Titlebook: Contemporary Internal Medicine; Clinical Case Studie Juan Bowen,Ernest L. Mazzaferri Book 1988 Plenum Publishing Corporation 1988 Internal

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Community-Acquired Pneumonia,A 30-year-old previously healthy male presented to University Hospital in August with a four-day history of fevers and headaches. Two days prior to admission his local physician diagnosed an ear infection. Ampicillin and steroid ear drops were prescribed. The headaches and fever persisted. On the day of admission diarrhea was noted.

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Lens Subluxation and Tall Stature,A 16-year-old boy was referred when dislocated lenses were diagnosed by an ophthalmologist. He had been previously generally well, although a diaphragmatic hernia had been recognized at birth. Surgical correction was not done, and he remained free of respiratory and gastrointestinal symptoms throughout childhood.

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H. S. Champa,Gayathri Viswanathanrs of the two-carbon fragment (ethanol) or have suffered the chronic consequences of hepatotropic viruses. There are, nonetheless, a smaller group of patients with chronic liver disease due to more unusual, yet treatable, causes. It is these patients who present particularly perplexing diagnostic ch

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Lessons Learned and Future Directionsusual state of health until the previous month, when she complained of nausea, vomiting and generalized weakness. In addition, family members reported frequent episodes of confusion and a red rash in the lower extremities. She was evaluated by her family physician, who noted the rash and obtained bl

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Personal Epistemology in Applicationunt and hypertension of eight months’ duration. Both of these findings had been discovered at the time of a routine physical examination. Although the patient had considered himself in excellent health, he did recall that he had had mild right frontal headache for many years. He also had noted itchi

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East-West Crosscurrents in Higher Educationhe age of 55, she was found to have an ostium primum atrial septal defect, as well as a cleft mitral valve which was mildly regurgitant. Second-degree AV block was present. In late 1975 she underwent surgical repair of the atrial septal defect and had a permanent pacemaker installed. She felt reason

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Epistemological Developmental Theories back discomfort after working at home. The next morning, he awoke with generalized aching of his hands and wrists. Over the next several days, his discomfort progressed to involve the ankles and he began taking indomethacin. He continued to work but was quite uncomfortable, reporting morning stiffn

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On Validity: Are the Scores Relevant?she had three healthy daughters, the first of whom was born when the patient was 22 years old. Her family history was positive for breast cancer in a maternal aunt, but her mother and two sisters were living and well. On physical examination, her physician confirmed the presence of a discrete 2-cm m