By J. Alastair Innes PhD FRCP Ed
For over part a century Davidson’s ideas and perform of Medicine has proficient and expert scholars, medical professionals and different future health execs world wide, offering a complete account of the perform of drugs. Davidson’s Essentials of Medicine offers the center content material of the most textbook in a condensed layout so as to be worthy everytime you are at the stream - no matter if commuting, traveling among education websites, or on electives.
- This e-book offers a distillation of the middle info required for medical reports in medication. whereas holding the acclaimed clarity of the most textbook it offers the major details in a structure extra applicable for useful scientific work.
- The contents were rigorously chosen by means of a group of junior medical professionals, emphasising in basic terms the themes that would be crucial for scientific studies.
- The ebook comprises extra chapters of content material to help scientific perform together with a practically-focussed bankruptcy on therapeutics and an invaluable consultant to analyzing significant scientific investigations.
- The textual content attracts at once at the intensity and breadth of expertise of the Davidson’s authors and its foreign Advisory Board.
- Updated to incorporate key adjustments and new illustrations incorporated in Davidson’s rules and perform of Medicine.
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Extra info for Davidson's Essentials of Medicine, 2e
Recent evidence suggests that, although it is associated with earlier resolution of shock, it has no effect on survival. Disseminated intravascular coagulation (DIC), also called consumptive coagulopathy, is common in critically ill patients and often heralds the onset of multiple organ failure. It is characterised by an increase in prothrombin time, partial thromboplastin time and fibrin degradation products, and a fall in platelets and fibrinogen. It causes either widespread bleeding from vascular access points, GI tract, bronchial tree and surgical wound sites, or widespread evidence of thrombosis.
1). Cardiac dysrhythmias, including ventricular fibrillation, may occur. Serum aspartate aminotransferase and CK may be elevated secondary to muscle damage; serum 15 A G E I N G A N D D I S E A S E • 2 Fig. 1 ECG showing J waves (arrows) in a hypothermic patient. amylase is often high due to subclinical pancreatitis. If the cause of hypothermia is not obvious, additional tests should identify thyroid and pituitary dysfunction, hypoglycaemia and the possibility of drug intoxication. Management Mild hypothermia (32–35°C): Patients should be maintained in a warm room, with additional thermal insulation (blankets and/or space film blanket) and heat packs placed in the abdomen and groin.
1. MANAGEMENT OF THE POISONED PATIENT Eye or skin contamination should be treated with appropriate washing or irrigation. g. g. pralidoxime) N-acetylcysteine, methionine significant overdoses need further measures to prevent absorption or increase elimination: Activated charcoal (50 g orally) can be given, if a potentially toxic amount of poison has been ingested < 1 hr before presentation. Agents that do not bind to activated charcoal include ethylene glycol, iron, lithium, mercury and methanol.