By Charles M. Wiener, Anthony S. Fauci, Eugene Braunwald, Dennis L. Kasper, Stephen L. Hauser, Dan L. L
The final word learn companion, in line with the vintage content material of Harrison's ideas of inner medication, 17e five celebrity DOODY'S evaluation! "As Harrison's is likely one of the all-time entire texts of inner medication, this booklet is going a long way in delineating what crucial proof needs to be mastered. The editors have assembled the specialists in drugs, which makes this ebook quite useful....The questions are posed, besides useful snap shots, in a fashion you will anticipate them at the exam. the reasons are direct from the father or mother textual content and comprehensive.... this can be one of many larger board reports on hand. it truly is complete and to the purpose. it's a beneficial device for somebody getting ready for the inner drugs certification examination." -- Doody's evaluation carrier by way of getting ready for IM Board certification or recertification/maintenance of certification, there is no larger examine instrument than the one who bears the Harrison's identify: Harrison's ideas of inner drugs, Self-Assessment and Board assessment. Reflecting the entire authority and accuracy of Harrison's seventeenth version content material, this guidebook beneficial properties greater than one thousand evaluation questions, besides entire solutions and factors derived from--and cross-referenced to--the father or mother textual content. additionally incorporated are references to fresh magazine articles that solidify your knowing of key info. gains: content material that heavily follows the association and insurance of the seventeenth variation of Harrison's rules of inner drugs greater than a thousand revised and up-to-date questions simulate these at the fundamental certification exam in inner medication High-yield content material displays the weighting of material incorporated at the inner medication exam Blueprint insurance spans the full spectrum of inner medication NEW! elevated colour Atlas insert
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Additional info for Harrison's Principles of Internal Medicine, Self-Assessment and Board Review, 17th edition
A cervical cord root lesion would not be bilateral. I-52. The answer is A. (Chaps. 23 and 292) The patient’s weight loss predisposes him to superior mesenteric artery (SMA) syndrome. Due to loss of the omental fat pad, the SMA compresses the duodenum in this condition, leading to obstruction. , for adhesions) as the patient has never had abdominal surgery. An upper GI series may be useful for evaluation of an obstructing mass, though SMA syndrome is more likely in this clinical context. While patients with advanced HIV are at risk of a variety of infectious causes of diarrhea, they are unlikely to present with acute small-bowel obstruction.
Treatment is supportive, ensuring adequate analgesia and hydration. Application of topical glucocorticoids before denudation of skin may be useful. Small blisters should be left intact, but large bullae should be unroofed. The ﬂuid is sterile and does not contain mustard derivatives. Silver sulfadiazine or other topical antibiotics should be used to prevent secondary skin infections. Conjunctival irritation should be treated with topical solutions, including antibiotics. Petroleum jelly should be applied to the eyelids to prevent them from sticking together.
Angle-closure glaucoma is rare but can be easily ruled out by an ophthalmologist with a measure of ocular pressure and slit-lamp examination. Uveitis is notable for “cells and ﬂare” and occasionally hypopyon in the iris and perilimbic sparing. Endophthalmitis involves the entire globe and evokes pain with ocular movement. Internationally, keratitis due to trachoma is a common cause of blindness, but it is uncommon in the developed world. I-80. The answer is E. (Chap. 29) Uveitis involving the anterior portion of the eye is referred to as iritis or iridocyclitis.