harrisons principles of internal medicine selfassessment and board review 18e pdf

... sounds on the side of the trans-planted lung but no adventitious sounds Review of pul-monary function testing shows an FEV1/FVC ratio of 50% of the predicted value and an FEV1 of 0.91 L Addi-tionally, ... temperature of 38.4°C (101.1°F), blood pressure of95/65 mmHg, heart rate of 110/min, respiratory rate of25/min, and oxygen saturation of 92% on 100% facemask He has notable jaundice and icterus ... observation and administration of 100% oxygen is an optionfor treatment Use of 100% oxygen speeds reabsorption of the pneumothorax by pro-moting diffusion of air that is composed of a nitrogen and oxygen

Ngày tải lên: 22/01/2020, 22:18

... used drugs Trang 4INTERNAL MEDICINE P R I N C I P L E S O F 15 TH EDITION SELF-ASSESSMENT AND BOARD REVIEW For use with the 15th edition of HARRISON’S PRINCIPLES OF INTERNAL MEDICINE EDITED BY ... 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 ... level of competence in internal medicine Study of this self-assessment and review book should help to (1) identify areas of relative weakness; (2) confirm areas of expertise; (3) assess knowledge of

Ngày tải lên: 21/01/2020, 21:55

... band forms, 10% monocytes, and 10% lymphs; a hematocrit of 36.2%; and a platelet count of 522,000/␮L Serum chemistries are remarkable for a total bilirubin of 6 mg/dL and a direct bilirubin of ... pain andfever Examination reveals a moderately ill-appearingwoman who has a temperature of 39⬚C (103⬚F), bloodpressure of 110/70, pulse of 110, and respiratory rate of Trang 14hyper-X DISORDERS OF ... quality of the instruments, ERCP has become the standardfor diagnosing and treating many pancreatic and biliary diseases Accessory tools allowfor canulation and drainage of the biliary system and

Ngày tải lên: 22/01/2020, 07:19

... painful hands and hair loss Physical examination reveals a disheveled male with a temperature of 40⬚C (104⬚F), blood pressure of 120/70, heart rate of 70, and respiratory rate of 20 The remainder of ... Up to half of allcases of cardiotoxicity occur 6 months or more after completion of therapy Efforts tolimit cardiotoxicity and thereby enable the administration of a higher total dose of anthra-cycline ... on an awareness of the ology of cancers and the sensitivity and specificity of any proposed test It is recommendedthat each time a patient is seen by his or her physician, cancers of the oral cavity,

Ngày tải lên: 19/06/2014, 15:20

... usually inthe form of aneurysms of the ascending aorta Gummas are nodules of granulomatousinflammation that involve the skin and skeleton Gummas of the skin may take the form of nodules, a papulosquamous ... Both anaerobic and aerobic organisms are implicated in Ludwig’s angina, an infection that originates in thethird molar and can spread rapidly through soft tissues of the mandible and pharynx Trang ... rate of 25, andtemperature of 37⬚C (98.6⬚F) orally Jugular veins are dis-tended and the heart sounds are distant, but there are thirdand fourth extra heart sounds The liver is enlarged, andpedal

Ngày tải lên: 19/06/2014, 15:20

... thedevelopment of increased cardiac blood flow and a surge of catecholamines The onset of Trang 14symptoms is typically during the peak of physical exertion and decreases after uation of the activity.discontin-VII-96 ... as many as 75% of cases and most often affects the ankles, wrists,knees, and elbows over a period of days Sydenham’s chorea is a rare complication oc-curring in⬍10% of patients and is typically ... 5% of patients treated withheparin and probably is due to platelet aggregation caused by heparin-induced antibodies.Therapy usually consists of discontinuation of the heparin and the use of other

Ngày tải lên: 19/06/2014, 15:20

... pharyngitis and fever have now 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 ... examination he has a pulse of 120, blood pressure of 142/80, and weight of 72 kg (158 lb). He has diminished skin turgor and dry mucous membranes. He also has a fever of 38.9ЊC (102.0ЊF). Lab- ... complains of no symptoms referable to the urinary tract, and examination of urinary sediment is within normal limits. Which of the following studies should be performed next? IX. D ISORDERS OF THE

Ngày tải lên: 19/06/2014, 15:20

... diffusion of hydrogen ions to the base of the ulcer and by binding other injurious molecules Colloidal bismuth ulates gastric mucosal secretion of prostaglandins and glycoprotein mucus and may ... tating complication of acute pancreatitis It is characterized by sudden loss of vision andthe presence of cotton-wool spots and hemorrhages in the area of the optic disc and macula.The cause ... amylase and lipase insofar as the pancreas is the only source of this enzyme X-28 The answer is B. (Chap 290) Carcinoma of the colon is the most common cause ofmechanical obstruction of the colon and

Ngày tải lên: 19/06/2014, 15:20

... nasaland sinus symptoms Ulcerations of the nasal septum and soft and hard palates are har-bingers of very destructive processes in any area in the neck or above Granulomatousinfiltration and necrosis ... incidence of renal failure (C) Normalization of the serum calcium level, provement of the bone densitometry studies, and adecreased in the incidence of pelvic and hip frac-tures (D) Normalization of ... lymphadenopathy and enlargement of the parotid gland, and frank non-Hodgkin’s lymphoma may occur Cardiac disease isvery rare in Sjo¨gren’s syndrome Trang 2XI DISORDERS OF THEIMMUNESYSTEM,CONNECTIVETISSUE, ANDJOINTS

Ngày tải lên: 19/06/2014, 15:20

... growth, evidence of viriliza-tion, and decreased numbers of insulin receptors, and type B, in which older women haveanti-insulin-receptor antibodies and other symptoms and signs of autoimmune disease ... 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 ofundertreatment of diabetes and is ... ENDOCRINE ANDMETABOLICDISORDERS —ANSWERS 323risk of retinopathy and other complications of diabetes mellitus Several studies suggestthat the treatment of hypertension may also slow the progression of

Ngày tải lên: 19/06/2014, 15:20

... the route of exposure, the chemicaland physical properties of the poison, and its mechanism of action.The severity and reversibility of poisoning also depend on the functional reserve of the individual ... events, and intent) of exposure; the name and amount of each drug, chemical, or ingredient involved; the time of onset, nature, and severity of symptoms; the time and type of first-aid measures ... no toxicity,and involve children <6 years of age Pharmaceuticals are involved in 47% of poisoning exposures and in 84% of serious or fatal poisonings Household cleaning substances and cosmetics/personalcare

Ngày tải lên: 30/04/2023, 08:44

... Assessment of chambers pressure and size , Diagnosis of valve diseases (stenosis - regurge), infective endocarditis (vegetations) , Detection of calcification of the valves , Detection of pulmonary ... the size mass andconfiguration of the ventricle as a consequence of hemodynamic changestriggered by myocyte growth, interstitial fibrosis, ischemia and apoptosis 71 the effectiveness of ejection ... disease,hyperthyroidism and myocarditis • The effect of digitalis in cases of cor pulmonale is poor !? Trang 12~ Blurring of vision, altered colour vision (xanthopsia).~ ECG arrhythmia, digitalis effect (sagging of

Ngày tải lên: 06/03/2014, 11:21

... University of the Health Sciences, and George Washington University School of Medicine and Health Sciences, Bethesda, MD, USA2The Department of Emergency Medicine, University of Maryland School of Medicine, ... aspect of EM efficacy. 1 Efficacy of EM for critical care and procedures 2 Efficacy of EM for efficiency or cost of care 3 Efficacy of EM for public health and preventive medicine 4 Efficacy of EM ... only comprised of a journal article review, it was exempt from institutional review board approval. The journals reviewed included Annals of Emergency Medicine, Academic Emergency Medicine, the

Ngày tải lên: 21/06/2014, 01:20

... is risk free and we have one-fundspanning In the case of LRT utilities, each agent’s equilibrium consumption plan lies in the span of the market payoff and the risk-free payoff, and we have two-fund ... due to Rubinstein [8].The case of options on the market payoff is due to Breeden and Litzenberger [2] A excellent exposition of the concept of direction of recession of a set can be found in Rockafellar[7] ... functions and consumption sets the alternative definition of effectively complete markets is weaker than the definition of Section 16.3 The analysis of efficient allocation of risk in the case of LRT

Ngày tải lên: 09/08/2014, 19:22

... thevector of prices pj(ξt) in all date-t events ξt, and ptto denote the vector of prices of all J securities in all date-t events The holding of security j in event ξt is denoted by hj(ξt), and the ... dimension, inducing discontinuity of agents’ portfolioand consumption demands For an example of nonexistence of an equilibrium in multidate securitymarkets see Magill and Quinzii [4] The nonexistence ... positivity) of the payoff pricing functional and the exclusion of strong arbitrage (arbitrage)also holds in multidate security markets (compare Theorems 3.4.1 and 3.4.2 ) The payoff pricing functional

Ngày tải lên: 09/08/2014, 19:22

... extend my thanks and appreciation to Professor Nawal El-Degwi,Professor Khayri Abdel-Hamid, Professor Said Ashour, and the staff members andteaching assistants at the faculty of Engineering at ... appropriate to satisfy the needs of today’s science and engineering students.Some of the examples, proofs, and subsections in this textbook have been identifiedas optional and are preceded with an asterisk ... gratitude toProf Ali Helmy Moussa, Prof of Physics at Ain Shams University in Egypt, forhis assistance, support, and guidance over the years I also thank all my fellowprofessors and colleagues

Ngày tải lên: 05/10/2016, 11:18

... two atoms of hydrogen (1 1H), each of which has a mass of 1 u, and one atom of oxygen (16 8O), that has a mass 16 u, approx-imately (a) What is the mass of one molecule of water in units of kilograms? ... time of proton, (b) The age of universe, (c) The age of the Earth, (d) The age of a 50-year-old tree (9) Compare the duration of the following: (a) A microyear and a 1-minute TV commercial, and ... dimensions of force and show that it has units of kg·m/s2in terms of SI units (23) Newton’s law of universal gravitation is given by F = Gm1 m2/r2, where F is the force of attraction of one mass,

Ngày tải lên: 05/10/2016, 11:19

... revolution Section 2.3 Vector Components and Unit Vectors (5) Vector → A has x and y components of 4 cm and−5cm, respectively Vector B→ has x and y components of−2 cm and 1cm, respectively If →A −B→+ ... magnitude of 10 units and makes 60◦with the positive x-axis.Vector → B has a magnitude of 5 units and is directed along the negative x-axis. Use geometry to find: (a) the vector sum→ A +B→, and (b) ... Vectors(2) A car travels 6 km due east and then 4 km in a direction 120◦north of east Useboth the graphical and analytical methods to find the magnitude and directionof the car’s displacement vector

Ngày tải lên: 05/10/2016, 11:19

... ground See Fig.3.28 and take g= 10 m/s2 (a) Find the time of flight T of the dartboard (b) Find the height of the window (c) Find the velocity of both the dart and the dartboard just before hitting ... vector→v as a function of time, and find its magnitude and direction at t = 6 s (c) Find the particle’s acceleration vector →aas a function of time, and find its magnitude and direction at t = ... variation of x and y as a function of time At t = 6 s we have: → r = x→i + y→j = 41→i + 34→j The magnitude of →r is: r =x2+ y2=412+ 342= 53.26 m The angleθ between→r and the direction of increasing

Ngày tải lên: 05/10/2016, 11:19

... magnitude of the acceleration of a particle moving in a circle of radius r = 0.5 m with a constant speed v of 10 m/s. Trang 16(21) A boy attaches a stone to the end of a rope of length r = 0.25 m, and ... magnitude of the particle’s position vector→r as a function of time, and then find its value when t = 2 s (b) Find the particle’s velocity vector→v as a function of time, and find its magnitude and ... function of time, and then find its magnitude and direction at t = 1 s (c) Find the velocity and the speed of the particle at t = 3 s (d) Find the average acceleration vector between t = 1 s and t

Ngày tải lên: 05/10/2016, 11:19