approach to the patient with fever of unknown origin

... 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

... 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 the underlying ... configuration 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 ... destruction of hair follicles. 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...

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

... 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

... 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 ... 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% ... 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)...

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...

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Ngày tải lên: 16/03/2014, 19:20

... >0. Proof. The proof is similar to that of the proofs of Theorems 4.1 and 5.1. □ Corollary 5.2. Let θ ≥ 0 and let p be a real number with 0 <p<1. Let X be a normed vector space with norm ... Point Theory and Applications 2011, 2011:67 http://www.fixedpointtheoryandapplications.com/content/2011/1/67 Page 12 of 14 for all x ẻ X and t >0. Proof. The proof is similar to the proof of Theorem ... (x,0) |m|−|m|L . Proof. The proof is similar to the proof of Theorem 3.1. □ Corollary 3.2. Let θ ≥ 0 and p be a real number with p >1. Let f : X đ Y be a map- ping satisfying f(0) = 0 and (6). Then, for...

Ngày tải lên: 20/06/2014, 22:20

... Chapter 019. Fever of Unknown Origin (Part 1) Harrison's Internal Medicine > Chapter 19. Fever of Unknown Origin Definition and Classification Fever of unknown origin (FUO) was ... the number of undetected cases of systemic lupus erythematosus and other autoimmune diseases. Table 19-1 Classic FUO in Adults A uthors (Year of Publicati Y ears of Study o. of Cases ... adult patients with FUO encompassing all eight university hospitals in the Netherlands and using a standardized protocol in which the first author reviewed every patient. Coincident with the...

Ngày tải lên: 06/07/2014, 12:20

... d Empirical therapy is a last resort, given the good prognosis of most patients with FUO persisting without a diagnosis. Febrile agglutinins is a vague term that in most laboratories refers to serologic ... Approach to the patient with classic FUO. a "Potentially diagnostic clues," as outlined by de Kleijn and colleagues (1997, Part II), may be key findings in the history, localizing ... are indicated. In the setting of recurrent fevers with lymphocytic meningitis (Mollaret's meningitis), cerebrospinal fluid can be tested for herpesvirus, with use of the polymerase chain...

Ngày tải lên: 06/07/2014, 12:21