Chapter 020 Hypothermia and Frostbite (Part 4) pot

... BP, blood pressure; CV, central venous; ROR, rate of rewarming.[newpage] Chapter 020. Hypothermia and Frostbite (Part 4) Rewarming Strategies The key initial decision is whether to rewarm ... accidental hypothermia. The patient must have sufficient glycogen to support endogenous thermogenesis. The application of heat directly to the extremities of patients with chronic...

Ngày tải lên: 06/07/2014, 12:21

... gluconeogenesis, as well as a Chapter 020. Hypothermia and Frostbite (Part 1) Harrison's Internal Medicine > Chapter 20. Hypothermia and Frostbite Hypothermia Accidental hypothermia occurs when ... lead to hypothermia. Hypothyroidism—particularly when extreme, as in myxedema coma—reduces the metabolic rate and impairs thermogenesis and behavioral re...

Ngày tải lên: 06/07/2014, 12:21

... patient with mild hypothermia should raise suspicion of an overdose or CNS dysfunction due to infection or trauma. Table 20-2 Physiologic Changes Associated with Accidental Hypothermia nt; malada ptive ... presentation is often more subtle and other disease processes, toxin exposures, or psychiatric diagnoses should be considered. After initial stimulation by hypothermia, there...

Ngày tải lên: 06/07/2014, 12:21

... of Chapter 020. Hypothermia and Frostbite (Part 3) Source: Modified from RR Kempainen, DD Brunette: Resp. Care 49:192, 2004.Physical examination findings can also be altered by hypothermia. ... assumption that areflexia is solely attributable to hypothermia can obscure and delay the diagnosis of a spinal cord lesion. Patients with hypothermia may be confused or com...

Ngày tải lên: 06/07/2014, 12:21

... with standard therapy. The administration of parenteral levothyroxine to euthyroid patients with hypothermia, however, is potentially hazardous. Because laboratory results can be delayed and confounded ... suggestive of hypothyroidism should be sought. When myxedema is the cause of hypothermia, the relaxation phase of the Achilles reflex is prolonged more than the contraction phase....

Ngày tải lên: 06/07/2014, 12:21

... Chapter 017. Fever and Hyperthermia (Part 4) Chronology of events required for the induction of fever. AMP, adenosine ... 5'-monophosphate; IFN, interferon; IL, interleukin; PGE 2 , 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 ... neurotransmitter. Rather, the release of PGE...

Ngày tải lên: 06/07/2014, 12:20

... Chapter 034. Cough and Hemoptysis (Part 4) Table 34-1 Differential Diagnosis of Hemoptysis Source other than ... studies indicate that bronchitis and bronchogenic carcinoma are the two most common causes in the United States. Despite the lower frequency of tuberculosis and bronchiectasis seen in recent ... their hemoptysis. These patients are classified as having idiop...

Ngày tải lên: 06/07/2014, 15:21

... Chapter 047. Hypercalcemia and Hypocalcemia (Part 4) Table 47-2 Causes of Hypocalcemia Low Parathyroid Hormone Levels

Ngày tải lên: 06/07/2014, 15:21

... Chapter 059. Bleeding and Thrombosis (Part 4) Approach to the Patient: Bleeding and Thrombosis Clinical Presentation Disorders of hemostasis ... inherited or acquired. A detailed personal and family history is key in determining the chronicity of symptoms and the likelihood of the disorder being inherited and it provides clues to underlying ... clues as to the etiolog...

Ngày tải lên: 07/07/2014, 01:20

... this pain-modulating circuit contain endogenous opioid Chapter 012. Pain: Pathophysiology and Management (Part 4) Pain transmission and modulatory pathways. A. Transmission system for nociceptive ... circuits has links in the hypothalamus, midbrain, and medulla, and it selectively controls spinal pain-transmission neurons through a descending pathway (Fig. 12 -4). Huma...

Ngày tải lên: 06/07/2014, 08:20