approach to patient with unintentional weight loss

... Mumble-86. 3 Generator Architecture There are many different ways of imple- menting a TAG-based generator. We consider the principles that we take to be common to any TAG generator and indicate ... sider the question of what needs to be done to generate with TAGs and explain a generation sys- tem that provides the necessary features. This approach is compared with other TAG-based gen- eration ... (Linguistic Specification). An L-Spec captures the content of what is to be generated along with the goals and rhetorical force to be achieved. While the form of the L-Spec is dependent on the...

Ngày tải lên: 31/03/2014, 06:20

... signifi- cant weight loss compared to those without SVR. The association between body weight, weight loss and SVR is controversial. Some previous studies showed that initial body weight is an ... clinical characteristics and laboratory data between patients with and without sustained virological response (SVR). Characteristics Patients with SVR (n=41 ) Patients without SVR (n=13) P-Value Male ... associated with weight loss, but the mechanism and pathophysiology are still un- clear. The reasons for weight loss among the study population are unclear. Many patients complained of loss of...

Ngày tải lên: 26/10/2012, 09:39

... (Part 1) Harrison's Internal Medicine > Chapter 52. Approach to the Patient with a Skin Disorder APPROACH TO THE PATIENT WITH A SKIN DISORDER: INTRODUCTION The challenge of examining ... interpretation would be that the patient has a pruritic eczematous dermatitis with erosions caused by scratching. Figure 52-1 Chapter 052. Approach to the Patient with a Skin Disorder (Part ... Fig. 52-3) and to formulate a differential diagnosis (Table 52-4). For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in...

Ngày tải lên: 06/07/2014, 20:20

... the desire to scratch. Pruritus is often the predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis, allergic contact dermatitis); it is also commonly associated with xerosis ... Table 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 ... and delusions of parasitosis. Figure 52-3 Erosion: Loss of epidermis without an associated loss of dermis. Ulcer: Loss of epidermis and at least a portion of the underlying dermis. Excoriation:...

Ngày tải lên: 06/07/2014, 20:20

... correlates highly with diagnosis (Fig. 52-6). For example, a hospitalized patient with a generalized erythematous exanthem is more likely to have a drug eruption than is a patient with a similar ... Swerlick, MD; with permission.)[newpage] APPROACH TO THE PATIENT: SKIN DISORDER In examining the skin it is usually advisable to assess the patient before taking an extensive history. This ... possible to assess the distribution of the eruption accurately. The Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) Figure 52-5 ...

Ngày tải lên: 06/07/2014, 20:20

... characterized by small and large erythematous papules and plaques with overlying adherent silvery scale. Figure 52-8 Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) Figure...

Ngày tải lên: 06/07/2014, 20:20

... lesions with a generalized arrangement are common and suggest a systemic etiology. Figure 52-9 Erythema multiforme. This eruption is characterized by multiple erythematous plaques with ... represents a hypersensitivity reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV). (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure 52-10 ...

Ngày tải lên: 06/07/2014, 20:20

... Family history (particularly relevant for patients with melanoma, atopy, psoriasis, or acne) 10. Social, sexual, or travel history as relevant to the patient DIAGNOSTIC TECHNIQUES Many ... of the skin and rotated with downward pressure until it penetrates to the subcutaneous tissue. The circular biopsy is then lifted with forceps, and the bottom is cut with iris scissors. Biopsy ... chronic eruptions 2. Symptoms associated with the eruption a. Itching, burning, pain, numbness b. What, if anything, has relieved symptoms c. Time of day when symptoms are most severe 3....

Ngày tải lên: 06/07/2014, 20:20

... Granulomas often have an opaque to transparent, brown-pink "apple jelly" appearance on diascopy. Figure 52-11 Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) ... and in recognition of ash leaf spots in patients with tuberous sclerosis. Figure 52-12 Diascopy is designed to assess whether a skin lesion will blanch with pressure as, for example, in determining ... al (eds): Fitzpatrick's Dermatology in General Medicine, 7th ed. New York, McGraw-Hill, 2008 Urticaria. Discrete and confluent, edematous, erythematous papules and plaques are characteristic...

Ngày tải lên: 06/07/2014, 20:20

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Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 11/08/2014, 17:21

... important factor for consideration of treatment is the patient s willingness to be treated and to conform to the treatment requirements. Treatment is generally contraindicated in patients with major ... hepatic steatosis, a common presentation in HCV infected patients. 5. Approach to Treatment of Chronic HCV Infection Initial Evaluation of Patients with Chronic HCV Infection 1) History Obtaining ... significant heart disease. Patients with autoimmune hepatitis or other conditions known to be exacerbated by interferon and ribavirin or known to have hypersensitivity to these drugs should not...

Ngày tải lên: 02/11/2012, 09:51