1 laparoscopy has been an essential tool to confirm the diagnosis of splenosis and rule out the doubt of malignancy This had a significant ... further investigation of this lesion, and better assessment of the extent of the disease Diagnostic laparoscopy demonstrated a cm exofitic dark brown splenunculus attached to the diaphragm and ... histopathological assessment confirmed the diagnosis of splenunculus, with no evidence of neoplasia The patient finished a 24 weeks course of pegylated interferon α and ribavirin as part of his...
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