Chapter 115 Approach to the Acutely Ill Infected Febrile Patient (Part 1) docx

... Chapter 115. Approach to the Acutely Ill Infected Febrile Patient Approach to the Acutely Ill Infected Febrile Patient: Introduction The physician treating the acutely ill febrile patient must ... of the patient& apos;s general appearance and vital signs, skin Chapter 115. Approach to the Acutely Ill Infected Febrile Patient...

Ngày tải lên: 07/07/2014, 04:20

... of patients with this fulminant form die of overwhelming sepsis and DIC, and survivors may require amputation because of gangrene. Erythroderma Chapter 115. Approach to the Acutely Ill Infected ... shellfish, there is a sudden onset of malaise, chills, fever, and hypotension. The patient develops bullous or hemorrhagic skin lesions, usually on the lower extremities,...

Ngày tải lên: 07/07/2014, 04:20

... remainder are due primarily to aerobic or anaerobic streptococci. A unilateral or retroorbital Chapter 115. Approach to the Acutely Ill Infected Febrile Patient (Part 6) Necrotizing Fasciitis ... Rapid recognition of the toxic patient with central neurologic signs is crucial to improvement of the dismal prognosis of these entities. Subdural empyema arise...

Ngày tải lên: 07/07/2014, 04:20

... Kingella kingae. Chapter 115. Approach to the Acutely Ill Infected Febrile Patient (Part 2) The Acutely Ill Patient: Treatment In the acutely ill patient, empirical antibiotic therapy is critical ... are selected. Table 115- 1 lists first-line treatments for infections considered in this chapter. In addition to the rapid initiation of antibi...

Ngày tải lên: 07/07/2014, 04:20

... Chapter 115. Approach to the Acutely Ill Infected Febrile Patient (Part 3) Adjunctive treatments may reduce morbidity and mortality ... adult patients succumb to sepsis at 58 times the rate of the general population; 50–70% of cases occur within the first 2 years after splenectomy, with a mortality rate of up to 80%, but the ... encapsulated bacteria ca...

Ngày tải lên: 07/07/2014, 04:20

... rates approached 60% in the preantibiotic era and continue to Chapter 115. Approach to the Acutely Ill Infected Febrile Patient (Part 4) Sepsis with Skin Manifestations (See also Chap. ... petechial. The rash spreads to palms and soles later in the course. The centripetal spread is a classic feature of RMSF. However, 10–15% of patients with RMSF never...

Ngày tải lên: 07/07/2014, 04:20

... Chapter 115. Approach to the Acutely Ill Infected Febrile Patient (Part 7) Brain Abscess (See also Chap. 376) Brain abscess often occurs without systemic signs. Almost half of patients are afebrile, ... entity should be urgently considered if patients who have recently traveled to areas endemic for malaria present with a febrile illness and lethargy or other...

Ngày tải lên: 07/07/2014, 04:20

... cases— admission to intensive care units. The most important task of the physician is to distinguish these patients from other infected febrile patients who will not progress to fulminant disease. The alert ... cardiopulmonary support during the first few hours of illness can be life-saving. Conclusion Acutely ill febrile patients with the syndromes discussed in t...

Ngày tải lên: 07/07/2014, 04:20

... 52-1 Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) Harrison's Internal Medicine > Chapter 52. Approach to the Patient with a Skin Disorder APPROACH TO THE PATIENT ... assume that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation would be that the patient h...

Ngày tải lên: 06/07/2014, 20:20

... 52-3 Common Dermatologic Terms A schematic representation of several common primary skin lesions (see Table 52 -1). Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) Table ... rings. Pruritus: A sensation that elicits the desire to scratch. Pruritus is often the predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis, allerg...

Ngày tải lên: 06/07/2014, 20:20