By Fred B. Thomas MD, FACP (auth.), Juan Bowen M.D., Ernest L. Mazzaferri M.D. (eds.)
Read with ambitions: first, to acquaint your self with the present wisdom of a subject matter and the stairs wherein it's been reached; and secondly, and extra very important, learn to appreciate and learn your circumstances. William Osler, the coed existence What follows is a suite of cases-or extra aptly, the tales of our sufferers and neighbors who've been visible on the Ohio nation college Hospitals the place our school have supplied their care and approximately whom this quantity is written. this day many worry that our sufferers are being moved from middle level whereas we're being distracted by way of the know-how of drugs. This quantity used to be written with sufferers in brain. the belief is that the main interesting questions and the main worthwhile solutions commence and finish on the bedside. it is a tale of our sufferers, advised through specialist clinicians and spiced with statement alongside the way in which. This quantity certainly not at tempts to be finished. as a substitute, it's just like the perform of drugs, scattered, a little bit disjointed, whereas whilst intensely own and centred upon no matter what challenge the sufferer brings to us. The discussions are usually not loads approximately disorder entities as they're approximately sufferers with problem". the 2 are uniquely dif ferent. for example, whilst the medical professional suspects hepatitis, now not each possible reason could be actively investigated. in its place, exams and strategies are discriminate ly selected, part of drugs that remains extra paintings than science.
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Extra info for Contemporary Internal Medicine: Clinical Case Studies
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Based on the previous history and the presence of hypocomplementemia, this new episode of bleeding was thought to be secondary to atheroembolization of the gastrointestinal tract. Discussion The patient presented with clear evidence of a multi-system disease affecting the central nervous system, kidneys and skin. In addition, the presence of hypocomplementemia, eosinophilia and thrombocytopenia led to the presumptive diagnosis of immune-mediated vasculitis. In fact, on admission to the hospital, this clinical evidence was considered strong enough to justify initiation of steroid therapy, without histologic confirmation of the diagnosis of vasculitis.
Contemporary Internal Medicine: Clinical Case Studies by Fred B. Thomas MD, FACP (auth.), Juan Bowen M.D., Ernest L. Mazzaferri M.D. (eds.)