Internal Medicine: Just the Facts by Paul Schmitz, Kevin Martin

By Paul Schmitz, Kevin Martin

The entire necessities of inner medication instantly! This concise, but all-inclusive evaluation is definitely the right software to organize for basic certification and recertification tests, or to be used as a scientific refresher. Its streamlined structure very easily condenses and simplifies an important content material, for max yield and comprehension -- making it quintessential for inner medication citizens, clerkship scholars, and busy practitioners. positive factors: Compact assessment of key board-type fabric that spans the total spectrum of inner medication insurance that displays the weighting of the ABIM examination and adheres to its blueprint--including interdisciplinary drugs, geriatrics, gender-specific future health care difficulties, interpretation of the clinical literature, and all significant inner drugs subspecialities Insights from a crew of major teachers and clinicians from the country's best clinical colleges Standardized, bulleted presentation that emphasizes key issues of epidemiology, pathophysiology, scientific gains, differential prognosis, analysis, techniques and remedy, analysis, plus references a number of medical algorithms bankruptcy association prepared by means of strong point (20081118)

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Rash resolved with the discontinued use of the necklace. Photo by Timothy Rice. Identifying and removing the offending agent is the cornerstone of management. Symptomatic relief can be achieved with wet bandage dressings applied for 30 to 60 minutes several times a day. Treatment with topical steroids for a maximum of 2 weeks is recommended. 05%, twice or three times daily with compresses, or clobetasol or halobetasol cream twice daily is effective. Oral steroids tapered over 2 weeks can be used for widespread, extensive disease or if there is facial involvement.

Reproduced with permission from Wolff K, Johnson RA, Suurmond D. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology. 5th ed. New York: McGraw-Hill; 2001. 005%, a vitamin D analog or tazarotene gel, a topical retinoid Ⅲ Occlusive dressings alone may eradicate isolated plaques Treatment of extensive disease involves the use of narrow-band ultraviolet B light exposure, oral Methotrexate, psoralen plus ultraviolet A, or oral retinoids (acitretin, and isotretinoin). Scalp involvement may respond to tar shampoo or ketoconazole shampoo in addition to topical steroid solutions.

Ulcer: Extension into the dermis which promotes scarring (eg, chancre of primary syphilis, tertiary syphilis, stasis ulcers). Excoriation: Scratching that produces linear, angular erosions (eg, scratched insect bites—scabies). Atrophy: Loss of dermal or subcutaneous tissue produces a skin depression with an intact epidermis. Loss of epidermal tissue produces a shiny, delicate, wrinkled area of the skin. Scar: Fibrous change in the skin caused by trauma or inflammation. Scaring in hair-bearing areas produce hair loss.

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