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The osler medical handbook -john hopkin

The osler medical handbook -john hopkin

21 0 1

Section VIII – Infectious DiseasesSection Editors:Christopher Hoffmann, MD, MPH   Nicola Zetola, MDChapter 53 – Fever of Unknown OriginScott Kim, MD   Rachel Damico, MD, PhD   Paul Auwaerter, MDFAST FACTS   ▪    The contemporary understanding of fever of unknown origin (FUO) is derived from Petersdorf and Beeson's 1961 characterization of FUO. A stringent definition of FUO is composed of the following criteria[1]: temperature higher than 38.3° C measured on several occasions, 3-week duration (to exclude self-limiting fevers), negative blood cultures, no apparent explanation, and three outpatient visits or three hospital days.   ▪    Infections, malignancies, and noninfectious inflammatory diseases account for the majority of cases of FUO.   ▪    In patients older than 65 years, temporal arteritis should be considered early in any evaluation.   ▪    Patients with FUO who remain undiagnosed after exhaustive study usually have a favorable prognosis. In one study, in a cohort of 61 patients with FUO discharged without diagnosis, the 5-year mortality rate was only 3.2%.[2]…

Physical diagnosis secret 2ed

Physical diagnosis secret 2ed

26 0 2

THE SKIN Salvatore Mangione, MD "The power of making a correct diagnosis is the key to all success in the treatment of skin diseases; without this faculty, the physician can never be a thorough dermatologist, and therapeutics at once cease to hold their proper position, and become empirical." —Louis A. Duhring (1845-1913) "Beautys but skin deep." —John Davies of Hereford (1565-1618) BASIC TERMINOLOGY AND DIAGNOSTIC TECHNIQUES 1. How many skin diseases exist? What are the two main categories of skin lesions? There are more than 1400 skin diseases. Yet, only 30 are important, common, and worth knowing. The first step toward their recognition is the separation of primary from secondary lesions (Table 3-1). • Primary lesions result only from disease and have not been changed by additional events (such as trauma, scratching, or medical treatment; see Table 3-1). To better identity primary lesions, pay attention to their colors, shape, arrangement, and distribution. • Secondary lesions instead have been altered by outside manipulation, medical treatment, or their own natural course. 2. What are the major primary lesions? • Hanel's: Flat, nonpalpable, circumscribed areas of discoloration cm in diameter. Typical macules are the familiar freckles. • Patches: flat, nonpalpable areas of skin discoloration >0.5 cm in diameter (i.e., a large macula). A typical patch is the one of yitillgo. • Papules: Raised and palpable lesions <0.5 cm in diameter. They may or may not have a different color from the surrounding skin. A typical papule is a raised nevus. >0.5 are 0.5 cm…

[GL]LEVEL U

[GL]LEVEL U

2,694 91 42

Đáng lẽ đây sẽ chỉ là một câu chuyện hài hước của một cô gái nhỏ trên đường tìm cha mẹ với sự giúp đỡ của hai người bạn vui vẻ nọ, ấy là nếu không có đám quần chúng đều là bom nổ chậm kiêm đòi nợ thuê...…

FAN DAY6

FAN DAY6

32 4 1

On the dark road ahead,I can't see a single step aheadI can't see anythingI can't feel anything- Colors Yoori felt restless. She had been sitting alone for at least 30 minutes. There was no familiar face so far. She only knows Jane and she was there because of her. Jane was supposed to fly Paris to pursue her study there as an exchange student tomorrow, so Yoori was invited to celebrate it. She felt kinda awkward amidst of the dancing crowd. She was not really a sociable person.Few minutes later, she finally saw a familiar face. Brian Kang. He was walking toward her who was sitting on the coach located at the corner of the club. Yoori nervously put down her drink. Yoori's heart skipped a beat when his manly scent hit her smell sense. Jane was so lucky to have Brian as her boyfriend. He's handsome, caring and romantic. But Brian is luckier to be Jane's boyfriend. She is the most attractive person in their campus. She excelled in studies and her modelling career. She is friendly, brave and beautiful. A social butterfly.So why would that Jane befriend of someone like Yoori? Yoori was not sure. But for sure, they started to talk to each other since Jane saved her from beaten by her dad in front of their campus gate."Hi," he said. Yoori acknowledged his present with a nod. They never talked to each other before eventhough they heard a lot about each other from Jane. "Do you want to stay here longer?""Huh? Where is Jane?" Yoori asked without looking at him. It had been a while since she last talked to a guy. Except her lecturers. And the loan shark who comes to her house every month. She had to agree it was rather awkward."She--""HELLO, LADIES AND GENTLEMEN!""UGH SHUT UP, JAE!""YOU SHUT UP. I'M TALKING TO MY HOMIE HERE. NOT TO YOU."Yoori knew this couple. They were like the noisiest couple ever. They fought a lot but everyone knows after each fight Mery will run into Jae's arm again. They could not be separated. At least, not for too long.…

[transfic] youngshin x aeseol | kalokagathia

[transfic] youngshin x aeseol | kalokagathia

269 21 3

•tác giả: Arunika | wattpad @peonyblossoms•tác phẩm: KALOKAGATHIA- kalokagathia is from "duty after school: the side story of us"- duty after school: the side story of us is a part from another story by the author "duty after school: the alternate ending"•picture: the pictures in the story are edited by the original author, I love their pictures•link tác phẩm gốc:https://www.wattpad.com/story/341914716?utm_source=android&utm_medium=link&utm_content=story_info&wp_page=story_details_button&wp_uname=rapenzvl&wp_originator=HwJwJ6aIVY5QpnKqizWwsdumqlp16weryN%2FmRIYBzM5rIvESXomWzyLWHknlevP%2FzB1Xvg348BqoD6tf9B7Y2BogEDd3t8r4zxpziCTHYeXTL33kZCLxl5hKRAYqVI4%2F•người dịch: tiên- hãy follow trang wattpad của tác giả để đọc thêm nhiều câu chuyện về das nữa, bạn ấy nói chuyện dễ thương lắm uwukalokagathia (n)(noun phrase): được các nhà văn Hy Lạp cổ điển dùng để miêu tả lý tưởng về hành vi cá nhân của một quý ông, đặc biệt là trong bối cảnh quân đội.lưu ý: bản dịch ĐÃ có sự đồng ý từ tác giả.- tui chỉ xin phép dịch phần truyện của youngshin và aeseol- truyện rất dài, tui rất thích- lần đầu dịch truyện dài tất nhiên sẽ có sai sót, mong thông cảm.•rate:230814 - #1 bora…

Tái Thụy Nhất Hạ

Tái Thụy Nhất Hạ

80 1 46

Tái thụy nhất hạ tỉnh thời bất kiến phồn hoa…

[Longfic] [YoonMin] LOVE IS NOT OVER

[Longfic] [YoonMin] LOVE IS NOT OVER

403 21 7

=Title: LOVE IS NOT OVER.=Disclaimer: Không ai thuộc về mình...=Author: Sò ( các bạn cũng có thể gọi tớ là Su )=Category: Romance, General, một tí xíu Tragedy.=Rating: K.=Characters: + Nhân vật chính: Min YoonGi (Suga BTS) - Park JiMin (BTS) + Nhân vật chính phụ: Kwon SoonYoung (Hoshi Seventeen) - Lee JiHoon ( Woozi Seventeen) + Nhân vật phụ: Kim TaeHyung (V BTS) - Jeon JungKook (BTS) Cùng một số nhân vật khác....=Status: On-going.=Warnings: Các bạn đừng mang fic ra ngoài nhé.=Notes: Mình viết nhiều fic rồi nhưng chưa có fic nào hoàn thành cả nên mình rất buồn. Mình hi vọng đây là fanfic đầu tiên mình hoàn thành. Và các bạn là người đem đến động lực cho mình đấy ạ. Mình viết không hay đâu, nên có gì các bạn bỏ qua nha. Nếu các bạn không thích xin đừng nói lời cay đắng T.T, nếu có gì thắc mắc hay tò mò về mình hoặc về fic thì các bạn cứ hỏi thoải mái ạ. Hi vọng các bạn sẽ đồng hành với mình và với fic của mình thật lâu dài ^^.…