Download e-book for kindle: Pocket Medicine: The Massachusetts General Hospital Handbook by Marc S Sabatine

By Marc S Sabatine

ISBN-10: 1608319059

ISBN-13: 9781608319053

The Pocket drugs guide from Massachusetts normal health facility, Boston, offers key medical information for college students and citizens. It comprises parts of inner medication, cardiology, pulmonary, gastroenterology, nephrology, hematology-oncology, infectious ailments, endocrinology, and rheumatology.

Show description

Read Online or Download Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine (Pocket Notebook Series) PDF

Similar medical books

John Keeler's Living Life with Diabetes PDF

Clinically determined with kind 1 diabetes on the age of 4, John Keeler's lifestyles accordingly has been marked through a selection to make it as wealthy and whole as attainable. a sensible, own account of his profitable struggles with this life-threatening sickness, dwelling existence with Diabetes information the too frequently neglected mental and emotional facets of the situation.

Download e-book for kindle: Trichomoniasis - A Medical Dictionary, Bibliography, and by Health Publica Icon Health Publications

This can be a 3-in-1 reference booklet. It supplies an entire scientific dictionary overlaying 1000s of phrases and expressions when it comes to trichomoniasis. It additionally offers broad lists of bibliographic citations. eventually, it offers info to clients on tips on how to replace their wisdom utilizing a number of net assets.

Download e-book for iPad: Split by Swati Avasthi

Sixteen-Year-Old Jace Witherspoon arrives on the doorstep of his estranged brother Christian with a re-landscaped face (courtesy of his father’s fist), $3. eighty four, and a mystery. He attempts to maneuver on, going for brand new buddies, a brand new institution, and a brand new activity, yet all his alterations can’t make him disregard what he left behind—his mom, who's nonetheless trapped together with his dad, and his ex-girlfriend, who's retaining his mystery.

Download e-book for kindle: The SAGE Encyclopedia of Cancer and Society by Graham A. (Andrew) Colditz

The 1st variation of the Encyclopedia of melanoma and Society was released in 2007 and received a 2008 Editors’ selection Award from Booklist.  It served as a normal, non-technical source targeting melanoma from the viewpoint of the social and behavioral sciences, exploring social and monetary affects, the “business” of melanoma, advertisements of substances and remedy facilities, how habit swap may perhaps supply nice capability for melanoma prevention, environmental hazards, meals ingredients and legislation, the relation among race and ethnicity and melanoma possibility, socioeconomic prestige, controversies—both clinical and political—in melanoma remedy and learn, country-by-country entries on melanoma world wide, and extra.

Additional info for Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine (Pocket Notebook Series)

Example text

ESRD • Congenital (ie, bicuspid AoV w/ premature calcification): cause in 50% of Pts Ͻ70 y • Rheumatic heart disease (AS usually accompanied by AI and MV disease) • AS mimickers: subvalvular (HCMP, subAo membrane), supravalvular Clinical manifestations (usually indicates AVA Ͻ1 cm2 or concomitant CAD) • Angina: c O2 demand (hypertrophy) ϩ T O2 supply (T cor perfusion pressure) Ϯ CAD • Syncope (exertional): peripheral vasodil. w/ fixed CO S T MAP S T cerebral perfusion • Heart failure: outflow obstruct ϩ diastolic dysfxn S pulm.

7:1; usually involves root/asc Ao or descending Ao (arch & thoracoabd rare) Risk factors: HTN; atherosclerosis; aortitis (Takayasu’s, GCA, spondyloarthritis, syphilis); congenital (bicuspid AoV,Turner’s); connective tissue diseases (Marfan, Ehlers-Danlos type IV); familial; chronic Ao dissection; trauma • AAA: 5% prev. in individuals Ͼ65 y; 5–10ϫ more common in ɉ than Ɋ; most infrarenal Risk factors ϭ risk factors for atherosclerosis: smoking, HTN, hyperlipidemia, age, FHx Pathophysiology (NEJM 2009;361:1114; Nat Med 2009;15:649) • LaPlace’s law: tension across a cylinder ∝ [(⌬P ϫ r) / (wall thickness)] • TAA: cystic medial necrosis (medial degeneration, mucoid infiltration, apoptosis) • AAA: atherosclerosis & inflammation S matrix degeneration S medial weakening • Inflammatory and infectious (“mycotic”) aneurysms rare Screening (JAMA 2009;302:2015) • TAA: no established population screening guidelines • AAA: ✓ for pulsatile abdominal mass in all Pts; U/S for all men Ͼ60 y w/ FHx of AAA and all men 65–75 y w/ prior tobacco use ( J Vasc Surg 2004;39:267; Annals 2005;142:203;) Diagnostic studies (Circ 2005;111:816) • Contrast CT: quick, noninvasive, good Se & Sp for all aortic aneurysms • CXR: often abnormal, but not definitive in TAA • Abdominal ultrasound: screening and surveillance test of choice for AAA • TTE/TEE: useful for root and rest of TAA • MRI: preferred for aortic root imaging for TAA, but also useful in AAA Treatment (Circ 2006;113;e463; 2008;177:1883; 2010;121:1544) • Risk factor modification: smoking cessation, LDL-C Ͻ70 mg/dL; ?

Split if severe outflow obstruction, ᮍ S4 (occ. 3 suggestive, as is septum Ͼ15 mm; other findings include dynamic outflow obstruction, SAM, MR • MRI: hypertrophy ϩ patchy delayed enhancement (useful for dx & prognosis) • Cardiac cath: subaortic pressure ∇; Brockenbrough sign ϭ T pulse pressure postextrasystolic beat (in contrast to AS, in which pulse pressure c postextrasystole) Treatment (NEJM 2004;350:1320) • Heart failure ᮎ inotropes/chronotropes: ␤-blockers, CCB (verapamil), disopyramide. Vasodilators only if systolic dysfxn.

Download PDF sample

Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine (Pocket Notebook Series) by Marc S Sabatine


by Daniel
4.4

Rated 4.29 of 5 – based on 43 votes