Medstudy The 13th Edition Internal Medicine Core Curriculum by Hannahman, Mitchell, Cross

By Hannahman, Mitchell, Cross

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By Hannahman, Mitchell, Cross

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Extra info for Medstudy The 13th Edition Internal Medicine Core Curriculum - Book 2

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G. g. Pneumocystis carinii) are common. A particular approach to investigation and treatment is required in these circumstances (see Chapter 8). Patients who have undergone splenectomy are particularly vulnerable to pneumococcal pneumonia and septicaemia, and are usually given pneumococcal vaccination and maintained on life-long penicillin prophylaxis. g. g. g. Legionella pneumophila from contaminated water systems). g. histoplasmosis in North America, typhoid in tropical countries) and need to be considered in patients who live in, or have recently visited, these areas.

Organisms may cause sinusitis including respiratory viruses, Haemophilus influenzae, Streptococcus pneumoniae, Staphylococcus aureus, and anaerobic bacteria. In chronic sinusitis X-rays may show mucosal thickening, opacification or the presence of a fluid level in the sinus. Recurrent sinusitis may be accompanied by more widespread respira- tory tract infection in patients with bronchiectasis caused by cystic fibrosis, hypogammaglobulinaemia or ciliary dyskinesia. Post-nasal drip from sinusitis is irritating to the larynx and is quite a common cause of a persistent cough.

10. CT scanning is particularly important in the staging of the lung cancer (see Chapter 13), and has virtually replaced bronchography (instillation of radiocontrast dye into 36 Chapter 4: Radiology of the Chest Fig. 7 A cavitating lesion in the left upper lobe. A cavity appears as an area of radiolucency (black) within an opacity (white). Sputum cytology showed cells from a squamous carcinoma. Computed tomography showed left hilar and subcarinal lymphadenopathy. MED IAS TINA L M A SSE S Oesophageal cyst Thyroid Thymus Hilar mass Carcinoma Lymphoma Sarcoidosis Tuberculosis Dermoid Pericardial cyst Neurofibroma Fat pad Hiatus hernia Morgagni diaphragmatic hernia Fig.

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