Internal Medicine

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 150 Aplastic Anemia Aplastic Anemia..................... ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Aplastic Anemia 151 ■transfuse only CMV negative, irradi ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 152 Aplastic Anemia 3) High-dose cyclophosphamide (50 mg ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Aplastic Anemia Appendicitis 153 ■complete responders to ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 154 Appendicitis Signs & Symptoms ■Pain most common ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Appendicitis 155 ■Crohn disease ■Pelvic inflammatory dis ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 156 Appendicitis Arterial Embolus ■Appropriate for selec ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Arterial Embolus 157 ➣Pallor ➣Paresthesia ➣Pulselessness ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 158 Arterial Embolus ■Erroneous attribution of weakness ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Arterial Embolus 159 ➣Bleeding at puncture site ➣Intracr ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 160 Arterial Embolus Ascariasis ■Renal failure ➣Prevent ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Ascariasis 161 tests ■Basic tests: blood: eosinophilia p ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 162 Ascariasis Ascites follow-up Routine ■Stool O&P ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Ascites 163 ➣SAAG≥1.1 gm/dL (high gradient)=portal hyper ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 164 Ascites management What to Do First ■Establish cause ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Ascites 165 ➣Contraindications: absolute: clinically evi ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 166 Ascites Aspergillosis ■25% 1-y survival once ascites ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Aspergillosis 167 ➣Extremely high mortality (up to 100%) ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 168 Aspergillosis ➣Basic studies: culture Important for ...

P1: SBT 0521779407-04 CUNY1086/Karliner 0 521 77940 7 June 13, 2007 7:8 Aspergillosis 169 ■If present, have a low threshold for ...