... 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 asc...
Ngày tải lên: 06/07/2014, 15:21
... 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 pa...
Ngày tải lên: 06/07/2014, 15:21
Chapter 044. Abdominal Swelling and Ascites (Part 3) pdf
... 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
Chapter 044. Abdominal Swelling and Ascites (Part 4) pdf
... [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 ... "transudative" and "exudative" ascites. Am J Med 77:83, 1988 particularly constrictive pericarditis should raise a high index of suspici...
Ngày tải lên: 06/07/2014, 15:21
Chapter 107. Transfusion Biology and Therapy (Part 2) pps
... negative. Two allelic antigen pairs, E/e and C/c, are also found on the Rh protein. The three Rh genes, E/e, D, and C/c, are arranged in tandem on chromosome 1 and inherited as a haplotype, i.e., ... for Escherichia coli binding to urothelial cells. Chapter 107. Transfusion Biology and Therapy (Part 2) Rh System The Rh system is the second most important blood group...
Ngày tải lên: 07/07/2014, 04:20
Chapter 012. Pain: Pathophysiology and Management (Part 2) pot
... messengers of threats to tissue injury but also play an active role in Chapter 012. Pain: Pathophysiology and Management (Part 2) Sensitization When intense, repeated, or prolonged stimuli are ... nociceptors is lowered and the frequency of firing is higher for all stimulus intensities. Inflammatory mediators such as bradykinin, nerve growth factor, some prostaglandins, a...
Ngày tải lên: 06/07/2014, 08:20
Chapter 022. Dizziness and Vertigo (Part 2) pps
... drugs or alcohol. The most common offending drugs are the aminoglycoside Chapter 022. Dizziness and Vertigo (Part 2) Physiologic Vertigo This occurs in normal individuals when (1) the brain ... vestibular end organs and may cause a permanent disorder of equilibrium. nuclei and the cerebellum, patients with brainstem or cerebellar disease have diminished adaptive capacit...
Ngày tải lên: 06/07/2014, 12:21
Chapter 034. Cough and Hemoptysis (Part 2) ppsx
... angiotensin-converting enzyme inhibitor; Rx, treat; CXR, chest x-ray. Chapter 034. Cough and Hemoptysis (Part 2) Approach to the Patient: Cough A detailed history frequently provides ... endobronchial tumor and collecting cytologic and histologic specimens. Inspection of the tracheobronchial mucosa can demonstrate endobronchial granulomas often seen in sarcoidosis, an...
Ngày tải lên: 06/07/2014, 15:21
Chapter 039. Nausea, Vomiting, and Indigestion (Part 2) potx
... vomiting, Chapter 039. Nausea, Vomiting, and Indigestion (Part 2) Differential Diagnosis Nausea and vomiting are caused by conditions within and outside the gut as well as by drugs and circulating ... and inflammation of hollow and solid viscera may produce vomiting as the main symptom. Gastric obstruction results from ulcer disease and malignancy, while small-bow...
Ngày tải lên: 06/07/2014, 15:21
Chapter 080. Cancer Cell Biology and Angiogenesis (Part 2) ppsx
... possible with advances in the understanding of oncogene and tumor-suppressor pathways. This chapter describes the convergence of scientific, pharmacologic, and medical knowledge that has led ... which the genetic material is replicated and no re-replication is permitted; and G 2 (gap 2), during which the fidelity of DNA replication is assessed and errors are corrected. Norm...
Ngày tải lên: 07/07/2014, 01:20