Chapter 017 Fever and Hyperthermia (Part 1) docx

... time; however, shivering is not Chapter 017. Fever and Hyperthermia (Part 1) Harrison's Internal Medicine > Chapter 17. Fever and Hyperthermia Fever and Hyperthermia: Introduction Body ... also affect body temperature Fever versus Hyperthermia Fever Fever is an elevation of body temperature that exceeds the normal daily variation and occurs...

Ngày tải lên: 06/07/2014, 12:20

... individuals exercising at elevated ambient Chapter 017. Fever and Hyperthermia (Part 2) Hyperthermia Although most patients with elevated body temperature have fever, there are circumstances in ... increased thermogenesis. It is important to distinguish between fever and hyperthermia since hyperthermia can be rapidly fatal and characteristically does not respond...

Ngày tải lên: 06/07/2014, 12:20

... required for fever production. Chapter 017. Fever and Hyperthermia (Part 3) Pathogenesis of Fever Pyrogens The term pyrogen is used to describe any substance that causes fever. Exogenous ... encoded by a separate gene, and each pyrogenic cytokine has been shown to cause fever in laboratory animals and in humans. When injected into humans, IL-1 and TNF produce...

Ngày tải lên: 06/07/2014, 12:20

... Chapter 017. Fever and Hyperthermia (Part 4) Chronology of events required for the induction of fever. AMP, adenosine 5'-monophosphate; ... prostaglandin E 2 ; TNF, tumor necrosis factor.There are four receptors for PGE 2 , and each signals the cell in different ways. Of the four receptors, the third (EP-3) is essential for fever: ... deleted in mice, no fever fo...

Ngày tải lên: 06/07/2014, 12:20

... membrane, and this release is the rate-limiting step in the synthesis of PGE 2 . Therefore, inhibitors of cyclooxygenase are potent antipyretics. Chapter 017. Fever and Hyperthermia (Part 5) Fever ... typhoid fever and disseminated tuberculosis. Temperature-pulse dissociation (relative bradycardia) occurs in typhoid fever, brucellosis, leptospirosis, some drug-indu...

Ngày tải lên: 06/07/2014, 12:20

... 9751057] Chapter 017. Fever and Hyperthermia (Part 6) Regimens for the Treatment of Fever The objectives in treating fever are first to reduce the elevated hypothalamic set point and second ... Reducing fever with antipyretics also reduces systemic symptoms of headache, myalgias, and arthralgias. Oral aspirin and NSAIDs effectively reduce fever but can adv...

Ngày tải lên: 06/07/2014, 12:20

... tumors, or rarely from an aortic aneurysm. Chapter 034. Cough and Hemoptysis (Part 1) Harrison's Internal Medicine > Chapter 34. Cough and Hemoptysis Cough Cough is an explosive ... sinusitis, and pertussis), but more serious disorders, such as pneumonia, pulmonary embolus, and congestive heart failure, can also present in this fashion. Subacute cough (betwe...

Ngày tải lên: 06/07/2014, 15:21

... complex. Chapter 040. Diarrhea and Constipation (Part 1) Harrison's Internal Medicine > Chapter 40. Diarrhea and Constipation DIARRHEA AND CONSTIPATION: INTRODUCTION Diarrhea and constipation ... affected twice as often as men. Diarrhea and constipation are among the most common patient complaints faced by internists and primary care physicians, and the...

Ngày tải lên: 06/07/2014, 15:21

... between the parathyroid glands, kidney, intestine, and bone (Fig. 47 -1) (Chap. 346). Figure 47-1 Feedback mechanisms maintaining extracellular ... (PTH) secretion (1) via activation of the calcium sensor receptor on parathyroid cells. PTH, in turn, results in increased tubular reabsorption of calcium by the kidney (2) and resorption of ... sensor receptor (CaSR) mutations, whic...

Ngày tải lên: 06/07/2014, 15:21

... underlying intestinal loops is Chapter 044. Abdominal Swelling and Ascites (Part 1) Harrison's Internal Medicine > Chapter 44. Abdominal Swelling and Ascites Abdominal Swelling ... pressure, resulting in indigestion and heartburn due to gastroesophageal reflux or dyspnea, abdominal wall hernias (inguinal and umbilical), orthopnea, and tachypnea from elevati...

Ngày tải lên: 06/07/2014, 15:21