Patient

Xem 1-20 trên 5846 kết quả Patient
  • Harrison's Internal Medicine Chapter 82. Infections in Patients with Cancer Infections in Patients with Cancer: Introduction Infections are a common cause of death and an even more common cause of morbidity in patients with a wide variety of neoplasms. Autopsy studies show that most deaths from acute leukemia and half of deaths from lymphoma are caused directly by infection. With more intensive chemotherapy, patients with solid tumors have also become more likely to die of infection.

    pdf6p konheokonmummim 03-12-2010 54 7   Download

  • Harrison's Internal Medicine Chapter 52. Approach to the Patient with a Skin Disorder APPROACH TO THE PATIENT WITH A SKIN DISORDER: INTRODUCTION The challenge of examining the skin lies in distinguishing normal from abnormal, significant findings from trivial ones, and in integrating pertinent signs and symptoms into an appropriate differential diagnosis. The fact that the largest organ in the body is visible is both an advantage and a disadvantage to those who examine it.

    pdf5p konheokonmummim 30-11-2010 48 7   Download

  • With this edition of Biomedical Ethics Reviews we commence a somewhat new focus for the series. Building on its solid tradition of exploring and debating pressing bioethical issues of the day, this series will now also examine the real-life implications of these issues for patients and the health care system in which care is delivered. With each topic, attention will be focused not only on the theoretical and policy aspects of ethical dilemmas, but also on the clinical dimensions of these challenges, and effects on the patient–physician relationship....

    pdf260p cronus75 18-01-2013 18 5   Download

  • Figure 52-5 Meningococcemia. An example of fulminant meningococcemia with extensive angular purpuric patches. (Courtesy of Stephen E. Gellis, MD; with permission.) Figure 52-4 Necrotizing vasculitis. Palpable purpuric papules on the lower legs are seen in this patient with cutaneous small vessel vasculitis. (Courtesy of Robert Swerlick, MD; with permission.)[newpage] APPROACH TO THE PATIENT: SKIN DISORDER In examining the skin it is usually advisable to assess the patient before taking an extensive history.

    pdf5p konheokonmummim 30-11-2010 45 6   Download

  • Harrison's Internal Medicine Chapter 77. Approach to the Patient with Cancer Approach to the Patient with Cancer: Introduction The application of current treatment techniques (surgery, radiation therapy, chemotherapy, and biological therapy) results in the cure of nearly two of three patients diagnosed with cancer. Nevertheless, patients experience the diagnosis of cancer as one of the most traumatic and revolutionary events that has ever happened to them.

    pdf8p konheokonmummim 03-12-2010 51 5   Download

  • 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 patients with greater debility. This diagnosis is likely in a patient with a depressed mood (dysphoria) and/or a loss of interest in pleasure (anhedonia) for at least 2 weeks. In addition, three or more of the following symptoms are usually present: appetite change, sleep problems, psychomotor retardation or agitation, fatigue, feelings of guilt or worthlessness, inability to concentrate, and suicidal ideation.

    pdf5p konheokonmummim 03-12-2010 44 5   Download

  • Death and Dying The most common causes of death in patients with cancer are infection (leading to circulatory failure), respiratory failure, hepatic failure, and renal failure. Intestinal blockage may lead to inanition and starvation. Central nervous system disease may lead to seizures, coma, and central hypoventilation. About 70% of patients develop dyspnea preterminally. However, many months usually pass between the diagnosis of cancer and the occurrence of these complications, and during this period the patient is severely affected by the possibility of death. ...

    pdf5p konheokonmummim 03-12-2010 45 5   Download

  • Having worked in a variety of specialty areas over the years as staff nurses, clinical nurse specialists, educators, therapists, and managers, we realize that nurses aspire to become highly proficient in their area of practice. But psychosocial skills are often more difficult to perfect. Very often nurses feel inadequately prepared to deal with complex behaviors and psychiatric problems on top of the demands of providing physical care for the patient and family.

    pdf552p mnemosyne75 02-02-2013 26 5   Download

  • Defining the Extent of Disease and the Prognosis The first priority in patient management after the diagnosis of cancer is established and shared with the patient is to determine the extent of disease. The curability of a tumor usually is inversely proportional to the tumor burden. Ideally, the tumor will be diagnosed before symptoms develop or as a consequence of screening efforts (Chap. 78). A very high proportion of such patients can be cured.

    pdf6p konheokonmummim 03-12-2010 49 4   Download

  • 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% have pain with progressive disease. The pain may have several causes. In ~70% of cases, pain is caused by the tumor itself—by invasion of bone, nerves, blood vessels, or mucous membranes or obstruction of a hollow viscus or duct.

    pdf5p konheokonmummim 03-12-2010 35 4   Download

  • The level of suspicion of infections with certain organisms should depend on the type of cancer diagnosed (Table 82-3). Diagnosis of multiple myeloma or CLL should alert the clinician to the possibility of hypogammaglobulinemia. While immunoglobulin replacement therapy can be effective, in most cases prophylactic antibiotics are a cheaper, more convenient method of eliminating bacterial infections in CLL patients with hypogammaglobulinemia.

    pdf5p konheokonmummim 03-12-2010 47 4   Download

  • Typhlitis Typhlitis (also referred to as necrotizing colitis, neutropenic colitis, necrotizing enteropathy, ileocecal syndrome, and cecitis) is a clinical syndrome of fever and right-lower-quadrant tenderness in an immunosuppressed host. This syndrome is classically seen in neutropenic patients after chemotherapy with cytotoxic drugs.

    pdf5p konheokonmummim 03-12-2010 35 4   Download

  • Previous trials have demonstrated that lowering low-density lipoprotein (LDL) cholesterol levels below currently recommended levels is beneficial in patients with acute coronary syndromes. We prospectively assessed the efficacy and safety of lowering LDL cholesterol levels below 100 mg per deciliter (2.6 mmol per liter) in patients with stable coronary heart disease (CHD).

    pdf12p muakhuya 07-07-2012 37 3   Download

  • Ensuring patient safety is the first critical step in improving quality of care. At all levels, health care workers make decisions every day involving patient safety. Patient safety is about protecting patients from incurring harm while they are receiving health care. It is an international issue. Although safe care has always been a priority, in recent times we have seen a growing realization of how unsafe care affects all the key stakeholder groups in the health care sector.

    pdf288p gian_anh 18-10-2012 22 3   Download

  • Medicare's Prospective Payment System (PPS) includes an adjustment that provides additional payments to hospitals that serve a disproportionately large share of low-income patients. the principal rationale for this adjustment is that low-income patients are costlier to treat, controlling for DRG. Only a few studies have directly examined this issue, however. These studies differ both over whether ......

    pdf0p anhnangmuahe2013 15-03-2013 21 3   Download

  • Bài giảng “Managing chronic heart failure patient in chronic kidney disease” trình bày các nội dung: Epidemiology, pathophysiolog, management, modification of risk factors, angiotensin-converting enzyme inhibitors,… Mời các bạn cùng tham khảo nội dung chi tiết.

    pdf23p tsmttc_004 13-06-2015 14 4   Download

  • 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 treatment approach should be curative or palliative in intent. Cooperation among the various professionals involved in cancer treatment is of the utmost importance in treatment planning.

    pdf5p konheokonmummim 03-12-2010 34 3   Download

  • 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 production of markers that can be measured in the serum or urine and, in a particular patient, rising and falling levels of the marker are usually associated with increasing or decreasing tumor burden, respectively. Some clinically useful tumor markers are shown in Table 77-5.

    pdf5p konheokonmummim 03-12-2010 48 3   Download

  • Effusions Fluid may accumulate abnormally in the pleural cavity, pericardium, or peritoneum. Asymptomatic malignant effusions may not require treatment. Symptomatic effusions occurring in tumors responsive to systemic therapy usually do not require local treatment but respond to the treatment for the underlying tumor. Symptomatic effusions occurring in tumors unresponsive to systemic therapy may require local treatment in patients with a life expectancy of at least 6 months. Pleural effusions due to tumors may or may not contain malignant cells.

    pdf5p konheokonmummim 03-12-2010 48 3   Download

  • A similar problem can affect patients whose lymph node integrity has been disrupted by radical surgery, particularly patients who have had radical node dissections. A common clinical problem following radical mastectomy is the development of cellulitis (usually caused by streptococci or staphylococci) because of lymphedema and/or inadequate lymph drainage. In most cases, this problem can be addressed by local measures designed to prevent fluid accumulation and breaks in the skin, but antibiotic prophylaxis has been necessary in refractory cases.

    pdf6p konheokonmummim 03-12-2010 36 3   Download

CHỦ ĐỀ BẠN MUỐN TÌM

Đồng bộ tài khoản