... alone and with bacteria—have been rhinovirus, parainfluenza virus, and influenza virus. Bacterial causes of sinusitis have been better described. Among community-acquired cases, S. pneumoniae and ... associated with bacteria found in the hospital environment, including S. aureus, Pseudomonas aeruginosa, Serratia marcescens, Klebsiella pneumoniae, and Enterobacter species. Often,...
Ngày tải lên: 06/07/2014, 15:21
... CT, MRI, and positron emission tomography have benefited patients by supplanting older, more invasive approaches and opening new diagnostic vistas. Cognizant of their capabilities and the rapidity ... the context of the patient's condition and other test results. The development of technically improved imaging studies with greater sensitivity and specificity is one of the...
Ngày tải lên: 06/07/2014, 08:20
Chapter 002. Global Issues in Medicine (Part 2) pps
... strengthened and brought into force in May 2007. Even as attention to and resources for health problems in resource-poor settings grow, the lack of coherence in and among global health institutions ... each year. New research, new policies, and new funding mechanisms were called for. Some of the requisite Chapter 002. Global Issues in Medicine (Part 2) The optimism b...
Ngày tải lên: 06/07/2014, 08:20
Chapter 005. Principles of Clinical Pharmacology (Part 2) ppt
... membrane of any cell, including enterocytes and hepatocytes, is a combination of passive diffusion and active transport, mediated by specific drug uptake and efflux molecules. The drug transport ... a Inhibitors affect the molecular pathway, and thus may affect substrate. b Clinically important genetics variants described. A listing of CYP substrates, inhibitors, and inducers is...
Ngày tải lên: 06/07/2014, 08:20
Chapter 007. Medical Disorders during Pregnancy (Part 2) pdf
... prevention and treatment of eclamptic seizures. Two large randomized clinical trials have demonstrated the superiority of magnesium sulfate over phenytoin and diazepam, and a recent large randomized ... hypertension is associated with intrauterine growth restriction and increased perinatal mortality. Pregnant women with chronic hypertension are at increased risk for superimposed...
Ngày tải lên: 06/07/2014, 08:20
Chapter 019. Fever of Unknown Origin (Part 2) pptx
... observation. Includes patients with exaggerated circadian rhythm. Chapter 019. Fever of Unknown Origin (Part 2) Infections, especially extrapulmonary tuberculosis, remain the leading ... hyper-IgD syndrome, tumor necrosis factor receptor associated periodic syndrome, familial cold urticaria, and the Muckle-Wells syndrome), and Fabry disease. A drug-related etiology must...
Ngày tải lên: 06/07/2014, 13:20
Chapter 032. Oral Manifestations of Disease (Part 2) potx
... worldwide and for certain groups. The internist should promote preventive dental care and hygiene as part of health maintenance. Special populations at high risk for dental caries and periodontal ... dental care, and language and cultural differences may create barriers that prevent some from seeking preventive dental services. Developmental and Systemic Disease Affecting t...
Ngày tải lên: 06/07/2014, 15:21
Chapter 055. Immunologically Mediated Skin Diseases (Part 2) ppsx
... causes of morbidity and mortality are infection and complications of treatment with glucocorticoids. Bad prognostic factors include advanced age, widespread involvement, and the requirement ... directed against both Dsg3 and Dsg1. Experimental studies have shown that autoantibodies from patients with PV are pathogenic (i.e., responsible for blister formation) and that their tit...
Ngày tải lên: 07/07/2014, 01:20
Chapter 081. Principles of Cancer Treatment (Part 2) ppsx
... cm 3 ) cells and kills the patient at a tumor cell burden of about 10 12 (1 kg). Efforts to treat the tumor and reduce its size can result in an increase in the growth fraction and an increase ... minimally invasive, and if positive for cancer it may allow inception of systemic treatment when metastatic disease is evident, or it can provide a basis for planning a more meticulous...
Ngày tải lên: 07/07/2014, 01:20