approach to the patient with disease of the respiratory system

... disability. The individual muscle diseases differ in their age of onset, their rate of progression and their pattern of weakness which in turn dictates the nature and extent of the disability that they ... and the unknown differences in the type and severity of the epilepsy in the three national groups.[12] Other important factors to consider would be the distribution of specific muscle disease ... relationships with other close family members. I require more from them.” – US patient. Problems of access to the homes of friends and family and to social venues were also a source of difficulty...

Ngày tải lên: 20/06/2014, 15:20

Ngày tải lên: 11/08/2014, 23:22

... and other devices geared to improve the patient& apos;s quality of life and ability to function in their own households. The optometrist should provide the patient written documentation of his ... affecting the venules; it is seen as sheathed, attenuated retinal vessels. Progression of pars planitis can lead to continued obliteration of the vessels toward the posterior pole, together with the ... Followup The prognosis for the patient with a retinal break and the need for followup by the optometrist depend on the type and severity of the break. The frequency and composition of evaluation...

Ngày tải lên: 22/03/2014, 09:20

... not be performed because of the patient& apos;s generally poor condition. We therefore applied a functional brace with the hope that the patient would be able to walk with crutches. X-ray revealed ... plate osteosynthesis (MIPO) techniques mini- mize the extent of soft tissue trauma to the injury zone, theoretically maintaining a better blood supply around the fracture area. Treatment of fractures ... predispose patients to fracture. Delayed union and non-union of fractures have been reported in patients with Paget's disease. Therefore, open reduction and internal fixation of fractures...

Ngày tải lên: 20/06/2014, 04:20

... 052. Approach to the Patient with a Skin Disorder (Part 1) Harrison's Internal Medicine > Chapter 52. Approach to the Patient with a Skin Disorder APPROACH TO THE PATIENT WITH ... 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 ... that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation would be that the patient has a pruritic eczematous dermatitis with erosions caused...

Ngày tải lên: 06/07/2014, 20:20

... of skin lesions formed from coalescing rings or incomplete rings. Pruritus: A sensation that elicits the desire to scratch. Pruritus is often the predominant symptom of inflammatory skin diseases ... thyroid disease, polycythemia vera, 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 ... 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...

Ngày tải lên: 06/07/2014, 20:20

... lesions often 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 patient with a similar rash limited to the sun-exposed portions of the face. Once the distribution of the lesions has been established, the nature of the primary lesion must be determined. ... lesions, the shape of individual lesions, and the arrangement of the lesions. An ideal skin examination includes evaluation of the skin, hair, and nails as well as the mucous membranes of the mouth,...

Ngày tải lên: 06/07/2014, 20:20

... papulosquamous skin disease is 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...

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

... against the surface 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 ... previous illnesses 6. History of allergies 7. Presence of photosensitivity 8. Review of systems 9. Family history (particularly relevant for patients with melanoma, atopy, psoriasis, or acne) ... suspected. The edge of such a lesion is scraped gently with a no. 15 scalpel blade, and the removed scale is collected on a glass microscope slide then treated with 1 to 2 drops of a solution of 10–20%...

Ngày tải lên: 06/07/2014, 20:20

... may also aid in the demonstration of tinea versicolor and in recognition of ash leaf spots in patients with tuberous sclerosis. Figure 52-12 Diascopy is designed to assess whether a skin lesion ... noting the amount of blanching that occurs. Granulomas often have an opaque to transparent, brown-pink "apple jelly" appearance on diascopy. Figure 52-11 Chapter 052. Approach to the ... or crusted lesion, is unroofed, and the base of the lesion is scraped gently with a scalpel blade. The material is placed on a glass slide, air-dried, and stained with Giemsa or Wright's...

Ngày tải lên: 06/07/2014, 20:20

... Approach to the Patient with Cancer (Part 1) Harrison's Internal Medicine > Chapter 77. Approach to the Patient with Cancer Approach to the Patient with Cancer: Introduction The ... of current treatment techniques (surgery, radiation therapy, chemotherapy, and biological therapy) results in the cure of nearly two of three patients diagnosed with cancer. Nevertheless, patients ... cancer patients. The 5-year survival for white patients was 39% in 1960–1963 and 68% in 1996– same as the prognosis of the person with aortic stenosis who develops the first symptoms of congestive...

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20

Ngày tải lên: 07/07/2014, 01:20