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This useful new book enables students to apply the theoretical knowledge gained in their medicine classes to clinical cases. Students will improve their diagnostic skills as they are taken simply and logically through the steps of generating a differential diagnosis, weighing up evidence to refine a hypothesis, and constructing a management plan. Author Samy Azer guides readers to use self-directed learning to identify their learning needs and ultimately develop a deeper understanding of internal medicine. Designed to complement and enhance recommended undergraduate medicine textbooks, this book is easy to follow and written simply, making it suitable for students who speak English as a second language. - More than 50 clinical cases, covering the core undergraduate medicine curriculum - Case discussions using a logical and scientific approach to help students achieve their own diagnoses - Model answers for comparison, to improve learning outcomes - Summary of fundamental points for examination revision - Useful up-to-date resources - Short-answer and multiple-choice questions to test knowledge - Diagrams and tables to deepen understanding and consolidate essential concepts - Includes an Enhanced eBook version with purchase. The enhanced eBook allows the end user to access all of the text, figures, and references from the book on a variety of devices

Asthma, Pneumonien, und chronischer Husten zählen zu den häufi gsten Krankheiten in der kinderärztlichen Praxis. Dieses Buch ist eine praxisorientierte und zugleich kompakte Einführung in die Kinderpneumologie. Erfahrene Kinderpneumologen vermitteln hier, was ihnen wichtig ist für eine gute Patientenbetreuung. Literaturhinweise dienen der weiteren Vertiefung auch zu Erkenntnissen, die noch keinen Einzug in die Routineversorgung gefunden haben.

This text addresses the need for a practical handbook on asthma and allergy in adolescents and young adults, which constitutes an interesting and challenging age group. Asthma may diminish in intensity with age but is still an ongoing concern. In addition, compliance with management is not generally successful, with the risk that, the failure to treat it adequately could lead to long-term sequelae (namely, COPD). Finally, obesity and sedentarism in young adults and adolescents can worsen asthma on the one hand, while some can be athletes on the other hand. This ready reckoner aims to help in understanding clinical allergy, which is imperative for every physician who is caring for patients with asthma given its high prevalence and heterogeneous treatment options.KEY FEATURES Covers allergic diseases in general and asthma in detail, and provides comprehensive coverage of clinical features, diagnosis and management, using a case-based approach Creates awareness of the fundamentals of clinical allergy, helping physicians make wise choices in medical and surgical management, especially in resource-limited settings Features insight from international authors with clinical experience in the diagnosis and treatment of asthma in the specific age group of adolescents and young adults

Welche Einflussfaktoren spielen eine Rolle bei der Entwicklung von Allegien? Wie entsteht Toleranz? Kann die richtige Ernährung Allergien verhindern? Allergien haben auch in den letzten Jahren weiter zugenommen. Um dem ansteigenden Trend begegnen zu können, kommt der Primärprävention besondere Bedeutung zu. Seit 2004 existiert in Deutschland eine S3 Leitlinie zu diesem Thema. In deren Umfeld stellen namhafte Experten die wichtigen und aktuellen Themenbereiche zur Prävention dar. Dabei gilt dem klinischen Blickwinkel und der praktischen Umsetzbarkeit ein besonderes Augenmerk.

This issue of the ERS Monograph comprehensively demonstrates the developments in respiratory medicine in recent years. It outlines the importance of epidemiology in respiratory medicine, and will prove a methodological tool that will help disease management. It should also be used as an advocacy tool for the sake of public health.

Asthma sufferers number approximately 200 million worldwide, with 15-20 million of those in the United States. Multiple comorbid conditions occur with asthma, including rhinitis, rhinosinusitis, gastroesophageal reflux disease, sleep apnea, vocal cord dysfunction syndrome, obesity, and chronic obstructive pulmonary disease (COPD). Without identifying and caring for comorbid conditions, asthma cannot be treated appropriately. Comorbidity of allergic diseases emphasizes that we must understand more about why different organs in individuals express allergy and others do not. The increase in multiple allergies occurring in a single patient makes the global burden even more complex, and an integrated approach to diagnosis and new treatment strategies and preventative approaches are required. Asthma: Comorbidities, Coexisting Conditions, and Differential Diagnosis is the first volume to provide a centralized, a comprehensive clinical reference on the diagnosis and management of the comorbid conditions that affect asthma. Because comorbid conditions of asthma have not yet been included in international and national management guidelines, this volume will help fill a gap in current clinical knowledge, aiding physicians in delivering optimal patient care. Written and published in conjunction with the World Allergy Organization (WAO), this book consists of the latest research and reviews of current theory and practice, the most effective advances in the diagnosis and management of asthma and its co-morbidities, and insights into the fundamentals of asthma and its co-morbidities. It presents scientifically-based medicine for each comorbid condition as it relates to asthma.

Asthma as seen by Otolaryngologists as part of the patient workup, diagnosis, and treatment of the spectrum of disorders of asthma is presented. Otolaryngologists are frequently the de facto allergy specialist for patients presenting with asthma. ENT physicians will find current information for Data gathering and Interpretation (screening and testing), Diagnosis, combined surgical and non-surgical Treatment, and Basic Science related to Asthma in this publication.

Diseases of the Sinuses: A Comprehensive Textbook of Diagnosis and Treatment, 2nd Edition, offers the definitive source of information about the basic science of the sinuses and the clinical approach to sinusitis. Since the widely praised publication of the first edition, understanding of sinus disease has changed dramatically, mainly as a result of recent developments and new discoveries in the field of immunology. This updated and expanded edition is divided into sections addressing, separately, the pathogenesis, clinical presentation, medical and surgical management of acute and chronic rhinosinusitis. Special entities such as autoimmune-related sinusitis, allergy and sinusitis, and aspirin-exacerbated respiratory disease are discussed in separate chapters. The role of immunodeficiency is also addressed. The management section has been fully updated to incorporate new medical modalities and surgical procedures. Developed by a distinguished group of international experts who share their expertise and insights from years of collective experience in treating sinus diseases, the book will appeal to anyone who has an interest in sinus disease, including both physicians and allied health professionals. Internists, pediatricians, allergists, otolaryngologists and infectious disease specialists will find the book to be an invaluable, comprehensive reference. Physician assistants and nurse practitioners who work with specialists who treat sinus disease will also benefit from the book.

Avec ses 170 fiches, cet ouvrage résolument pratique, didactique et synthétique décrit toutes les incidences radiologiques utiles à l'exploration du squelette. Les fiches sont organisées en 6 grandes parties : membre supérieur, membre inférieur, tête, rachis, thorax et abdomen et enfin les incidences spécifiques de la pédiatrie. Chaque fiche correspond à une incidence et décrit précisément le positionnement du patient, le centrage ainsi qu'une analyse détaillée des critères de réussite. Pour chaque incidence, les principales indications cliniques sont mentionnées. Les positionnements et les centrages sont illustrés par des photographies en couleurs et les résultats radiologiques par une abondante iconographie de très haute qualité. Vous accéderez facilement au contenu de cet ouvrage grâce à la table des matières détaillée qui liste les 170 incidences radiologiques, ainsi qu'au repérage facile sur chaque page. Cet ouvrage s'adresse : aux élèves manipulateurs, aux manipulateurs en exercice ainsi qu'aux radiologues en formation ou en activité.

Research on the hormonal control oflactation - the subject of this monograph - has long been the major interest of this laboratory. Studies were initiated in the mid 1930s by the late Professor S. 1. Folley, FRS, who directed the work with immense enthusiasm and devotion until his untimely death in 1970. This fruitful area of basic and applied research has, in recent years, attracted widespread attention; there have been many exciting events and developments with a dramatic increase in the number of publications. These events are diverse and include the identification, isolation and sequencing of human prolactin; the identification and isolation of placentallactogens in several ruminant species with recognition of their importance in mammary growth and differentiation; the introduction of highly sensitive bioassay, radioimmuno- and radioreceptor-assay techniques for mammotrophic hormones; the growing clinical appreciation of the immunological and nutritional importance of colostrum and milk to the newborn; the intensification of studies on normal mammogenesis to establish a sound basis for studies on mammary cancer; and the exploitation of the mammary gland, with its characteristic differentiation patterns and multiple synthetic abilities, as a valuable tissue for the investigation of basic mechanisms involved in the synthesis under hormonal control of enzymes and secretory proteins; and for the study of hormone - receptor interactions.

For the first time, a true multidisciplinary approach to cutaneous malignancy of the head and neck is presented, as international experts in head and neck surgical oncology, dermatology, Mohs micrographic surgery, plastic and reconstructive surgery, radiation oncology, and medical oncology present state-of-the-art techniques and promising horizons in the treatment of cutaneous malignancy of the head and neck. Whether in primary care or a specialty practice, this text should prove invaluable to any practitioner who treats patients with skin cancer of the head and neck. This is the only textbook on this subject that comprehensively addresses patient management - from diagnosis, treatment (in all forms, including chemotherapy and radiation), and reconstruction.

When I entered the field of allergy in the early 1970s, the standard textbook was a few hundred pages, and the specialty was so compact that texts were often authored entirely by a single individual and were never larger than one volume. Compare this with Allergy Frontiers: Epigenetics, Allergens, and Risk Factors, the present s- volume text with well over 150 contributors from throughout the world. This book captures the explosive growth of our specialty since the single-author textbooks referred to above. The unprecedented format of this work lies in its meticulous attention to detail yet comprehensive scope. For example, great detail is seen in manuscripts dealing with topics such as “Exosomes, naturally occurring minimal antigen presenting units” and “Neuropeptide S receptor 1 (NPSR1), an asthma susceptibility gene.” The scope is exemplified by the unique approach to disease entities normally dealt with in a single chapter in most texts. For example, anaphylaxis, a topic usually confined to one chapter in most textbooks, is given five chapters in Allergy Frontiers. This approach allows the text to employ multiple contributors for a single topic, giving the reader the advantage of being introduced to more than one vi- point regarding a single disease.

Pediatric Allergy, Asthma and Immunology reflects the rapid progress in one of the most intriguing fields of medicine. The book offers state-of-the-art information on basic immunology, fetal-neonatal immunology, genetic and environmental predisposing factors, epidemiology and natural history of atopic diseases, and allergy diagnosis. Extensive coverage is devoted to skin conditions and food allergy, asthma, rhinitis, specific immunotherapy, eye disorders, sinusitis and secretory otitis media, drug allergies, and anaphylaxis. Fascinating chapters explore such topics as autoimmune diseases, primary immunodeficiencies, pediatric HIV infection, malnutrition and the immune system. Finally, a chapter on prevention of the atopic march indicates how effective early intervention may greatly decrease the upsurge in atopy. Easy to understand and easy to use, Pediatric Allergy, Asthma and Immunology is essential reading for medical students, practicing physicians, allergists, immunologists, and researchers.

Rhinosinusitis is one of the most common health care complaints, with many millions of cases managed annually by a variety of practitioners, from family care physicians and pediatricians to allergists, pulmonologists, and otolaryngologists. Rhinosinusitis: A Guide for Diagnosis and Management provides a comprehensive, practical guide to treating this widespread condition. Medical, surgical, and pharmacological management of both acute and chronic forms are discussed by experts with a wealth of clinical experience. Pediatric considerations and the role of allergies, asthma, and systemic diseases such as cystic fibrosis are discussed. A special chapter is devoted to alternative medicine in recognition of its increasing role in health care management. Diagnostic imaging techniques such as MRI and CT are discussed in detail. Finally, adjunctive surgical therapies are reviewed. Written for both primary care physicians and specialists, this guide will serve as an invaluable quick reference.

- Esta obra tiene las respuestas más precisas a todas las preguntas sobre alergia e inmunología, ya sea para estudiantes de Medicina que preparan exámenes, médicos en formación o clínicos con más experiencia que buscan una revisión de los temas esenciales relacionados con este campo. Las listas, los algoritmos y las ilustraciones ayudarán, además, a repasar los temas de un campo cuyo conocimiento es cada vez más fundamental debido a que la incidencia de la enfermedad alérgica es prácticamente epidémica, situándose las alergias entre los problemas crónicos más comunes de la infancia y entre las dolencias más frecuentes de los adultos. - El lector encontrará en esta obra todas las características de la serie, reconocida internacionalmente,'Secretos': formato pregunta-respuesta, lenguaje asequible, listas, reglas mnemotécnicas, perlas, consejos de autor, además de un nuevo diseño bicolor de las páginas, cuadros con puntos clave y páginas web útiles. El tamaño es ahora también más pequeño, más manejable. Asimismo, encontrará un capítulo con los'100 secretos principales'de la especialidad. - Hay que destacar en esta segunda edición completamente actualizada un capítulo sobre tratamientos médicos alternativos para la alergia y un índice alfabético completo y detallado que facilita al máximo la búsqueda de información. - Tiene las respuestas más precisas a todas las preguntas sobre alergia e inmunología, ya sea para estudiantes de Medicina que preparan exámenes, médicos en formación o clínicos con más experiencia que buscan una revisión de los temas esenciales relacionados con este campo. - El lector encontrará en esta obra todas las características de la serie, reconocida internacionalmente,'Secretos': formato pregunta-respuesta, lenguaje asequible, listas, reglas mnemotécnicas, perlas, consejos de autor, además de un nuevo diseño bicolor de las páginas, cuadros con puntos clave y páginas web útiles.

Allergy is one of the major health problems of most modern societies. Although allergic diseases are well-known for almost two hundred years, their prevalence has increased dramatically over the last decades. Allergic reactions manifest in various organs, most commonly in the skin and mucous membranes, the frontier surfaces where the contact between the individual and the environment takes place. In a very concise and practical way this book covers all aspects of allergic reactions from pathophysiology to diagnosis, therapy and prevention with a strong focus on relevant aspects for the everyday work of the practising dermatologist and allergist in the hospital or office. This book reflects the rich personal experience of a German allergist with international training and reputation, who is active in immunology and allergy research and practice for almost 30 years. In this book, not only IgE-mediated allergic reactions are covered but all other kinds of allergies such as atopic eczema, contact dermatitis, drug eruptions, anaphylaxis and food allergies are equally represented as well as psychosomatic aspects and problems of environmental intolerances.

Title from e-book title screen (viewed on August 30, 2004)

'They asked if the sneezles came after the wheezles, or if the first sneezle came first.'It has been nearly 25 years since the first edition of this textbook was published. During that time, we have witnessed an enormous improvement in the understanding of the basic pathophysiology of asthma and, more importantly, better treatment options. However, and with regret, the incidence and prevalence of asthma during this 25 year period increased significantly. Recent studies from the NIH highlight this point and illustrate that despite improved care and diagnosis, mortality continues to rise. In fact, asthma remains the most common chronic childhood illness and is among the most common chronic adult diseases. Despite improved medications, increased awareness, and a better understanding of the pathophysiology of this disease, mortality and morbidity continue to rise. Both international and national consensus positions have been published that offer guidance on treatment approaches. The importance of the primary care physician and provider cannot be overestimated in the appropriate diagnosis and management of this disease. The management options in asthma are changing rapidly with the advent of new drugs and approaches. The recent introduction of the leukotriene inhibitors has added an entirely new class of anti-inflammatory agents in the treatment of asthma. The potential of even newer approaches, including cellular modulation of the asthma patient with specific anti-IgE antibodies, opens up exciting possible treatments.