By J. F. Cade
Unusual difficulties are typically neglected; they're often tough to diagnose and a problem to regulate. Acute medication: unusual difficulties and demanding situations gathers jointly all unusual difficulties proper to the remedy of heavily ailing sufferers in a brief one-stop reference. each one subject includes either crucial diagnostic and remedy details and discusses the consequences for extensive care administration, obviating the necessity to confer with really good resources. The A-Z structure with common cross-referencing aids swift entry to key details and cartoons all through reduction studying. Intensivists, anaesthetists, emergency experts and a variety of different healthcare pros will locate this a useful source whilst confronted with acute scientific difficulties. From Abruptio placentae to Zollinger-Ellison syndrome, Acute drugs: unusual difficulties and demanding situations can help you diagnose and deal with the difficult acute difficulties you come across in day-by-day medical perform.
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Extra info for Acute Medicine: Uncommon Problems and Challenges
Milroy CM. Ten years of ‘ecstasy’. J R Soc Med 1999; 92: 68. Mokhlesi B, Garinella, PS, Joffe A, et al. Street drug abuse leading to critical illness. Intens Care Med 2004; 30: 1526. Mokhlesi B, Leikin JB, Murray P, et al. Adult toxicology in critical care: part II: specific poisonings. Chest 2003; 123: 897. Parrott AC, ed. MDMA (Methylenedioxymethamphetamine). Basel: Karger. 2000. Screaton GR, Cairns HS, Sarner M, et al. Hyperpyrexia and rhabdomyolysis after MDMA (‘ecstasy’) abuse. Lancet 1992; 339: 677.
3. Stress alopecia (telogen effluvium) is a diffuse thinning of the hair following a severe physiological insult which has altered the growth cycle of hairs so as to convert the majority in the active phase to the resting phase. r It is well known to follow severe clinical disease, such as fever, haemorrhage, surgery, trauma, starvation, childbirth or psychiatric illness. ). ), nitrofurantoin, propranolol and valproate. Oral contraceptives on the other hand can give an androgenetic alopecia. Treatment with zinc-containing multivitamin preparations can improve this condition by strengthening the hair shaft.
Occasionally, an abdominal mass (amoeboma) may be felt. r The liver is involved via haematogenous spread. The right lobe is particularly affected, and there is 18 often a solitary abscess which may be up to 20 cm in diameter. In most such cases, the colitis has been asymptomatic and instead there is abdominal pain, hepatomegaly and marked systemic symptoms if the abscess ruptures into the chest, when in addition there may be expectoration of the characteristic chocolate sputum with the consistency of anchovy paste.