Care for Family and Friends at Home that teaches an approach to successful problem-solving in home care. With appropriate planning, it should be possible to provide the patient with the necessary medical care as well as the psychological[r]
Chapter 077. Approach to the Patient with Cancer (Part 5) Making a Treatment Plan From information on the extent of disease and the prognosis and in conjunction with the patient's wishes, it is determined whether the
Chapter 077. Approach to the Patient with Cancer (Part 7) The recognition and treatment of depression are important components of management. The incidence of depression in cancer patients is ~25% overall and may be greater in pa[r]
Chapter 077. Approach to the Patient with Cancer (Part 4) Defining the Extent of Disease and the Prognosis The first priority in patient management after the diagnosis of cancer is established and shared with[r]
Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) Harrison's Internal Medicine > Chapter 52. Approach to the Patient with a Skin Disorder APPROACH TO THE PATIENT WITH A S[r]
Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) Table 52-2 Description of Secondary Skin Lesions Lichenification: A distinctive thickening of the skin that is characterized by accentuated skin-fold markings. Scale: Excessiv[r]
Chapter 077. Approach to the Patient with Cancer (Part 3) Cancer Around the World In 2002, 11 million new cancer cases and 7 million cancer deaths were estimated worldwide. When broken down by region of the world, ~45% of cases were in[r]
Chapter 077. Approach to the Patient with Cancer (Part 8) Pain Pain occurs with variable frequency in the cancer patient: 25–50% of patients present with pain at diagnosis, 33% have pain associated with treatment, and 75%[r]
Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) Figure 52-5 Meningococcemia. An example of fulminant meningococcemia with extensive angular purpuric patches. (Courtesy of Stephen E. Gellis, MD; with permission.) Fi[r]
Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) Figure 52-6 A–D. The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis. This papulosquamous skin disease is characterized by small and large[r]
Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) Dermatitis herpetiformis. This disorder typically displays pruritic, grouped papulovesicles on elbows, knees, buttocks, and posterior scalp. Vesicles are often excoriated due to associated p[r]
Chapter 077. Approach to the Patient with Cancer (Part 6) Tumor markers may be useful in patient management in certain tumors. Response to therapy may be difficult to gauge with certainty. However, some tumors produce or elicit the[r]
Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) Allergic contact dermatitis (ACD). A. An example of ACD in its acute phase, with sharply demarcated, weeping, eczematous plaques in a perioral distribution. B. ACD in its chronic phas[r]
Chapter 077. Approach to the Patient with Cancer (Part 1) Harrison's Internal Medicine > Chapter 77. Approach to the Patient with Cancer Approach to the Patient with Cancer: Introduction[r]
Chapter 077. Approach to the Patient with Cancer (Part 11) Effusions Fluid may accumulate abnormally in the pleural cavity, pericardium, or peritoneum. Asymptomatic malignant effusions may not require treatment. Symptomatic effusions occurring in tumors res[r]
Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) Tzanck Smear A Tzanck smear is a cytologic technique most often used in the diagnosis of herpesvirus infections [herpes simplex virus (HSV) or varicella zoster virus (VZV)] (see Figs.[r]
FUO after infections (Table 19-1). In more recent series, a decrease in the percentage of FUO cases due to malignancy was attributed to improvement in diagnostic technologies—in particular, high-resolution tomography, MRI, PET scanning, and tumor antigen assays. This obse[r]
present with difficulty maintaining posture standing and walking and with a subjective sense of disequilibrium, a form of dizziness. The cerebellum and vestibular system organize antigravity responses needed to maintain the upright posture. As reviewe[r]
Chapter 034. Cough and Hemoptysis (Part 5) Approach to the Patient: Hemoptysis The history is extremely valuable. Hemoptysis that is described as blood-streaking of mucopurulent or purulent sputum often suggests bronchitis. Chronic production of sput[r]
accumulation of nonopioid metabolites that are unique to individual drugs. One striking example of this is normeperidine, a metabolite of meperidine. Normeperidine produces hyperexcitability and seizures that are not reversible with naloxone. Normeperidine accumula[r]