Posts Tagged ‘Europe’

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 273 – URTICARIA AND ANGIOEDEMA Stephen C. Dreskin    URTICARIA Urticaria (hives) are pruritic, edematous, erythematous, blanching papules that are round or oval in shape, have pale raised centers (wheals), are of several millimeters to a few centimeters in size, and are transient, lasting […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier TYPES OF CONTRACEPTIVES Spermicides and Barriers All spermicidal agents contain a surfactant, usually nonoxynol 9, that immobilizes or kills sperm on contact. They also provide a mechanical barrier and need to be placed into the vagina before each coital act. There is […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 253 – THE TESTIS AND MALE SEXUAL FUNCTION   Ronald S. Swerdloff   Christina Wang   The testis is a bifunctional organ serving as the site of sex steroid (i.e., testosterone) synthesis and sperm production in the male. Thus, the testis controls both sexuality and the perpetuity […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier COMMON HAZARDOUS EXPOSURES IN THE WORKPLACE AND AMBIENT ENVIRONMENT Tens of thousands of chemicals in the workplace as well as important physical and biologic hazards may be encountered in the general environment ( Table 17-2 ). Several of these hazards are of […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier ORDERING PARENTERAL NUTRITION Estimation of Fluid and Calorie Needs Before parenteral nutrition is ordered, the fluid requirements of the patient should be evaluated. These will vary according to the age of the patient, the disease itself, and the impact of the disease […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 228 – HOMOCYSTINURIA AND HYPERHOMOCYSTEINEMIA Bruce A. Barshop Definition Homocysteine is a nonprotein amino acid and an intermediate in methionine metabolism that arises when methionine (through S-adenosylmethionine) acts as a donor in methylation reactions ( Fig. 228-1 ). The fate of homocysteine is either […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 223 – LYSOSOMAL STORAGE DISEASES Margaret M. McGovern   Robert J. Desnick The lysosomal storage diseases are a family of more than 40 disorders resulting from different defects in lysosomal function. Although most of these disorders are caused by deficiency of a specific hydrolytic enzyme, others are […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 197 – HODGKIN’S LYMPHOMA Joseph M. Connors Definition Hodgkin’s lymphoma, formerly called Hodgkin’s disease, is one of the B-cell lymphomas. It has a characteristic neoplastic cell, the Reed-Sternberg cell, a distinct natural history, and most importantly, an excellent response to treatment, with the large […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier SUGGESTED READINGS Copelan EA: Hematopoietic stem-cell transplantation.  N Engl J Med  2006; 354:1813-1826.A comprehensive review de Witte T, Oosterveld M, Muus P: Autologous and allogeneic stem cell transplantation for myelodysplastic syndrome.  Blood Rev  2007; 21:49-59.A clinical review Horwitz ME, Sullivan KM: Chronic graft-versus-host disease.  Blood Rev  2006; 20:15-27.A clinical review Ljungman P, Urbano-Ispizua A, Cavazzana-Calvo M, et […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 152 – CHRONIC HEPATITIS Jay H. Hoofnagle Definition Chronic hepatitis comprises several diseases that are marked by chronic necro-inflammatory injury to the liver. The disease is defined as chronic if there is evidence of ongoing injury for 6 months or longer. The various forms […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 151 – ACUTE VIRAL HEPATITIS Jay H. Hoofnagle Definition Acute viral hepatitis is a distinct clinical syndrome that can be caused by five separate, unrelated viruses. Clinically, acute viral hepatitis is marked by symptoms of malaise, nausea, poor appetite, vague abdominal pain, and jaundice; […]

Goldman: Cecil Medicine, 23rd ed. Copyright © 2007 Saunders, An Imprint of Elsevier Chapter 144 – INFLAMMATORY BOWEL DISEASE William F. Stenson Definition Inflammatory bowel diseases (IBDs), including ulcerative colitis and Crohn’s disease, are chronic inflammatory diseases of the gastrointestinal tract. They are diagnosed by a set of clinical, endoscopic, and histologic characteristics, but no single finding is […]

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