Chapter 060 Enlargement of Lymph Nodes and Spleen (Part 1) ppsx

... the lymphadenopathy is a normal finding or one that requires further study, up to and including biopsy. Soft, flat, submandibular nodes (<1 cm) are often palpable in healthy children and ... healthy children and young adults, and healthy adults may have palpable inguinal nodes of up to 2 cm, which are considered normal. Further evaluation of these normal nodes is not...

Ngày tải lên: 07/07/2014, 01:20

... obstruction by enlarged lymphoid tissue in Waldeyer's ring that is occasionally seen in infectious mononucleosis. Chapter 060. Enlargement of Lymph Nodes and Spleen (Part 3) Laboratory ... who is a chronic user of tobacco; supraclavicular adenopathy; and solitary or generalized adenopathy that is firm, movable, and suggestive of lymphoma. If a primary...

Ngày tải lên: 07/07/2014, 01:20

... and antibody-coated blood cells from the circulation. Figure 60-1 Chapter 060. Enlargement of Lymph Nodes and Spleen (Part 4) Splenomegaly Structure and Function of the Spleen The spleen ... Schematic spleen structure. The spleen comprises many units of red and white pulp centered around small branches of the splenic artery, called central arte...

Ngày tải lên: 07/07/2014, 01:20

... or Chapter 060. Enlargement of Lymph Nodes and Spleen (Part 5) Approach to the Patient: Splenomegaly Clinical Assessment The most common symptoms produced by diseases involving the spleen ... diameter of 13 cm by ultrasonography or maximum length of 12 cm and/ or width of 7 cm by radionuclide scan, and is usually not palpable. However, a palpable spleen...

Ngày tải lên: 07/07/2014, 01:20

... marrow and other sites of disease. Similar regressions of systemic disease have been noted after splenic irradiation in some types of lymphoid tumors, especially chronic lymphocytic leukemia and ... of the spleen in Hodgkin's disease is not a sufficiently reliable basis for treatment decisions because one-third of normal- sized spleens will be involved with Hodgkin&apo...

Ngày tải lên: 07/07/2014, 01:20

... evaluation. Chapter 060. Enlargement of Lymph Nodes and Spleen (Part 8) The absence of the spleen has minimal long-term effects on the hematologic profile. In the immediate postsplenectomy ... spleen percussion sign: A useful diagnostic tec hnique. Ann Intern Med 67:1265, 1967 [PMID: 6061941] Ferrer R, et al: Lymphadenopathy: Differential diagnosis and evaluat...

Ngày tải lên: 07/07/2014, 01:20

... Harrison's Internal Medicine > Chapter 30. Disorders of Smell, Taste, and Hearing Smell The sense of smell determines the flavor and palatability of food and drink and serves, along with the ... potential spatial map of how we receive odor stimuli, much like the tonotopic organization of how we perceive sound. Chapter 030. Disorders of Smell, Taste, and...

Ngày tải lên: 06/07/2014, 15:21

... Jervell and Lange- Nielsen syndrome KVLQT1 KCNE1 Delayed rectifier K + channel Delayed rectifier K + Chapter 030. Disorders of Smell, Taste, and Hearing (Part 8) The contribution of genetics ... organification defect and hearing loss), Alport syndrome (renal disease and hearing loss), Jervell and Lange-Nielsen syndrome (prolonged QT interval and hearing lo...

Ngày tải lên: 06/07/2014, 15:21

... ear under test. Chapter 030. Disorders of Smell, Taste, and Hearing (Part 11) Approach to the Patient: Disorders of the Sense of Hearing The goal in the evaluation of a patient with auditory ... canal of the elderly is often dry and fragile; it is preferable to clean cerumen with wall-mounted suction and cerumen loops and to avoid irrigation. In examining the...

Ngày tải lên: 06/07/2014, 15:21

... canal is changed. Chapter 030. Disorders of Smell, Taste, and Hearing (Part 12) The responses are measured in decibels. An audiogram is a plot of intensity in decibels of hearing threshold ... with sound stimulation. The presence of OAEs indicates that the outer hair cells of the organ of Corti are intact and can be used to assess auditory thresholds and to dis...

Ngày tải lên: 06/07/2014, 15:21