harrison internal medicine 18 pdf

... the sciences funda-mental to internal medicine; (4) assess clinical judgment and problem-solving skills; and (5) introduce recent develop-ments in general internal medicine This book consists ... drugs Trang 4SELF-ASSESSMENT AND BOARD REVIEWFor use with the 15th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE EDITED BY RICHARD M STONE, MD Clinical Director, Adult Leukemia Program ... OCCUPATIONAL HAZARDS Answers, Explanations, and References 377 Trang 9INTRODUCTION Harrison’s Principles of Internal Medicine: PreTest Self-Assessment and Review has been designed to provide phy-sicians

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 ... HARRISON'S 15 TH EDITION P R I N C I P L E S OF INTERNAL MEDICINE SELF-ASSESSMENT AND BOARD REVIEW NOTICE Medicine is an ever-changing science As new ... and review within the broad area of internal medicine Although it should be particularly helpful for residents preparing for the American Board of Internal Medicine (ABIM) certification examination

Ngày tải lên: 21/01/2020, 21:55

... follow-up trialwith rigorous measures of metals exposure is ongoing therapy Curr Atheroscler Rep 18:81, 2016 GIDLOW DA: Lead toxicity Occup Med (Lond) 65:348, 2015 KIM KH et al: A review on the ... exposure and mortality in US adults: A population-based cohort study Lancet Public Health3:e177, 2018 O’NEAL SL, ZHENG W: Manganese toxicity upon overexposure: Adecade in review Curr Environ Health ... summarized next TABLE 459-1 Differential Diagnosis of Poisoning Based on Physiologic State Trang 18The Stimulated Physiologic State Increased pulse, bloodpressure, respiratory rate, temperature,

Ngày tải lên: 30/04/2023, 08:44

... generally agree with those who claim that progress is always good They would say that progress in medicine has helped people live longer and fought with terrible diseases that have tortured human ... result from medical treatment of various diseases and longer life thanks to progress in study of medicine Consequently, we not only consume much more than we can produce but we also run low on ... difficulties, it is really advisable to learn by our predecessors` experience For instance, the Chinese medicine is accumulated by the knowledge of the effect of plants on illness, built from trials,

Ngày tải lên: 21/01/2014, 07:20

... Eur 17 (2004), 530–540 18 B Ooms, Temperature control in high performance liquid chromatography, LC-GC Internat 9 (1996), 574–585 19... 61 75–185°C 74 etoposide (Figure 18-11) [75] The method ... efficienc y, either with conventional mobile phases (Section 18.3) or with solvent free systems, such as superheated water (Section 18.4). Although normally the interest has been in elevated temperatures, ... temperatures, sub- ambient chromatography has provided a number of interesting separations (Section 18.5). 18.2 EFFECTS ON METHOD TRANSFERABILITY AND REPRODUCIBILITY As pharmaceutical analysis developed

Ngày tải lên: 22/01/2014, 00:20

... large protein family (GH18) that contains mostly chitinases and proteins of unknown function. The crystal structure of XIP-I confirmed the structural resemblance to GH18 chitinases [5]. In XIP- I, ... Journal 272 (2005) 1745–1755 ª 2005 FEBS 1745 this new class of protein within GH18. The existence of several classes of GH18 chitinases in plants was pre- viously suggested [9]. However the general ... plant to undergo unnecessary metabolic costs. XIP-type inhibitors represent a subfamily of GH18 GH18 includes chitinases from various species, inclu- ding bacteria, fungi, nematodes, insects

Ngày tải lên: 07/03/2014, 17:20

... 3-18 CRITICAL CARE _ 3-44 III) OTHER CAUSES OF ILD 3-18 ACUTE RESPIRA TORY DISTRESS Collagen Vascular Diseases that Cause ILD 3-1 8 SYNDROME (ARDS) 3-44 Sarcoidosis 3-18 Treatment ... difference as to whether the patient lives or dies in the first 24 hours! Preventive Medicine in the General Internal Medicine tion sec-Gram stain is positive if there are lancet-shaped Gram-p iuve ... diag-nosable by a characteristic high-resolution chest CT CT scan is used extensively in pulmonary medicine and will also be discussed along with the diseases High-resolution CT (HRCT- cross sections

Ngày tải lên: 29/03/2014, 10:20

... Young’s Internal Audit Framework, which has been used by a number of leading companies to analyze their Internal Audit function The 2007 Global Internal Audit Survey results therefore examine Internal ... clients Trang 3The Shifting Internal Audit Landscape Governance People Infrastructure and Operations Conclusion Contents Trang 4The Shifting Internal Audit LandscapeThe Internal Audit landscape, ... where Internal Audit maintains the primary burden of testing internal control over financial reporting is still relatively high Although the demands for compliance testing are declining for most Internal

Ngày tải lên: 03/04/2014, 02:20

... < 18 μg/dL suggests AI. Trang 19■ Administer cosyntropin (synthetic ACTH) 250 μg IM or IV.■ Check cortisol level 30–60 minutes later Values are normal if post-stimulation cortisol is ≥ 18–20 ... (mg/dL) < 140 < 180 Target only if preprandial glucose is at target and HbA 1c is still elevated. Plasma average bedtime glucose (mg/dL) < 120 110–150 < 110 or > 180 Trang 28T A B ... remnant ablation, it can indicate thyroid cancer recurrence. The most common cause of AI − − Trang 18■ 1 ° AI (Addison’s disease): Because of high adrenal reserve, more than90% of both adrenal cortices

Ngày tải lên: 19/06/2014, 15:20

... bleeding are usually unnecessary Specific guidelines are given in the discussion of transfusion medicine be-low Platelet transfusions are contraindicated in TTP/HUS and heparin-induced thrombocytopenia ... polycythemia vera) ■ Diagnostic criteria from the Polycythemia Vera Study Group are out-lined in Table 9.18 T REATMENT ■ No treatment clearly affects the natural history of the disease, so treat-ment ... options for factor replacement: T A B L E 9 2 4 Comparison of Special Coagulation Tests Trang 18Y ■ Recombinant factor: Associated with less danger of HIV and HCVtransmission than purified factor,

Ngày tải lên: 19/06/2014, 15:20

... resources For information on the treatment of acute intoxication or withdrawal dromes, see the Hospital Medicine chapter syn-C OMPLICATIONS Chronic substance dependence leads to significant loss of productivity, ... behalf, or should you (or someone else; see the discussion of medical ethics in the Ambulatory Medicine chapter) make decisions for him/her?” The answer depends on the context of care: ■ Patients ... OBSTRUCTION LOWER AIRWAY OBSTRUCTION EXTRATHORACIC INTRATHORACIC COPD CHF Parasitic infections PE Trang 18■ The most important risk factor for developing COPD is cigarette smoking.α1-antitrypsin (AAT)

Ngày tải lên: 19/06/2014, 15:20

... metabolic, 179, 182gastrointestinal, 177, 179 hematologic, 177, 181HIV disease, 181–185HIV-associated lipodystrophy,185 Kaposi’s sarcoma, 182–185oncologic, 178–179 paraneoplastic disease, 178–181post-transplant ... disease, 178–181post-transplant skin malignancy,178 Sweet’s syndrome, 178–179renal, 180–181 Dermatomyositis, 181, 182, 186, 545, 603, 615, 650–651Dermatophytosis (tinea), 169–170Detergent worker’s ... Erysipelas, 168 Erysipelothrix, 454, 463 Erythema multiforme (EM), 188, 189, 190, 466, 468herpes simplex–associated, 189Erythema nodosum, 186, 188, 281Erythrocytosis, 357–358 causes of secondary, 357evaluation

Ngày tải lên: 19/06/2014, 15:20

... /P 4) = 0( 1 /log o y(P) )-* 0 (18 5.22) = (18. 5 23) j=o as n-* oo Similarly, n -1 k-i Enink Z j=0 = 0 ? a (PJ) = O Jk-E1 Combining (18 5.21 )-( 18 5 23)... (2r-1) h (2 r-s+1) h (2r-1+1) ... ~~~ [...]... = Erik (18 5.21) nq Since a(n) is monotone, k-1 k-1 E a(pi) < E j=1 jp- 1 E P -1 j=1 00 a (S) < P -1 s=(j- 1)p E a(1) , j=0 so that it follows from (18. 5 20) that k-1 n ... Hence, using (18. 3 6), (utY_Y) , = lim 2 U t S(Tn) - S(Tn) , Z n - oo Z-1 pT„+TX 'r f X (t) dt, ~ J i X (t) dt , ) 0 Since ~ is arbitrary, (t) dt, - lim 0 n- op Tn _ 18 4 333 STRONGLY

Ngày tải lên: 02/07/2014, 20:20

... Pareto, and Cassel Donald A Walker 18.1 LÉON WALRAS 18.1.1 Background Walras, the founder of the modern theory of general economic equilibrium, was born on December 16, 1834 in Evreux, France, and christened ... Lausanne and began his duties there in 1893 In the economic realm, he published his most important contributions in the Cours d’économie politique (1896/1897), Manuale d’economia politica (1906, ... resource supplier, and for each seller of output (1896/1897, vol 1, pp 44–61) Pareto believed that the dynamized version of his model was highly realistic (1897, p 492) He asserted that equilibrium exists

Ngày tải lên: 06/07/2014, 02:20

... College of Veterinary Medicine Virginia Tech, Blacksburg, Virginia Catherine Kasai, DVM Internal Medicine Resident Department of Veterinary Clinical Sciences College of Veterinary Medicine Iowa State ... Sciences College of Veterinary Medicine Iowa State University, Ames, Iowa Dawn D. Kingsbury, DVM Internal Medicine Resident Department of Veterinary Clinical Sciences College of Veterinary Medicine Iowa State ... sensation Preface Why write another reference text on internal medicine? Simply, we wanted to provide the reader with a quick reference to find the essentials of canine internal medicine. These are the same topics...

Ngày tải lên: 16/02/2014, 18:20

... use with the 17th edition of HARRISON S PRINCIPLES OF INTERNAL MEDICINE EDITED BY CHARLES WIENER, MD Professor of Medicine and Physiology Vice Chair, Department of Medicine Director, Osler Medical ... 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 the parent ... University School of Medicine Baltimore New York Chicago San Francisco Lisbon London Madrid Mexico City New Delhi San Juan Seoul Singapore Sydney Toronto HARRISON& apos;S INTERNAL MEDICINE vi C ONTENTS SECTION...

Ngày tải lên: 16/02/2014, 18:20

... Internal Medicine Department University of Puerto Rico School of Medicine San Juan, Puerto Rico Lawrence I. Kaplan, MD, FACP Professor of Medicine Section Chief, General Internal Medicine Internal ... Ryan, MD Associate Professor of Medicine Clerkship Director Division of General Internal Medicine Department of Internal Medicine Drexel University College of Medicine Philadelphia, Pennsylvania Brijen ... MD, FACP Associate Professor of Medicine Clerkship Director, Ambulatory Medicine Section Chief, Division of General Internal Medicine Medical Director, Internal Medicine Clinics Truman Medical...

Ngày tải lên: 06/03/2014, 09:20

... them) CLINICAL ESSENTIALS 13 BOARD REVIEW FROM MEDSCAPE Case-Based Internal Medicine Self-Assessment Questions Case-Based Internal Medicine Self-Assessment Questions 2 BOARD REVIEW ❏ B. Infiltrative ... from Medscape is derived from the respected ACP Medicine CME program. A continually updated, evidence-based reference of adult internal medicine, ACP Medicine is also the first such comprehensive ... 11 Palliative Medicine 12 Symptom Management in Palliative Medicine 15 Psych osocial Issues in Term inal Illn essc 17 Complementary and Alternative Medicine 20 1 CARDIOVASCULAR MEDICINE Heart...

Ngày tải lên: 06/03/2014, 11:20

... regulations, and ability to cope with a changing environment  The FDIC also assesses the bank’s internal control systems 45 Global Bank Regulations (cont’d)  Uniform global regulations (cont’d)  Uniform ... (cont’d)  Accounting for operational risk  Operational risk is the risk of losses from inadequate or failed internal processes or systems  Intended to encourage banks to improve their techniques for controlling ... participating country has the right to expand into any other participating country 1 Chapter 18 Bank Regulation Financial Markets and Institutions, 7e, Jeff Madura Copyright ©2006 by South-Western,...

Ngày tải lên: 12/12/2013, 23:15