Chapter 044 Abdominal Swelling and Ascites (Part 1) docx

... loops is Chapter 044. Abdominal Swelling and Ascites (Part 1) Harrison's Internal Medicine > Chapter 44. Abdominal Swelling and Ascites Abdominal Swelling Abdominal swelling or ... the Patient: Abdominal Swelling A carefully executed general physical examination can yield valuable clues concerning the etiology of abdominal swelling. Thus...

Ngày tải lên: 06/07/2014, 15:21

... high-gradient ascites include alcoholic Chapter 044. Abdominal Swelling and Ascites (Part 2) Palpation is often difficult with massive ascites, and ballottement of overlying fluid may be the ... ascites and differentiates ascites due to portal hypertension from ascites not due to portal hypertension >97% of the time. Other etiologies of high-gradient ascit...

Ngày tải lên: 06/07/2014, 15:21

... ether Chapter 044. Abdominal Swelling and Ascites (Part 3) A gradient <1.1 g/dL (low gradient) suggests that the ascites is not due to portal hypertension with >97% accuracy and mandates ... pancreatitis, serositis, pyogenic peritonitis, and nephrotic syndrome (Table 44 -1). Table 44-1 presents some of the disease states that produce high-SAAG and low-SAAG...

Ngày tải lên: 06/07/2014, 15:21

... [PMID: 9308124] Parsons SL et al: Malignant ascites. Br J Surg 83:6, 1996 [PMID: 8653366] Chapter 044. Abdominal Swelling and Ascites (Part 4) Chylous ascites refers to a turbid, milky, or creamy ... site of leakage and permits resective surgery to be carried out. An analysis of the physiologic and metabolic factors involved in the production of ascites (detaile...

Ngày tải lên: 06/07/2014, 15:21

... small-diameter myelinated A- delta (Aδ) and the unmyelinated (C fiber) axons (Fig. 12 -1). These fibers are present in nerves to the skin and to deep somatic and visceral structures. Some tissues, ... sensation and emotion. When acute, pain is characteristically associated with behavioral arousal and a stress response consisting of increased blood pressure, heart rate, pupil dia...

Ngày tải lên: 06/07/2014, 08:20

... 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 ... raised, neurons in the vasomotor center are activated and vasoconstriction commences. The individual first notices vasoconstriction in the hands and feet. Shunting of blood away...

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

... Activators of Emesis Chapter 039. Nausea, Vomiting, and Indigestion (Part 1) Harrison's Internal Medicine > Chapter 39. Nausea, Vomiting, and Indigestion Nausea, Vomiting, and Indigestion: ... postulated. Somatic and visceral muscles exhibit stereotypic responses during emesis. Inspiratory thoracic and abdominal wall muscles contract, producing high int...

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