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The osler medical handbook -john hopkin

The osler medical handbook -john hopkin

21 0 1

Section VIII – Infectious DiseasesSection Editors:Christopher Hoffmann, MD, MPH   Nicola Zetola, MDChapter 53 – Fever of Unknown OriginScott Kim, MD   Rachel Damico, MD, PhD   Paul Auwaerter, MDFAST FACTS   ▪    The contemporary understanding of fever of unknown origin (FUO) is derived from Petersdorf and Beeson's 1961 characterization of FUO. A stringent definition of FUO is composed of the following criteria[1]: temperature higher than 38.3° C measured on several occasions, 3-week duration (to exclude self-limiting fevers), negative blood cultures, no apparent explanation, and three outpatient visits or three hospital days.   ▪    Infections, malignancies, and noninfectious inflammatory diseases account for the majority of cases of FUO.   ▪    In patients older than 65 years, temporal arteritis should be considered early in any evaluation.   ▪    Patients with FUO who remain undiagnosed after exhaustive study usually have a favorable prognosis. In one study, in a cohort of 61 patients with FUO discharged without diagnosis, the 5-year mortality rate was only 3.2%.[2]…

Physical diagnosis secret 2ed

Physical diagnosis secret 2ed

26 0 2

THE SKIN Salvatore Mangione, MD "The power of making a correct diagnosis is the key to all success in the treatment of skin diseases; without this faculty, the physician can never be a thorough dermatologist, and therapeutics at once cease to hold their proper position, and become empirical." —Louis A. Duhring (1845-1913) "Beautys but skin deep." —John Davies of Hereford (1565-1618) BASIC TERMINOLOGY AND DIAGNOSTIC TECHNIQUES 1. How many skin diseases exist? What are the two main categories of skin lesions? There are more than 1400 skin diseases. Yet, only 30 are important, common, and worth knowing. The first step toward their recognition is the separation of primary from secondary lesions (Table 3-1). • Primary lesions result only from disease and have not been changed by additional events (such as trauma, scratching, or medical treatment; see Table 3-1). To better identity primary lesions, pay attention to their colors, shape, arrangement, and distribution. • Secondary lesions instead have been altered by outside manipulation, medical treatment, or their own natural course. 2. What are the major primary lesions? • Hanel's: Flat, nonpalpable, circumscribed areas of discoloration cm in diameter. Typical macules are the familiar freckles. • Patches: flat, nonpalpable areas of skin discoloration >0.5 cm in diameter (i.e., a large macula). A typical patch is the one of yitillgo. • Papules: Raised and palpable lesions <0.5 cm in diameter. They may or may not have a different color from the surrounding skin. A typical papule is a raised nevus. >0.5 are 0.5 cm…

My Wife Is A Fox

My Wife Is A Fox

346 3 197

Her name is a beaver, not a vixen fox;It is her specialty to do destruction and trouble;It is her nature to play tricks and trick people;Seventy-two changes is her magic weapon to defeat the enemy;Inadvertently took over a business, accidentally lost the pink crystal fox pendant, and accidentally involved her in a whirlpool of conspiracy and love ...(Readers please rest assured that there are millions of words before Xianer finishes this novel. Xianer will never be an eunuch or irrigation. Xianer will never do half-way things, so please believe Xianer!)…

EXO News - 7

EXO News - 7

5,062 514 200

Những tin mà mình đăng lên là gom lại từ all các nguồn khác nhau Cập nhật hàng ngày những tin tức mới nhất về EXONếu bạn có ý định đem bài mình đăng đi đâu thì ok vẫn được. Nhưng đừng quên ghi CR nhé ^^~Ngôi nhà EXO luôn chào đón tất cả EXO-L…

EXO News - 10

EXO News - 10

6,479 1,180 200

Những tin mà mình đăng lên là gom lại từ all các nguồn khác nhau Cập nhật hàng ngày những tin tức mới nhất về EXONếu bạn có ý định đem bài mình đăng đi đâu thì ok vẫn được. Nhưng đừng quên ghi CR nhé ^^~Ngôi nhà EXO luôn chào đón tất cả EXO-L…

V-Trans [Kookmin] Bunny To Daddy

V-Trans [Kookmin] Bunny To Daddy

6,803 395 3

Where Jimin pleasure himself without Jungkook knowing, being the nervous babyboy he is.Until one day, Jungkook walks into a hot view Truyện dịch đã có sự đồng ý của tác giả vui lòng không mang đi đâu nếu không có sự đồng ý của mình…