Your search for cancer returned 3415 results

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Critical Care Medicine

Severe Sepsis and Septic Shock

Severe Sepsis and Septic Shock Cryptic Septic Shock Continue Reading SIRS Septicemia Bacteremia Sepsis Distributive shock 1. Description of the problem Sepsis is a clinical syndrome that occurs in patients with infection (known or suspected) defined by the presence of two or more systemic inflammatory response syndrome (SIRS) criteria, which include the following: Fever or…
Gastroenterology Hepatology

Acute porphyrias

How can I be sure that the patient has acute porphyrias? Porphyrias are a group of nine metabolic disorders associated with enzymatic defects of heme biosynthesis, which may lead to overexcretion of porphyrins or their precursors (ALA and PBG) in urine or feces (Table I). All are in-born errors of metabolism, except for porphyria cutanea…
Pediatrics

Candidiasis

OVERVIEW: What every practitioner needs to know Are you sure your patient has Candidiasis? What are the typical findings for this disease? This chapter will focus on the invasive presentations of Candidiasis seen in the hospital setting and their management. Candidiasis is a term that encompasses all infections caused by organisms in the genus Candida,which…
Hematology

Bone marrow (hematopoietic cell) transplantation in patients with non-malignant diseases

Bone marrow (hematopoietic cell) transplantation in patients with non-malignant diseases and myelodysplastic syndromes What every physician needs to know about bone marrow transplantation for non-malignant disease: Indications for bone marrow (hematopoietic cell) transplantation in patients with non-malignant diseases and myelodysplastic syndromes Hematopoietic cell transplantation (HCT) is a procedure by which a patient’s missing or diseased…
Anesthesiology

Cesarean Delivery, Spinal, Epidural or Combined Spinal-Epidural (CSE) Anesthesia

What the Anesthesiologist Should Know before the Operative Procedure Whether a neuraxial technique is the appropriate anesthetic choice for cesarean delivery will depend on the urgency of the procedure based on fetal or maternal issues, the presence of any significant maternal comorbidities or instability, and on occasion, whether a functioning labor epidural is already in…
Infectious Diseases

Mononucleosis syndromes

OVERVIEW: What every practitioner needs to know Are you sure your patient has mononucleosis? What should you expect to find? Common presentation Classic triad generally seen in infectious mononucleosis: fever, pharyngitis, and lymphadenopathy Common symptoms: Continue Reading fevers pharyngitis common symptoms also include malaise, fatigue, headaches, and mild depression often presents differently in patients older…
Infectious Diseases

Cystitis

OVERVIEW: What every practitioner needs to know Are you sure your patient has cystitis? What should you expect to find? The discussion that follows is limited to infectious causes of cystitis. Urinary tract infection (UTI) is the most common bacterial illness occurring in adults. Fungal UTIs are common in catheterized, but not in noncatheterized, patients.…
Cardiology

Managing the Patient with a Ventricular Assist Device

General description of procedure, equipment, technique Traditional management of heart failure (HF) includes medical therapy, implantable cardiac defibrillators (ICDs), and biventricular pacemakers. Despite such advances, HF continues to carry high morbidity and mortality. Five-year mortality for all patients with HF is estimated to be 50%. For those who have progressed to end-stage HF, the 1-year…
Hospital Medicine

Pre-excitation syndrome (WPW)

Pre-Excitation Syndrome I. What every physician needs to know. Ventricular pre-excitation is a condition in which some or all of the ventricular muscle of the heart undergoes electrical activation (or depolarization) earlier in relation to atrial events than would be expected had the electrical impulses travelled normally by way of the atrioventricular (AV) conduction system.…
Anesthesiology

The Pregnant Cardiac Patient

What the Anesthesiologist Should Know before the Operative Procedure Heart disease accounts for 15% of pregnancy-related mortality, and is the leading indirect cause of maternal mortality in developed nations. Most women with preexisting cardiac disease will have favorable pregnancy outcomes. However, some patients with preexisting cardiac disease may be unable to meet the physiologic demands…
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