Chapter 133. Tetanus (Part 2) ppsx

... months of PHT in women with AD. Further, the Women's Health Initiative Memory Study (WHIMS), an ancillary study in the Women's Health Initiative (WHI), found no benefit compared to placebo ... results between the observational studies and the randomized clinical trials remain unclear (Chap. 3 42). more likely to be assigned to a lower risk category than men with similar...

Ngày tải lên: 06/07/2014, 08:20

... chest x-ray. Chapter 034. Cough and Hemoptysis (Part 2) Approach to the Patient: Cough A detailed history frequently provides the most valuable clues for the etiology of the cough. Particularly ... possibility of eosinophilic bronchitis. Gram and acid- Algorithm for management of cough lasting >3 weeks. Cough between 3 and 8 weeks is considered subacute;...

Ngày tải lên: 06/07/2014, 15:21

... functions Chapter 038. Dysphagia (Part 2) Pathophysiology of Dysphagia Based on anatomic site of involvement, dysphagia may be divided into oral, pharyngeal, and esophageal dysphagia. ... normal relaxation of UES and LES during swallowing. Dysphagia caused by a large bolus or a narrow lumen is called mechanical dysphagia, whereas dysphagia due to weakness of peris...

Ngày tải lên: 06/07/2014, 15:21

... significant weight loss (Chap. 71). Causes of Weight Loss The list of possible causes of weight loss is extensive (Table 41-1). In the elderly, the most common causes of weight loss are depression, ... present with weight loss and weakness, with few other manifestations of thyrotoxicosis. New-onset diabetes mellitus is often accompanied by weight loss, reflecting g...

Ngày tải lên: 06/07/2014, 15:21

... lesional or intact patient skin shows deposits of IgG on the surface of keratinocytes; deposits of complement components are typically found in lesional but not uninvolved skin. Deposits of IgG ... produce extensive denudation of the skin (Fig. 55-1). PV typically involves the mouth, scalp, face, neck, axilla, groin, and trunk. PV may be associated with severe skin pain; some patie...

Ngày tải lên: 07/07/2014, 01:20

... Chapter 076. Eating Disorders (Part 2) Table 76- 1 Common Characteristics of Anorexia Nervosa and Bulimia Nervosa ... in women Weight Markedly decreased Usually normal Menstruation Absent Usually normal Binge eating 25–50% Required for diagnosis Mortality 5% per decade Low Physical and Laboratory Findings a ... Low-normal thyroxine Normal TSH Increased cortiso...

Ngày tải lên: 07/07/2014, 01:20

... whether a cell will enter S-phase. The complex of CDK4 or CDK6 with D type cyclins forms a G 1 -specific kinase whose activity is regulated by growth factors, nutrients, and cell- cell and cell- matrix ... targeted therapy of cancer. Therapeutic Approaches to Cell Cycle Abnormalities in Cancer The mechanism of cell division is substantially the same in all dividing cells...

Ngày tải lên: 07/07/2014, 01:20

... with pancolonic involvement with ulcerative colitis), the presence of Chapter 081. Principles of Cancer Treatment (Part 2) Figure 81-1 ... Principles of Cancer Surgery Surgery is used in cancer prevention, diagnosis, staging, treatment (for both localized and metastatic disease), palliation, and rehabilitation. Prophylaxis Cancer ... incisional biop...

Ngày tải lên: 07/07/2014, 01:20

... Shades of brown mixed with bluis h red (violaceous), bluish black, reddish brown, and often whitish pink, and the border of lesion is at least in part a During much of thi s time, the ... spreading melanoma is the most frequent variant observed in the white population. Melanomas arising in dysplastic nevi (see below) are usually of this type. The back is the m...

Ngày tải lên: 07/07/2014, 01:20

... chemoradiation combination. For the incurable, surgically unresectable patient with esophageal cancer, dysphagia, malnutrition, and the management of tracheoesophageal fistulas are the diagnosis. ... squamous cell carcinoma of the esophagus (i.e., smokers and drinkers) also has a high rate of cancers of the lung and the head and neck region, endoscopic inspection of the larynx, trache...

Ngày tải lên: 07/07/2014, 02:20

... Chapter 102. Aplastic Anemia, Myelodysplasia, and Related Bone Marrow Failure Syndromes (Part 2) Aplastic Anemia Definition Aplastic anemia is pancytopenia with bone marrow hypocellularity. ... hypocellularity. Acquired aplastic anemia is distinguished from iatrogenic marrow aplasia, marrow hypocellularity after intensive cytotoxic chemotherapy f...

Ngày tải lên: 07/07/2014, 04:20

... the estimated number of tetanus- related deaths in all age groups was 213,000, of which 180,000 (85%) were attributable to neonatal tetanus. In contrast, only 18,781 tetanus cases in total and ... National Immunization Program. Tetanus and Tetanus Toxoid: Epidemiology and Prevention of Vaccine- Preventable Diseases. www.cdc.gov/nip/ed/vpd2006/Slides/chap06 -tetanus9 .ppt . Revised...

Ngày tải lên: 08/07/2014, 02:20

... tendon reflexes may be increased. Dysphagia or ileus may preclude oral feeding. Chapter 133. Tetanus (Part 2) Pathogenesis Contamination of wounds with spores of C. tetani is probably a ... diagnosis of tetanus is based entirely on clinical findings. Tetanus is unlikely if a reliable history indicates the completion of a primary vaccination Clinical Manifestations Gene...

Ngày tải lên: 08/07/2014, 02:20

... Prevention: Tetanus Puerto Rico, 200 2. MMWR 51:613, 2002 ———: Tetanus surveillance—United States, 1998– 2000. Surveillance summaries, June 20, 2003. MMWR 52(SS -3): 1, 2003 Cook TM et al: Tetanus: ... Tdap, tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine, adsorbed; DT, diphth eria and tetanus vaccine; DTP, diphtheria, tetanus, and pertussis vaccine; T...

Ngày tải lên: 08/07/2014, 02:20

... be determined. Hypotension or bradycardia may require volume expansion, use of vasopressors or chronotropic agents, or pacemaker insertion. Chapter 133. Tetanus (Part 4) Tetanus: Treatment ... the blood-brain barrier. Intrathecal administration should be considered experimental. Equine tetanus antitoxin (TAT) is not available in the United States but is used elsewhere. I...

Ngày tải lên: 08/07/2014, 02:20