preipheral neuropathies chapter 103 general considerationsx

Ngày tải lên: 02/07/2014, 05:20

... repeated concerning it in this chapter, you must not fail to carry it in your mind, or under your arm, as we proceed, otherwise you will not gain a complete notion of the general structure we are about ... forehead, fins, and divers other parts, I shall now simply point out what is most interesting in the general bulk of his unobstructed bones But as the colossal skull embraces so very large a proportion ... the remaining ribs diminished, till the tenth and last only spanned five feet and some inches In general thickness, they all bore a seemly correspondence to their length The middle ribs were the...

Ngày tải lên: 03/07/2014, 20:20

... disorders, in contrast to the former three, also appear capable of transforming into each other Table 103- 1 WHO Classification of Chronic Myeloproliferative Disorders Chronic myelogenous leukemia, [Ph ... transformation to acute leukemia is uncommon in the absence of exposure to mutagenic agents This chapter, therefore, will focus only on PV, IMF, and ET, because their clinical overlap is substantial ... courses are distinctly different Other chronic myeloproliferative disorders will be discussed in Chapter 104 Polycythemia Vera Polycythemia vera (PV) is a clonal disorder involving a multipotent...

Ngày tải lên: 07/07/2014, 04:20

... different than those who do, nor JAK2 V617F heterozygotes differ clinically from homozygotes In general, patients who express JAK2 V617F are older than those who not, but they not have a longer...

Ngày tải lên: 07/07/2014, 04:20

... Figure 58-18 illustrates a diagnostic algorithm for the evaluation of suspected erythrocytosis Table 103- 2 Causes of Erythrocytosis Relative erythrocytosis: Hemoconcentration secondary to dehydration,...

Ngày tải lên: 07/07/2014, 04:20

... Table 103- 3 Disorders Causing Myelofibrosis Malignant Acute Nonmalignant leukemia (lymphocytic, HIV infection ... cells, nucleated red cells, myelocytes, and promyelocytes; myeloblasts may also be present (Fig 103- 1) Anemia, usually mild initially, is the rule, while the leukocyte and platelet counts are ... LAP score can be low, normal, or high Marrow is usually inaspirable due to the myelofibrosis (Fig 103- 2), and bone x-rays may reveal osteosclerosis Exuberant extramedullary hematopoiesis can cause...

Ngày tải lên: 07/07/2014, 04:20

... diagnosis of chronic IMF is one of exclusion, which requires that the disorders listed in Table 103- 3 be ruled out A diagnostic algorithm has been proposed but does not distinguish one disease ... presence of a myeloproliferative disorder as opposed to a secondary form of myelofibrosis (Table 103- 3) Marrow is usually not aspirable due to increased marrow reticulin, but marrow biopsy will ... V617F-negative Complications Survival in chronic IMF varies according to specific clinical features (Table 103- 4) but is shorter than in patients with PV or ET The natural history of chronic IMF is one of...

Ngày tải lên: 07/07/2014, 04:20

Ngày tải lên: 07/07/2014, 04:20

... consistently distinguish ET from the more common nonclonal, reactive forms of thrombocytosis (Table 103- 5), making its diagnosis difficult Once considered a disease of the elderly and responsible ... disorders, which may also present with thrombocytosis but have differing prognoses and therapy (Table 103- 5) These criteria not establish clonality; therefore, they are truly useful only in identifying ... thrombopoietin) that are not widely recognized because we currently lack adequate diagnostic tools Table 103- 5 Causes of Thrombocytosis Malignancy Infection Myeloproliferative disorders: polycythemia vera,...

Ngày tải lên: 07/07/2014, 04:20

... occlusions for the latter, such as erythromelalgia, ocular migraine, or TIAs Physical examination is generally unremarkable except occasionally for mild splenomegaly Massive splenomegaly is more indicative ... located Diagnosis Thrombocytosis is encountered in a broad variety of clinical disorders (Table 103- 5) in many of which production of cytokines is increased The absolute level of the platelet...

Ngày tải lên: 07/07/2014, 04:20

... Essential Thrombocytosis: Treatment Survival of patients with ET is not different than for the general population An elevated platelet count in an asymptomatic patient without cardiovascular ... et al: No treatment for low-risk thrombocythaemia: Results of a prospective study Br J Haematol 103: 772, 1998 [PMID: 9858229] Garcia-Manero G et al: Pulmonary hypertension in patients with myelofibrosis...

Ngày tải lên: 07/07/2014, 04:20

... 26 CHAPTER GENERAL PRINCIPLES OF THE IMS ARCHITECTURE plane and the media plane follow This differentiation ... user gets, so that operators can differentiate certain groups of customers from others 28 CHAPTER GENERAL PRINCIPLES OF THE IMS ARCHITECTURE 3.2.3 Interworking Support for interworking with ... control protocol for the IMS were obviously all based on IP The candidates were as follows 30 CHAPTER GENERAL PRINCIPLES OF THE IMS ARCHITECTURE Bearer Independent Call Control (BICC) BICC (specified...

Ngày tải lên: 01/08/2014, 17:21

Ngày tải lên: 30/08/2015, 20:09

... Opportunity – A condition in the general environment that, if exploited effectively, helps a firm achieve strategic competitiveness • Threat – A condition in the general environment that may hinder ... product or service or otherwise on a password-protected website for classroom use 2–2 Table 2.1 The General Environment: Segments and Elements © 2015 Cengage Learning All rights reserved May not be ... Understanding the firm’s competitor environment complements the insights provided by studying the general and industry environments © 2015 Cengage Learning All rights reserved May not be copied,...

Ngày tải lên: 15/12/2016, 13:40

Ngày tải lên: 17/12/2013, 15:18

... work, where the generalized force is the voltage (the electrical potential) and the generalized displacement is the electrical charge, as discussed earlier; magnetic work, where the generalized force ... strength and the generalized displacement is the total magnetic dipole moment; and electrical polarization work, where the generalized force is the electric field strength and the generalized displacement ... identifying a generalized force F acting in the direction 80 km/h m = 900 kg FIGURE 2–36 Schematic for Example 2–9 cen84959_ch02.qxd 9/15/06 6:11 AM Page 70 70 | Thermodynamics of a generalized...

Ngày tải lên: 20/01/2014, 15:19

Ngày tải lên: 13/03/2014, 18:03

... © 2003 by Expert Verlag All Rights Reserved battery, which is generally practiced Development has lead to the initial voltage generally being 1.4 V/cell as the voltage of lower-situated battery ... range for which the characteristics are valid can be found in the instruction manuals Figure 12.1 General charging characteristics Copyright © 2003 by Expert Verlag All Rights Reserved Figure 12.2 ... 100 Ah Influence of the mains voltage Charging currents from chargers with a W characteristic are generally dependent on the mains voltage, which means the device’s current yield is influenced by...

Ngày tải lên: 05/07/2014, 07:20

Ngày tải lên: 20/08/2012, 12:05

Ngày tải lên: 23/08/2012, 11:36