Chapter 133. Tetanus (Part 4) pot

... understanding of the mechanisms of gender differences in the course and outcome of certain diseases. For a more complete discussion of women's health, see Chap. 6. Care of the Elderly The relative ... of hospitalized patients, and the incidence increases with use of a large number of drugs. No matter what the clinical situation, it is the responsibilit...

Ngày tải lên: 06/07/2014, 08:20

... this pain-modulating circuit contain endogenous opioid Chapter 012. Pain: Pathophysiology and Management (Part 4) Pain transmission and modulatory pathways. A. Transmission system for nociceptive ... circuits has links in the hypothalamus, midbrain, and medulla, and it selectively controls spinal pain-transmission neurons through a descending pathway (Fig. 12 -4)...

Ngày tải lên: 06/07/2014, 08:20

... Chapter 017. Fever and Hyperthermia (Part 4) Chronology of events required for the induction of fever. AMP, adenosine 5'-monophosphate; ... prostaglandin E 2 ; TNF, tumor necrosis factor.There are four receptors for PGE 2 , and each signals the cell in different ways. Of the four receptors, the third (EP-3) is essential for fever: ... deleted in mice, no fever...

Ngày tải lên: 06/07/2014, 12:20

... BP, blood pressure; CV, central venous; ROR, rate of rewarming.[newpage] Chapter 020. Hypothermia and Frostbite (Part 4) Rewarming Strategies The key initial decision is whether to rewarm ... accidental hypothermia. The patient must have sufficient glycogen to support endogenous thermogenesis. The application of heat directly to the extremities of patients with chronic...

Ngày tải lên: 06/07/2014, 12:21

... Chapter 034. Cough and Hemoptysis (Part 4) Table 34-1 Differential Diagnosis of Hemoptysis Source other than the lower respiratory ... some series) have no identifiable etiology for their hemoptysis. These patients are classified as having idiopathic or cryptogenic hemoptysis, and subtle airway or parenchymal disease is presumably ... lower frequency of tubercul...

Ngày tải lên: 06/07/2014, 15:21

... Congenital D. Tumors 1. Benign 2. Malignant III. Extrinsic compression A. Vascular compression (dysphagia lusoria, aberrant right subclavian artery, right-sided aorta, left atrial enlargement, ... aneurysm) B. Posterior mediastinal mass C. Postvagotomy hematoma and fibrosis Esophageal Motor Dysphagia I. Disorders of cervical esophagus

Ngày tải lên: 06/07/2014, 15:21

... be impaired by damage to the visual system anywhere from the eyes to the occipital lobes. One can localize the site of the lesion with considerable accuracy by mapping the visual field deficit ... frequently result from disease of the macula or optic nerve. For example, patients with a history of optic neuritis often complain of color desaturation long after their v...

Ngày tải lên: 06/07/2014, 15:21

... Chapter 047. Hypercalcemia and Hypocalcemia (Part 4) Table 47-2 Causes of Hypocalcemia Low Parathyroid Hormone Levels (Hypoparathyroidism)

Ngày tải lên: 06/07/2014, 15:21

... Chapter 051. Menstrual Disorders and Pelvic Pain (Part 4) Polycystic Ovarian Syndrome: Treatment The major abnormality ... cyclic pain may occasionally cause noncyclic pain, and the converse is also true. Table 51-1 Causes of Pelvic Pain Acute Chronic Premenstrual symptoms Mittelschmerz Dysmenorrhea Cyclic pelvic ... pelvic pain Endometriosi...

Ngày tải lên: 06/07/2014, 20:20

... Chapter 059. Bleeding and Thrombosis (Part 4) Approach to the Patient: Bleeding and Thrombosis Clinical Presentation Disorders of hemostasis ... contributed to the bleeding or thrombotic state. In addition, the history can give clues as to the etiology by determining (1) the bleeding (mucosal and/ or joint) or thrombosis (arterial and/ or venous) ... traum...

Ngày tải lên: 07/07/2014, 01:20

... diabetic foot infection. Chapter 120. Osteomyelitis (Part 4) Figure 120-1 Appropriate samples for microbiologic studies should be obtained in all cases of suspected osteomyelitis before ... histopathologic examination of biopsy specimens may be the only way to confirm a diagnosis of osteomyelitis. Osteomyelitis: Treatment Antibiotic Therapy (Table 120-2) Antibio...

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