By Dennis L. Kasper, Anthony S. Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo
Essential medical details Drawn From Harrison’s
Harrison’s guide of Medicine is a concise, bedside source derived from content material present in Harrison’s ideas of inner Medicine, 19th Edition. Perfect to be used on the aspect of care, the Manual offers scientific details overlaying key points of the prognosis, scientific manifestations, and therapy of the most important illnesses which are more likely to be encountered in scientific practice.
Presented in complete colour and incorporating an effective mix of succinct textual content, bullet issues, algorithms, and tables Harrison’s guide of Medicine, 19th variation covers each zone of medical drugs, including:
· Etiology and Epidemiology
· Clinically appropriate Pathophysiology
· Signs and Symptoms
· Differential Diagnosis
· Physical and Laboratory Findings
· Practice Guidelines
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Additional info for Harrisons Manual of Medicine
Is preferable to CT for evaluating adrenal masses such as pheochromocytoma and for helping to distinguish benign and malignant adrenal masses. • Is preferable to CT for evaluating pituitary lesions and parasellar pathology. ), or in the form of fluorodeoxyglucose for PET scanning. • Radionuclide scintigraphy can be combined/merged with CT or MRI for precise anatomic localization of the radionuclide-imaged tissue. • Tomographic radionuclide scintigraphy (single-photon emission computed tomography [SPECT]) is analogous to CT, using radionuclide emissions instead of x-rays.
Indd 16 TABLE 1-5 TREATMENT OF HYPERKALEMIA Mechanism Therapy Stabilize membrane Calcium potential Cellular K+ uptake Insulin Dose Onset 10% Ca gluconate, 10 mL over 1–3 min 10 min Duration 30–60 min Comments Repeat in 5 min if persistent electrocardiographic changes; avoid in digoxin toxicity. 10 U R with 50 mL of D50, if blood sugar <250 Nebulized albuterol, 10–20 mg in 4-mL saline 30 min 4–6 h 30 min 2–4 h 6h ? 15 min Immediate 4–6 h Can repeat in 15 min; initiate D10W IV at 50–75 mL/h to avoid rebound hypoglycemia.
COMPUTED TOMOGRAPHY • CT delivers a substantially higher radiation dose than conventional radiography; it should therefore be used judiciously. • CT of the brain should be the initial radiographic modality in evaluating a pt with a potential stroke. • Is highly sensitive for diagnosing an acute subarachnoid hemorrhage and, in the acute setting, is more sensitive than MRI. • CT of the brain is an essential test in evaluating a pt with mental status changes to exclude entities such as intracranial bleeding, mass effect, subdural or epidural hematomas, and hydrocephalus.
Harrisons Manual of Medicine by Dennis L. Kasper, Anthony S. Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson, Joseph Loscalzo