MALIGNANCY AND PARANEOPLASTIC SYNDROMES
The three basic cell types of carcinoma of the lung – small cell (about 15%, of all lung cancers), adenocarcinoma (40%), and squamous cell (35%) – have distinct clinical features…
THE KIDNEY AND DISORDERS OF FLUID AND ACID–BASE BALANCE
The blood urea nitrogen (BUN) is a better indicator of uremic symptoms than the serum creatinine which is a better indicator of glomerular filtration rate (GFR). The BUN reflects protein…
HYPERTENSION
Hypertension is the most important risk factor for stroke and congestive heart failure (CHF), and an important contributor to the risk of myocardial infarction. The cardiovascular risk imposed by high…
COMPLICATIONS OF ALCOHOLISM
Chronic alcoholism is associated with a high incidence of peripheral sensorimotor neuropathy; sensory changes usually predominate. Axonal degeneration, induced by alcohol or the alcohol metabolite acetaldehyde, or by nutritional deficiency,…
THE CLINICAL EVALUATION
The HPI is the key to the diagnosis, starting with the chief complaint. The clinical evaluation (history plus physical examination) guides the selection of tests, which are obtained to confirm…
FEVER, TEMPERATURE REGULATION, AND THERMOGENESIS
Temperature in humans is controlled by the hypothalamus around a set point of about 37 °C (98.6 °F), by a complex series of mechanisms that permit the generation, conservation, and…
Disorders affecting megakaryocytes and platelets: Inherited conditions
CHAPTER 32 Disorders affecting megakaryocytes and platelets Inherited conditions JG. White Chapter contents INTRODUCTION 491 STRUCTURE 492 DISORDERS OF MEGAKARYOCYTES 493 Congenital megakaryocyte hypoplasia 493 Thrombocytopenia and absent radii (TAR)…
Pathology of the marrow: General considerations and infections/reactive conditions
CHAPTER 5 Pathology of the marrow General considerations and infections/reactive conditions BJ. Bain Chapter contents PRINCIPLES OF BONE MARROW EXAMINATION 79 ALTERATIONS OF THE MARROW IN DISEASE 80 Alterations in…