principles of internal medicine harrisons 18 ed pdf free download

... can be associated with (A) the routine use of calcium-based phosphate binders (B) the routine use of aluminum-based phosphate bind ers (C) calcitonin-related peptide IX. D ISORDERS OF THE K IDNEY ... resolved. Physical examination 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 ... history of. ..2 06 IX DISORDERS OF THE KIDNEY AND URINARY TRACT — QUESTIONS IX-49 (Continued) (A) Decreased renal tubular secretion of furosemide (B) Diminished bioavailability of furosemide

Ngày tải lên: 19/06/2014, 15:20

... absorptive surface is markedly reduced in affected persons, an acquired lactase deficiency is often present and causes symptoms of milk intolerance. A strict gluten -free diet or the use of glucocor- ticoids ... intrahepatic causes of conjugated-hyperbilirubinemia An increased load of unconjugated bilirubin produced in states of excessive red cell destruction would generally not be detected in a urine ... preferred to ketoconazole because of reduced bioavailability of ketoconazole at increased gastric pH. X-46. The answer is C. (Chap. 284) Chronic acid-induced (reflux) esophagitis may cause bleeding

Ngày tải lên: 19/06/2014, 15:20

... cytotoxicity is a property of a class of non-B, non-T lymphocytes called large granular lymphocytes (LGL cells). Antibody-dependent cell-mediated cyto- toxicity can also be mediated by monocyte-macrophages ... use of repeated phlebotomy in the treatment of persons with symptomatic hemochromatosis may be ex- pected to result in (A) increased skin pigmentation (B) improved cardiac function (C) return of ... level of 4.7 mmol/L ( 181 mg/dL), and a HDL cholesterol level of 1.2 mmol/L (46 mg/dL) are noted Her... XII- 58 Which of the following conditions is characteristic of the presentation of

Ngày tải lên: 19/06/2014, 15:20

... assigned to receive either inten- sive or conventional therapy and were followed for a mean of 6.5 years. Improved glycemic control produced a remarkable reduction not only in the rate of the ... aromatization of precursor steroids, most notably androstenedione. Elevated androstenedione levels may result from increased secretion by an adrenal tumor (leading to an elevated level of urinary ... a result of elevated plasma viscosity (both bleeding and in situ thrombosis have been reported). Although the administration of free water eventually becomes necessary, the treatment of salt deficits

Ngày tải lên: 19/06/2014, 15:20

... anticholinergic medicine used in the treatment of Parkinson’s disease, may be effective in treating these extrapyramidal side effects. A particularly notable side effect of antipsychotic medicines is ... detected spontaneous firing of muscle fibers and is not visible except in the tongue. Myoedema is a poorly defined sign, similar to myotonia, in which a ridge of percussed muscle remains contracted ... and the 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.

Ngày tải lên: 19/06/2014, 15:20

... used drugs 15 TH 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 ... rights reserved Manufactured in the United States of America Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any ... consists of multiple-choice questions that (1) are representative of the major areas covered in Harrison’s Principles of Internal Medicine, 15th ed. , and (2) parallel the format and degree of difficulty

Ngày tải lên: 21/01/2020, 21:55

... DA: Seminars in medicine of the Beth Israel Hospital, Boston Pathogenesis of diseases induced by human lymphotropic virus type infection N Engl J Med 328:1173 – 1182 , 1993 Hoofnagle JH: Type ... N Engl J Med 339: 605 – 615, 1998 Rao PM et al: Effect of computed tomography of the appendix on treatment of patients and use of hospital resources N Engl J Med 338:141 – 146, 1998 Reddy PS, ... Management of life-threatening acid-base disorders First of two parts N Engl J Med 338:26 – 34, 1998 Alward WL: Medical management of glaucoma N Engl J Med 339:1298 – 1307, 1998 American Society of Clinical

Ngày tải lên: 22/01/2020, 07:19

... side of the native lung and decreased breath sounds on the side of the transplanted lung but no adventitious sounds Review of pulmonary function testing shows an FEV1/FVC ratio of 50% of the predicted ... each of the following respiratory disorders: A Increased total lung capacity (TLC), decreased vital capacity (VC), decreased FEV1/FVC ratio VI-10 to VI-13 (Continued) B Decreased TLC, decreased ... 239 VI-19 A B C D E F (Continued) Augmented immunosuppression Reduced immunosuppression Antifungal therapy Antiviral therapy Administration of α1 antitrypsin None of the above VI-20 A 60-year-old

Ngày tải lên: 22/01/2020, 22:18

... embedded in the skin should be removed as soon as possible to limit the quantity of venom delivered The stinger and venom sac may be scraped off with a blade, a fingernail, or the edge of a credit ... 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 mercurycontaminated ... placebo-controlled, prospective randomized trial funded by the National Institutes of Health of 1708 patients aged ≥50 hinhanhykhoa.com elsewhere in temperate and subtropical parts of the world The bites of

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 ... 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 hồi chức

Ngày tải lên: 10/01/2023, 16:25

... the sum of reported pretax profit plus interest expense of $55,800, or a pretax total of $696,667.82. These adjustments are of two general types. The first is related to compensation of officers ... labeled Reported Value shows that Tentex reported no profit in 2003. However, after making a series of adjust- ments, Tentex had a pretax profit of $640,868. Total cash flow to owners and creditors ... Metrics Discounted Free Cash Flow and the Method of Multiples CHAPTER 4 I n the two previous chapters we showed that the expected success of any business strategy can be evaluated based on whether

Ngày tải lên: 14/08/2014, 05:20

... nance services forced Frier to reduce prices to remain competitive. Profit mar- gins suffered as a result. Since the demand for industrial ovens remained depressed, the derived demand for components ... that indicate that spin-offs 24 PRINCIPLES OF PRIVATE FIRM VALUATION FIGURE 2.4 Spin-Off (a) Pre-Spin-Off Company Company A without B Shareholders Shareholders receive shares of B. New company B ... because of spin-offs, and this additional return increases as the spun division is a larger percentage of the parent. 5 In terms of dollar value, the value of the parent increases by the value of

Ngày tải lên: 14/08/2014, 09:21

... multitude of factors, although it is often taken to be five years. 9 Based on an exercise price of $50, expected present value of cash flows of $50, volatility of 25 percent, and a five-year risk -free ... value of control is not represented in the expected cash flows of the stand-alone firm. While these expected cash flows represent the expected exercise of control owner options, the value of pure ... Sample Average Median SD Average Median SD Average Median SD Reported control premium 47 36 66 56 44 65 66 50 70 Pure control premium 22 16 18 21 15 19 17 15 13 Estimated synergy 26 18 66 36 24 64

Ngày tải lên: 14/08/2014, 09:21

... greater impact Principles of Anatomy and Physiology 13e continues to offer a balanced presentation of content under the umbrella of our primary and unifying theme of homeostasis, supported by relevant ... at Aptara®, Inc and printed and bound by Quad Graphics The cover was printed by Quad Graphics Founded in 180 7, John Wiley & Sons, Inc., has been a valued source of knowledge and understanding for ... Publisher Executive Editor Executive Marketing Manager Developmental Editor Senior Media Editor Project Editor Program Assistant Production Manager Production Editor Senior Illustration Editor Illustration

Ngày tải lên: 06/09/2019, 16:18

... rights reserved. Manufactured in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any ... consists of multiple-choice questions that (1) are representative of the major areas covered in Harrison’s Principles of Internal Medicine, 15th ed. , and (2) parallel the format and degree of difficulty ... 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

... because of a 3-week history of an expanding, slightly burning ring of redness (as shown in Plate C) that first surrounded a red papule on the posterior neck. He complains of headaches, generalized ... are self-limited and can be diagnosed by microscopic examination of a lymph node biopsy specimen. The cat-scratch disease skin test is no longer used because of fear of the trans- mission of viral ... perfringens (associated with poorly cooked meat or poultry), S. aureus (associated with improperly refrigerated dairy foods), and B. cereus (associated with grossly contam- inated uncooked rice) all...

Ngày tải lên: 19/06/2014, 15:20

... self-limited disease mainly of young adults that causes inflamed cysts (comedones), which sometimes result in scarring. Closed comedones, or whiteheads, seen as white lesions of 1 to 2 mm, are often ... a closed glottis (Valsalva maneuver) reduces the intensity of most murmurs by diminishing both right and left ventricular filling. With reduced filling and thus reduced chamber size, the murmurs of ... — Q UESTIONS 145 VII-98. (Continued) (A) Immediately begin CPR, followed by intubation, followed by defibrillation starting at 100 J, fol- lowed by 200 J and then 360 J (B) Immediately begin CPR, followed by intubation then...

Ngày tải lên: 19/06/2014, 15:20

... 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 contained in ... 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 ... active method of life- long learning and as a resource for preparing for the Internal Medicine board examination. We appreciate the confidence of the editors of Harri- son’s,17th edition, to allow...

Ngày tải lên: 16/02/2014, 18:20

... Because severe drug- induced neutropenia is generally self-limited once use of the offending drug has been stopped, consideration of bone marrow transplantation is not justi ed. V-13. The answer is ... elevation of the reticulocyte count, agglutination of red cells, and an increased rate of hemolysis at temperatures Ͻ37ЊC (98.6ЊF). A second clinical manifestation of cold hemolysis is the presence of ... recognized that many environmental and industrial exposures are associated with an increased risk of neoplasia. For example, tobacco smoking is associated with an increased likelihood of developing...

Ngày tải lên: 19/06/2014, 15:20

... from the effect of oxygen free radicals on lung tissues, needs to be managed with the conserv- ative use of inspired oxygen tensions. Right-sided heart hemodynamic monitoring often is required to provide ... bases. VIII-25. Expected results of the pulmonary function test- ing of the man described above would include (A) increased lung elastic recoil (B) increased total lung capacity (C) reduced functional ... of the recent B. pertussis infection requires evidence of an elevated level of antibodies against one of the various virulence factors of the organism; this can be provided by an enzyme-linked...

Ngày tải lên: 19/06/2014, 15:20