free download harrisons principles of internal medicine for android

... ISORDERS OF THE C ARDIOVASCULAR S YSTEM — A NSWERS 155 normal ventricular systolic function. Malposition of the mitral apparatus, a result of the distorted septum, often leads to some degree of mitral ... magnitude of the shunt depends on the size of the defect, the diastolic properties of both ventricles, and the relative impedance of the pulmonary and systemic circulations. Defects of the sinus ... including cardiac muscle, the force of con- traction depends on initial muscle length. This forms the basis of the Frank-Starling re- lationship. VII. D ISORDERS OF THE C ARDIOVASCULAR S YSTEM

Ngày tải lên: 19/06/2014, 15:20

... contraindi- cated IX-20. Which of the following is a risk factor for carci- noma of the bladder? (A) Exposure to alcohol intake (B) Use of cyclophosphamide (C) History of renal carcinoma (D) Positive ... reveals a blood pressure of 180/96, pulse of 98, and a temperature of 37.1ЊC (98.7ЊF). Lab- oratory values reveal a serum creatinine of 177 ␮ mol/L (2 mg/dL). Which of the following statements ... administration of 25 g of D-xylose, a 5-h urine collection contains 0.8 g of X DISORDERS OF THE GASTROINTESTINAL SYSTEM — QUESTIONS X-19 (Continued) D-xylose... Administration of prednisone,

Ngày tải lên: 19/06/2014, 15:20

... three causes account for 90% of cases of colonic obstruction. Adhe- X. D ISORDERS OF THE G ASTROINTESTINAL S YSTEM — A NSWERS 242 sions and hernias cause about 75% of cases of small-intestine obstruction ... leaning forward XI-32 A 30-year-old woman presents complaining of frequent upper... surface of both hands Aspiration of the left ankle joint yields 1 mL of fluid with a WBC count of 263 ... Deposition of calcium pyrophosphate crystals Deposition of urate crystals Lymphocytic infiltration of synovium Neutrophilic infiltration of synovium Loss of articular cartilage XI-26 Which of

Ngày tải lên: 19/06/2014, 15:20

... Which of the following conditions is characteristic of the presentation of osteomalacia in adults? (A) (B) (C) (D) (E) Bowing of the tibia Pseudofractures Increased thickness of the ... cut-off point of Ն7.7 mmol/L (140 mg/dL) has a sensitivity of 80 % A more stringent cut-off at 7.2 mmol/L (130 mg/dL) is associated with a sensitivity of. .. plasmacytoma Paget’s disease of ... upper airway findings, the absence of vasculitis on biopsy, the absence of pulmonary and renal disease, and the presence of palatal perforation make the diagnosis of midline granuloma much more likely.

Ngày tải lên: 19/06/2014, 15:20

... chronic ingestion of large doses of vitamin D2 or D3 (usually in excess of 50,000 to 100,000 IU daily for months) Ingestion of a single large dose of. .. numbers of insulin receptors ... excretion of 0.03 to 0.3 g/d of albumin, is also statistically predictive of the progression of renal disease In contrast, nocturia is usually a manifestation of undertreatment of diabetes... ... were followed for a mean of 6.5 years. Improved glycemic control produced a remarkable reduction not only in the rate of the development of reti- nopathy but also in the progression of already established

Ngày tải lên: 19/06/2014, 15:20

... medial portion of the foreleg. A lesion of the L5 root would result in weakness of knee flexion, dorsiflexion of the ankle and great toe, and weakness of inversion and eversion of the foot. Sensory ... Quantitation of albumin (adult) Quantitation of IgG... physician should be aware of the consequences of a relapse and should be willing to accept the risk About 60% of adults and 70% of children ... Histologic examination of brain and immunostaining for prion protein is the “gold stan- dard” for diagnosis of Creutzfeldt-Jakob disease. The critical features are spongiform changes accompanied

Ngày tải lên: 19/06/2014, 15:20

... HARRISON'S EDITION P R I N C I P L E S OF INTERNAL MEDICINE SELF-ASSESSMENT AND BOARD REVIEW For use with the 15th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE EDITED BY RICHARD M STONE, ... broad area of internal medicine Although it should be particularly helpful for residents preparing for the American Board of Internal Medicine (ABIM) certification examination and for board-certified ... representative of the major areas covered in Harrison’s Principles of Internal Medicine, 15th ed., and (2) parallel the format and degree of difficulty of the questions on the examination of the ABIM

Ngày tải lên: 21/01/2020, 21:55

... is remarkable for the absence of jaundice and any other specific physical findings Which of the following is the best strategy for screening for acute pancreatitis? (A) Measurement of serum amylase ... periphery of lobules Which of the following therapeutic strategies is best? (A) Administration of low-dose cyclophosphamide, 50 mg/d for months (B) Administration of prednisone, 20 to 40 mg/d for months ... Administration of prednisone, 10 mg every other day for months (D) Administration of acyclovir, 400 mg every h for weeks (E) Administration of interferon ␣, 10 million units three times per week for months

Ngày tải lên: 22/01/2020, 07:19

... addition of jaundice On the day of admission he developed shortness of breath The physical examination is notable for a temperature of 38.4°C (101.1°F), blood pressure of 95/65 mmHg, heart rate of ... than two-thirds of the normal upper limit for serum VI-15 A 63-year-old male with a long history of cigarette smoking comes to see you for a 4-month history of progressive shortness of breath and ... rate of 24, tidal volume of mL/kg, FIO2 of 1.0, and positive end-expiratory pressure of 12 cmH2O An arterial blood gas measurement is performed on these settings; the results are pH 7.20, PaCO2 of

Ngày tải lên: 22/01/2020, 22:18

... parts of the world For example, arsenic exposure from natural contamination of shallow tube wells inserted for drinking water is a major environmental problem for millions of residents in parts of ... respect to whether the consumption of fish by women during pregnancy is good or bad for offspring neurodevelopment, balancing the trade-offs of the beneficial effects of the omega-3-fatty acids (FAs) ... pregnancy The toxicity of low-level organic mercury exposure (as manifested by neurobehavioral performance) is of increasing concern based on studies of the offspring of mothers who ingested

Ngày tải lên: 30/04/2023, 08:44

... Chương Đại cương nội khoa sở Những nguyên lý thực hành y học nội khoa (Principles of the practice of internal medicine) Trong thực hành y học nội khoa phải tuân theo nguyên lý định, có ngun ... chết hay sống, theo định nghĩa “Uỷ ban nghiên cứu vấn đề đạo đức y học Committee for the study of ethical problems in medicine” chết là: Ngừng khơng phục hồi chức tuần hồn hơ hấp Ngừng không phục

Ngày tải lên: 10/01/2023, 16:25

... Professor, Department of Neurology; Director, UCSF Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California William Ellery Channing Professor of Medicine ... Journal of Medicine, Boston, Massachusetts Stephen L Hauser, MD Joseph Loscalzo, MD, PhD Hersey Professor of the Theory and Practice of Medicine, Harvard Medical School; Chairman, Department of Medicine; ... Professor of Microbiology and Immunobiology, Division of Immunology, Department of Microbiology and Immunobiology, Harvard Medical School, Boston, Massachusetts Dan L Longo, MD Professor of Medicine,

Ngày tải lên: 08/09/2021, 17:23

... Jameson, MD, PhD Robert G Dunlop Professor of Medicine; Dean, University of Pennsylvania School of Medicine; Executive Vice-President of the University of Pennsylvania for the Health System, Philadelphia, ... Chairman, Department of Neurology, University of California, San Francisco, San Francisco, California Joseph Loscalzo, MD, PhD Hersey Professor of the Theory and Practice of Medicine, Harvard Medical ... recruited to be the Hersey Professor of the Theory and Practice of Medicine (the oldest endowed chair in medicine) at Harvard Medical School and Chairman of the Department of Medicine at the Peter Bent

Ngày tải lên: 08/09/2021, 17:23

... solving. This book is offered as a companion to the remarkable 17th edition of Harrison’s Principles of Internal Medicine. It is designed for the student of medicine to reinforce the knowl- edge ... None of the above I-127. (Continued) SELF-ASSESSMENT AND BOARD REVIEW For use with the 17th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE EDITED BY CHARLES WIENER, MD Professor of Medicine ... family of cut- off points for a positive vs. negative test is a receiver oper- ating characteristic (ROC) curve. The area under this curve is a quantitative measure of the information con- tent of...

Ngày tải lên: 16/02/2014, 18:20

... representative of the major areas covered in Harrison’s Principles of Internal Medicine, 15th ed., and (2) parallel the format and degree of difficulty of the questions on the examination of the ABIM. ... broad area of internal medicine. Although it should be particularly help- ful for residents preparing for the American Board of Inter- nal Medicine (ABIM) certification examination and for board-certified ... AND BOARD REVIEW For use with the 15th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE EDITED BY RICHARD M. STONE, MD Clinical Director, Adult Leukemia Program Department of Adult Oncology Dana-Farber...

Ngày tải lên: 19/06/2014, 15:20

... are normal except for mild elevation of hepatic transminases. Which of the following is the most appropriate procedure for the purposes of establishing a diagnosis? (A) CT scan of the liver (B) ... hematocrit of 17%, WBC count of 2500/ ␮ L, and platelet count of 70,000/ ␮ L. Serum chem- istries are normal except for direct bilirubin of 51 ␮ mol/ L (3 mg/dL) and indirect bilirubin of 12 ␮ mol/L ... majority of patients with APML. The mechanism of action of this drug appears to be induction of differentiation of the malignant clone. As such, patients enter remission slowly over a period of 30...

Ngày tải lên: 19/06/2014, 15:20

... disease- causing isoform called PrP . The disease-causing isoform contains a high ␤ - pleated sheet Sc content. The sporadic form of Creutzfeldt-Jakob disease is most common; inherited dis- eases account for ... to half of all cases of cardiotoxicity occur 6 months or more after completion of therapy. Efforts to limit cardiotoxicity and thereby enable the administration of a higher total dose of anthra- cycline ... examination of potassium hydroxide– treated scrapings (E) examination of the serum for anticardiolipin anti- body VI-103. A 67-year-old man presents with a history of headache for 5 days and 2 days of...

Ngày tải lên: 19/06/2014, 15:20

... initiation of resuscitative efforts, the clinical status of the patient before the arrest, and the mechanism of the event. In this case the patient has a reasonable chance of recovery because of his good ... from loss of position sense characteristic of tabes dorsalis. About 10% of patients with late untreated syphilis experience cardiovascular complications, usually in the form of aneurysms of the ... inva- sion by a tumor (C) An echocardiogram would offer absolute proof of the diagnosis (D) The lack of pulsus paradoxus could suggest the presence of an atrial septal defect (E) Heparin and IV nitroglycerin...

Ngày tải lên: 19/06/2014, 15:20

... of diagnosis, in- 42704 Harrison/Braunwald:HPIM 16/e McGraw-Hill BATCH RIGHT top of rh base of rh cap height base of text short stand drop folio TABLE 186-1 Treatment of Cryptococcosis Type of ... drug of choice for the treat- ment of cutaneous sporotrichosis. A saturated solution of potassium iodide given orally is also effective, but side effects often prevent the effective use of this ... therapy for all forms of leishmaniasis throughout the world, primarily because they are afford- able, are effective, and have survived the test of time. Although they have been used for almost...

Ngày tải lên: 06/03/2014, 11:21