safest initial approach to patient with chest pain
Báo cáo khoa học: "A Functional Approach to Generation with TAG " pptx
Ngày tải lên :
31/03/2014, 06:20
... an initial tree and other auxiliary or
initial trees are adjoined or substituted into that
initial structure. 3 As a result, in generating an
embedded sentence, the generator must start with ... Mumble-86.
3 Generator Architecture
There are many different ways of imple-
menting a TAG-based generator. We consider the
principles that we take to be common to any TAG
generator and indicate ...
sider the question of what needs to be done to
generate with TAGs and explain a generation sys-
tem that provides the necessary features. This
approach is compared with other TAG-based gen-
eration...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
Ngày tải lên :
06/07/2014, 20:20
...
(Part 1)
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 ... interpretation would be that the patient has a
pruritic eczematous dermatitis with erosions caused by scratching.
Figure 52-1
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 1) ... Fig. 52-3) and to
formulate a differential diagnosis (Table 52-4). For instance, the finding of scaling
papules (present in patients with psoriasis or atopic dermatitis) places the patient
in...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 2) potx
Ngày tải lên :
06/07/2014, 20:20
... the desire to scratch. Pruritus is often the
predominant symptom of inflammatory skin diseases (e.g., atopic dermatitis,
allergic contact dermatitis); it is also commonly associated with xerosis ... representation of several common primary skin lesions
(see Table 52-1).
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 2)
Table 52-2 Description of Secondary Skin Lesions ...
depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as
sites of shiny, delicate, wrinkled lesions (i.e., epidermal atrophy).
Scar: A change in the skin secondary to trauma...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 4) doc
Ngày tải lên :
06/07/2014, 20:20
... correlates highly with diagnosis (Fig. 52-6).
For example, a hospitalized patient with a generalized erythematous exanthem is
more likely to have a drug eruption than is a patient with a similar ...
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. This ... it possible to assess the distribution of the eruption accurately. The
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 4)
Figure 52-5
...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 5) pptx
Ngày tải lên :
06/07/2014, 20:20
... characterized by small and
large erythematous papules and plaques with overlying adherent silvery scale.
Figure 52-8
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 5)
Figure...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 6) pdf
Ngày tải lên :
06/07/2014, 20:20
... lesions with a
generalized arrangement are common and suggest a systemic etiology.
Figure 52-9
Erythema multiforme.
This eruption is characterized by multiple erythematous plaques with ... represents a hypersensitivity reaction to drugs
(e.g., sulfonylamides) or infections (e.g., HSV). (Courtesy of the Yale Resident's
Slide Collection; with permission.)
Figure 52-10
...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 7) ppt
Ngày tải lên :
06/07/2014, 20:20
... Family history (particularly relevant for patients with melanoma,
atopy, psoriasis, or acne)
10. Social, sexual, or travel history as relevant to the patient
DIAGNOSTIC TECHNIQUES
Many ... chronic eruptions
2. Symptoms associated with the eruption
a. Itching, burning, pain, numbness
b. What, if anything, has relieved symptoms
c. Time of day when symptoms are most severe
3. ... of the
skin and rotated with downward pressure until it penetrates to the subcutaneous
tissue. The circular biopsy is then lifted with forceps, and the bottom is cut with
iris scissors. Biopsy...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 8) pptx
Ngày tải lên :
06/07/2014, 20:20
... Granulomas often have an opaque to
transparent, brown-pink "apple jelly" appearance on diascopy.
Figure 52-11
Chapter 052. Approach to the Patient
with a Skin Disorder
(Part 8) ... and
in recognition of ash leaf spots in patients with tuberous sclerosis.
Figure 52-12
Diascopy is designed to assess whether a skin lesion will blanch with
pressure as, for example, in determining ... Dermatology Lexicon Project: www.futurehealth.rochester.edu/dlp2/
James WD et al: Andrews' Diseases of the Skin: Clinical Dermatology,
10th ed. Philadelphia,...
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Chapter 077. Approach to the Patient with Cancer (Part 1) potx
Ngày tải lên :
07/07/2014, 01:20
...
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 ... 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. Independent ... the prognosis of the person with aortic stenosis who develops the first
symptoms of congestive heart failure (median survival, ~8 months). However, the
patient with heart disease may remain...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
Ngày tải lên :
07/07/2014, 01:20
... Chapter 077. Approach to the
Patient with Cancer
(Part 3)
Cancer Around the World
In 2002, 11 million new cancer cases ... evidence links the expression of certain genes with the
prognosis and response to therapy (Chaps. 79, 80).
Occasionally a patient will present with a metastatic disease process that is
defined ... history
and physical examination. The duration of symptoms may reveal the chronicity of
disease. The past medical history may alert the physician to the presence of
underlying diseases that may...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
Ngày tải lên :
07/07/2014, 01:20
... likely to fare worse, stage for stage, than fully active
patients. Physiologic reserve is a determinant of how a patient is likely to cope
60
Requires occasional assistance but is able to care ... the Patient
100 Normal; no complaints; no evidence of disease
90
Able to carry on normal activity; minor signs or
symptoms of disease
80
Normal activity with effort; some signs or
symptoms ... tumor histologic grade G) are then broken into stages,
usually designated by the roman numerals I through IV. Tumor burden increases
and curability decreases with increasing stage. Other anatomic...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
Ngày tải lên :
07/07/2014, 01:20
... physician spends with a patient who is receiving only palliative care.
Resist these forces. In addition to the medicines administered to alleviate
symptoms (see below), it is important to remember ...
follow other treatment approaches. It is best for the treatment plan either to follow
a standard protocol precisely or else to be part of an ongoing clinical research
protocol evaluating new ... now possible
to gain access electronically to standard treatment protocols and to every approved
clinical research study in North America through a personal computer interface
with the Internet.
2...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
Ngày tải lên :
07/07/2014, 01:20
...
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. ... enough to permit a diagnosis of malignancy to be made,
but once a malignancy has been diagnosed and shown to be associated with
elevated levels of a tumor marker, the marker can be used to assess ...
gonadal germ cell tumor
Pregnancy
Calcitonin
Medullary cancer
of the thyroid
Catecholamines Pheochromocytoma
Oncofetal Antigens
Alphafetoprotein Hepatocellular
carcinoma, gonadal germ...
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