Approach to Internal Medicine: A Resource Book for Clinical by David Hui (auth.)

By David Hui (auth.)

This ebook offers an built-in symptom-based and issue-based strategy with quick access to excessive yield scientific details. for every subject, rigorously equipped sections on diverse diagnoses, investigations and coverings are designed to facilitate sufferer care and exam education. - a variety of scientific pearls and comparability tables aid increase studying. - overseas devices (US and metric) facilitate software in daily scientific perform. - Many hugely vital, hardly ever mentioned subject matters in medication are lined (e.g., smoking cessation, weight problems, transfusion reactions, needle stick accidents, code prestige dialogue, interpretation of gram stain, palliative care). - crucial reference for each clinical scholar, resident, fellow, practising health care professional, nurse, and medical professional assistant. - 3rd version has new structure with reader pleasant improvements.

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Generally disappears with antibiotics alone  COMPLICATED—persistent bacterial invasion and fluid collection. Characterized by pleural fluid acidosis but sterile fluid. Pleural loculation may occur as fibrin gets deposited from inflammation. Treated the same as empyema  EMPYEMA—presence of bacteria in Gram stain or pus in drainage (culture not necessary). 2. For unloculated fluid, chest tube/smallbore catheter drainage usually adequate. For loculated effusions, thrombolytics such as streptokinase or TPA could be considered.

PULMONARY VENOUS HYPERTENSION—left-sided atrial or ventricular heart disease, left-sided valvular heart disease 15 Interstitial Lung Disease WHO CLASSIFICATION OF PULMONARY HYPERTENSION (CONT’D) GROUP III. PULMONARY HYPERTENSION ASSOCIATED WITH HYPOXEMIA—COPD, interstitial lung disease, sleep-disordered breathing, alveolar hypoventilation disorders, chronic exposure to high altitude, developmental abnormalities GROUP IV. PULMONARY HYPERTENSION DUE TO CHRONIC THROMBOTIC DISEASE, EMBOLIC DISEASE, OR BOTH—thromboembolic obstruction of proximal pulmonary arteries, thromboembolic obstruction of distal pulmonary arteries, pulmonary embolism (tumor, parasites, foreign material) GROUP V.

2. For unloculated fluid, chest tube/smallbore catheter drainage usually adequate. For loculated effusions, thrombolytics such as streptokinase or TPA could be considered. Thoracoscopy represents an alternative to fibrinolytics. Open decortication is the last resort TRAPPED LUNG—stable chronic effusion, especially with history of pneumonia, pneumothorax, thoracic surgery or hemothorax. Diagnosis is established by measuring negative change in intrapleural pressure 12 Hemoptysis SPECIFIC ENTITIES (CONT’D) SPECIFIC ENTITIES (CONT’D) during thoracentesis.

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