... subsequent pregnancy has been reported, and women should be counseled to avoid pregnancy after a diagnosis of peripartum cardiomyopathy. Chapter 007. Medical Disorders during Pregnancy (Part 3) ... well tolerated during pregnancy in the absence of pulmonary hypertension, provided that the woman's prepregnancy cardiac status is favorable. Use of air filters on...
Ngày tải lên: 06/07/2014, 08:20
... "sclerotomal" pain may explain some cases of back and leg pain without evidence of nerve root compression. Radicular back pain is typically sharp and radiates from the lumbar ... L3, and L4 roots) passes anterior to the hip and is not stretched by sitting. The description of the pain alone often fails to distinguish between sclerotomal pain and radiculopat...
Ngày tải lên: 06/07/2014, 08:20
Chapter 033. Dyspnea and Pulmonary Edema (Part 3) ppsx
... Chapter 033. Dyspnea and Pulmonary Edema (Part 3) Differential Diagnosis Dyspnea is the consequence of deviations from normal function in the cardiopulmonary systems. ... contribute to dyspnea, both by increasing the work of breathing and by stimulating pulmonary receptors if there is associated atelectasis. Gas Exchanger Pneumonia, pulmonary edema, and a...
Ngày tải lên: 06/07/2014, 15:21
Chapter 034. Cough and Hemoptysis (Part 3) pps
... ventricular failure. Chapter 034. Cough and Hemoptysis (Part 3) Complications Common complications of coughing include chest and abdominal wall soreness, urinary incontinence, and exhaustion. ... occasion, paroxysms of coughing may precipitate syncope (cough syncope; Chap. 21), consequent to markedly positive intrathoracic and alveolar pressures, diminished ven...
Ngày tải lên: 06/07/2014, 15:21
Chapter 040. Diarrhea and Constipation (Part 3) pps
... Diarrhea and urgency, especially if severe, may aggravate or cause incontinence. Pseudodiarrhea and fecal incontinence occur at prevalence rates ... comparable to or higher than that of chronic diarrhea and should always be considered in patients complaining of " ;diarrhea. " Overflow diarrhea may occur in nursing home patients due ... examination. A careful history...
Ngày tải lên: 06/07/2014, 15:21
Chapter 039. Nausea, Vomiting, and Indigestion (Part 3) ppsx
... vomiting with or without nausea. Chapter 039. Nausea, Vomiting, and Indigestion (Part 3) Disordered gut sensorimotor function also commonly causes nausea and vomiting. Gastroparesis is defined ... intestinal and colonic motor activity and leads to retention of food residue and secretions, bacterial overgrowth, nutrient malabsorption, and symptoms of nausea,...
Ngày tải lên: 06/07/2014, 15:21
Chapter 047. Hypercalcemia and Hypocalcemia (Part 3) pps
... associated with Chapter 047. Hypercalcemia and Hypocalcemia (Part 3) A detailed history may provide important clues regarding the etiology of the hypercalcemia (Table 47-1). Chronic hypercalcemia ... as ketoconazole, chloroquine, and hydroxychloroquine, may also decrease 1,25(OH) 2 D production and are used occasionally. HYPOCALCEMIA Etiology The causes of h...
Ngày tải lên: 06/07/2014, 15:21
Chapter 055. Immunologically Mediated Skin Diseases (Part 3) pps
... structure (e.g., penicillamine, captopril, enalapril) are most commonly Chapter 055. Immunologically Mediated Skin Diseases (Part 3) Pemphigus Foliaceus Pemphigus foliaceus (PF) is distinguished ... compensated by coexpression of Dsg3) is thought to account for the distribution of lesions in this disease. Although pemphigus has been associated with several autoimmune...
Ngày tải lên: 07/07/2014, 01:20
Chapter 056. Cutaneous Drug Reactions (Part 3) pps
... in patients receiving cytotoxic drugs can be increased by exposure to sunlight. Chapter 056. Cutaneous Drug Reactions (Part 3) PIGMENTATION CHANGES Drugs, either systemic or topical, ... Development of the syndrome is unrelated to drug dose, and the course is not altered by discontinuation of the drug after onset of the eruption. Warfarin reactions are associate...
Ngày tải lên: 07/07/2014, 01:20
Chapter 061. Disorders of Granulocytes and Monocytes (Part 3) pps
... state and is composed of those cells that are in the blood Chapter 061. Disorders of Granulocytes and Monocytes (Part 3) Pelger-Hüet anomaly. In this benign disorder, the majority of granulocytes ... bodies (Fig. 61 -3), can be seen during infection and are fragments of ribosome-rich endoplasmic reticulum. Large neutrophil vacuoles are often present in acu...
Ngày tải lên: 07/07/2014, 01:20
Chapter 069. Tissue Engineering (Part 3) pps
... Chapter 069. Tissue Engineering (Part 3) Table 69-2 Tissue- Engineering Products in Clinical Trials TRC (Aastrom) Autologous ... preformed Tissue Engineering 10:12, 2004 Sheih SJ, Vacanti JP: State-of-the- art tissue engineering: From tissue engineering to organ building. Surgery 137:1, 2005 Yow KH et al: Tissue engineering ... (Vigagen) Extracorporeal l...
Ngày tải lên: 07/07/2014, 01:20
Chapter 133. Tetanus (Part 1) potx
... 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
Chapter 133. Tetanus (Part 2) ppsx
... 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
Chapter 133. Tetanus (Part 3) pps
... 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
Chapter 133. Tetanus (Part 4) pot
... 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