Fachbuch aus dem Jahr 2007 im Fachbereich Medizin - Diagnostik, 33 Quellen im Literaturverzeichnis, Sprache: Deutsch, Abstract: Die Arbeit versucht unter Einbeziehung der physiologischen und hamodynamischen Grundlagen des peripheren Gefasssystems und dessen Morphologie der unteren Extremitaten die Problematik des Messverfahrens so darzustellen, dass es augenscheinlich wird, erganzende Massnahmen fur eine erweiterte Diagnostik heranzuziehen. Bei venoser Insuffizienz ist es immer indiziert bzw. erforderlich, auch den arteriellen Zufluss zu berucksichtigen, d.h. die Makro- und Mikrozirkulation. Dementsprechend ist diese Messgrosse mit einzubeziehen, so dass eine Formanalyse der Pulsdruckwelle und der Amplitude des relativen Blutvolumens uber unterschiedliche Wellenlangen vorgenommen werden kann, woraus sich der periphere Status der terminalen Strombahn determinieren lasst. Daruber hinaus wird durch diesen Parameter die Bestimmung der Grundremission/Absorption in der venosen Plexus vor Beginn des Untersuchungsprogramms ersichtlich und wahrend des kompletten Ablaufs graphisch und numerisch angezeigt. Erganzend zu den hamodynamischen Vorgangen werden Messgrossen und deren Erstellung behandelt, die in Verbindung mit den IrRR-Signalen weitere Hilfestellung fur den Untersucher liefern und dadurch eine detaillierte Diagnostik ermoglicht. Die Registrierung des absoluten Venendrucks uber eine transmurale Detektion, der ABI-Index und die akustisch evozierte Prufung der Mikrozirkulation werden behandelt. Die Photoradiometrie und deren Verhalten im Gewebe werden wellenlangenspezifisch erklart und diskutiert. LRR-Messwerte und ihre graphischen Verlaufsformen wahrend der einzelnen Phasen des Messprogramms werden diskutiert und unter Einbeziehung ihrer Flachenintegrale interpretiert. Werden alle dargestellten Parameter zur funktionellen Diagnostik venoser Abflussstorungen herangezogen - was dann als IrRR-Methode zu betrachten ist -, erhoht sich der diagnostische Stellenwert des Ve

Wissenschaftlicher Aufsatz aus dem Jahr 2008 im Fachbereich Medizin, einseitig bedruckt, Note: -, -, 29 Quellen im Literaturverzeichnis, Sprache: Deutsch, Abstract: Der Erregernachweis gehort bei der Lyme-Borreliose bis heute nicht zum Standard bei der Diagnostik.Ohne den Erregernachweis ist die Lyme-Borreliose eine Ausschlussdiagnose, eine Wahrscheinlichkeitsdiagnose und eine Sammeldiagnose. Eine Vielzahl von Krankheiten und psychosozialen Ausnahmesituationen kann sich hinter der Diagnose Lyme-Borreliose verbergen. Der Erregernachweis bleibt die Grundlage fur die Begutachtung und fur jede wissenschaftliche Aussage uber den Verlauf und die Therapie der Lyme-Borreliose.

Bile acids are increasingly being seen as extremely important carcinogenic agents in cancers of the bile duct, liver, colon, rectum, and oesophagus. They are essential agents involved in lipid digestion and absorption in mammals, however, they also play wide-ranging roles in a variety of disease states ranging from diabetes to cancer. They have evolved exquisite mechanisms for controlling their own synthesis and to ensure that they are produced at correct concentrations and also kept in the correct anatomical environment. It is only when these fine levels of controls are breached that Bile acids become associated with disease. This breaching of control mechanisms can occur through dietary means (e.g. in obesity) whereby excessive levels of Bile acids are produced and converted (via the bacterial flora) to damaging secondary Bile acids. Furthermore, lack of re-absorption of Bile acids can lead to liver pathologies. The atypical movement of Bile acids into the oesophagus, stimulated by episodes of reflux, is linked to oesophageal cancer. In recent years there have been tremendous advances in the understanding of the mechanisms behind the toxicity and bioactivity of different Bile acids and these are covered at length in this book. Prior to the publication of this book there was no single source of information on the toxicology and bioactivity properties of Bile acids. The book also uniquely collects all the relevant information together regarding the role of Bile acids in human disease and the mechanisms underlying Bile acid induced pathology. Additionally, as Bile acids are synthesised from cholesterol, there is wide recognition of the role for Bile acids in obesity linked diseases and this is also covered in this new publication. The book is edited by two experts in the field who have been involved in Bile acid research for several years and who are closely involved with major research groups in the UK, Europe and the US actively engaged in Bile acid research. The Editors have brought together world experts in their own fields to discuss the contribution of Bile acids to various disease pathologies, as well as discussing the mechanisms behind their activity. The book details the plethora of biological activities of this fascinating group of naturally occurring chemicals and provides a one-stop reference for scientists wishing to gain a fuller understanding of Bile acid activity and function.

A highly illustrated book providing concise yet comprehensive information on fracture classification and management. The text has been developed according to the requirements of orthopaedic surgeons in training. The first section covers general principles such as terminology and dealing with multiple trauma; following sections take the reader systematically through regions of the body and the various possible fractures, covering diagnosis, treatment and healing in each case. Definitive information on the ever-disputed issue of classification of musculoskeletal injuries is provided throughout. An effective reference book for the clinic, this book is also an indispensable tool for trainees in orthopaedic and emergency medicine and orthopaedic nurses.

Diagnosis and Treatment of Traumatic Injuries to the Pediatric Craniofacial Skeleton documents the current research in the area and promotes a team-based treatment approach. Written from a multi-disciplinary perspective, this text exposes the reader to a discussion of issues pertinent to pediatric facial trauma from the viewpoint of an oral surgeon, neurosurgeon, dentist, ophthalmologist, otolaryngologist, radiologist, plastic surgeon, and craniomaxillofacial surgeon. Close cooperation among all those working in the various related disciplines and specialties for the craniomaxillofacial area is essential to ensure optimal results for patients. Given that there are many ways to achieve the desired results in medicine and surgery, continuous exposure to new and innovative concepts is essential in order to provide the best care to the pediatric patient.

In today's medical education curriculum, it is necessary for students to learn the proper techniques for taking medical histories, performing physical exams, and the appropriate way to educate and inform patients. The best way for a student to learn these skills is through hands-on training with a Standardized Patient (SP) - an actor who has been hired to portray a specific set of health problems and symptoms. This type of training allows students to grasp concepts more quickly and enables faculty physicians to directly observe student's progress and asses their need for further instruction. Working with SP's has become so important in medical education that it is now a component of the USMLE clinical skills assessment exam. As with any tool that is used for teaching, assessment, and certification, it is easier to provide the best service when there are general guidelines for preparers to follow. The coaches who prepare SP's are no exception and there needs to be a guide for those who train SP's for their roles in new doctor education. This handbook is intended as that guide and as a support for those who are involved in training Standardized Patients, from the art of coaching through preparing SP's for the physical exam, to encourage each coach to develop a system that will deliver the best results and, in the end, help train the most competent doctors.

An expert summary of our current understanding of bipolar disorder, this reference examines existing theories, treatment regimens, and clinically relevant applications by world authorities in psychiatric research. Divided into four main sections, this guide delves into the diagnosis and epidemiology of bipolar disorder and progresses to discussions of patient care, emerging management approaches, and the underlying biology of the disease.

The public has a right to know that when they go to a therapist, they are almost certain to be given a psychiatric diagnosis, no matter how mild or normal their problems might be. It is unlikely that they will be told that a diagnosis will be written forever in their chart and that alarming consequences can result solely from having any psychiatric diagnosis. It would be disturbing enough if diagnosis was a thoroughly scientific process, but it is not, and its unscientific nature creates a vacuum into which biases of all kinds can rush. Bias in Psychiatric Diagnosis is the first book ever published about how gender, race, social class, age, physical disability, and sexual orientation affect the classification of human beings into categories of psychiatric diagnosis. It is surprising that this kind of book is not yet on the market, because it is such a hot topic, and the negative consequences of psychiatric diagnosis range from loss of custody of a child to denial of health insurance and employment to removal of one's right to make decisions about one's legal affairs. It is an unusually compelling book because of its real-life relevance for millions of people. Virtually everyone these days has been a therapy patient or has a loved one who has been. In addition, psychiatric diagnosis and biases in diagnosis are increasingly crucial portions of, or the main subject of, legal proceedings. This book should sit next to every doctor's PDR, especially given the skyrocketing use of psychoactive drugs in toddlers, children, and adolescents, as well as in adults, and especially because receiving a psychiatric label vastly increases the chances of being prescribed one or more of these drugs. A Jason Aronson Book

This text clearly presents a multitude of variables that potentially affect the results of neuropsychological tests. THe chapter authors, all noted experts in their respective fields, begin with a general discussion of neuropsychological constructs known to impact performance on neuropsychological tests, including demographics, personality, and sociocultural factors. They then present an empirical approach to assessment. They focus on the disorders under discussion (not solely the tests that might be used in diagnosis) and reflect the contributions the field has made to detecting differences in disorders that have neurological underpinnings.

The disorders reviewed include dementia, HIV-related syndromes, adult seizure disorders, toxic exposure, mild to severe brain injury, and chronic fatigue syndrome.

This extensive handbook is indispensable.It enables clinicians and physicians to establish a precise diagnosis and to take the right decisions for patient treatment. Up-to-date and comprehensive information for the differential diagnosis is presented in a well-structured manner that enables the reader to quickly locate the information he is looking for. The book is divided into three sections: -A comprehensive index of over 900 biochemical laboratory parameters in all the important biological samples. Sample types are listed alphabetically and for each sample, all parameters are listed alphabetically with the medical conditions that cause an increased or decreased value. -A-Z listing of over 1950 medical conditions plus their affected lab values. -A-Z listing of over 1200 drugs and their interference with the lab values. Appendices: -International reference values of clinical-biochemical and laboratory parameters. +An extensive list of frequently used synonyms and abbreviations.

"I do think the idea proffered by these authors is a wonderful one: a text that will facilitate graduate students? application of widely-used personality, intelligence, and career tests?Their systematic, step-by-step approach will be welcomed, I?m sure."

-- Gordon MacNeil, University of Alabama

This is the first book in a series that serves the dual purpose of preparing
students of CLS programs for certification exams and giving cross training
skills to established clinical lab scientists who now find themselves called
on to work in other areas of the lab. This book uses a building block
approach to convey the material in a logical fashion. Starting with an
overview of medicine and the medical laboratorys relationship, the text
proceeds to the diagnostic value of those analytes normally associated with
clinical chemistry, on to technologies of analysis, quality assurance, and
statistical analysis of laboratory data. A&L Outline Review of Clinical Chemistry
makes it easy to optimize your study sessions and
use your time efficiently, and helps you quickly locate key concepts. This
PREP guide provides pretests to help you identify areas for extra attention,
and gives you what you need to know in an easy-to-remember format, packed
with study-enhancing devices such as illustrations and learning objectives.

The first book to combine illustrated examination techniques with diagnostic imaging. The first book ever published to combine the full range of clinical examination techniques with standard radiological imaging studies of the musculoskeletal system, this is a key clinical tool for all orthopedic residents and specialists. You will find dozens of representative imaging studies (including arthrograms, ultrasonography and MRI) integrated with physical examination tests - offering a truly unique approach to reaching an accurate diagnosis. Special features include: Tips for performing a standard physical examination in different areas of the body Directions for patient positioning during radiographic studies to obtain optimal results How to select the best test to confirm a diagnosis in the extremities, spine or pelvis Specific technical guidelines for performing key diagnostic imaging tests In light of the many new clinical tests and imaging modalities now in use, it is almost impossible for any individual examiner to be familiar with the complete spectrum of diagnostic options available. This book provides the quick orientation clinicians need as they work through the standard examination for each joint, pointing out appropriate imaging studies throughout. Useful and practical, it is a book specialists will reach for frequently in their daily practice.

In the light of increased awareness of the legal as well as clinical implications of misdiagnosis of pathological specimens, this book provides the trainee and practising histo- and cytopathologist with a comprehensive review of the potential pitfalls encountered in a number of key diagnostic areas (cervical screening, breast cancer screening, pigmented lesions of the skin, lymphoproliferative disease, disease of the gastrointestinal tract and disease of the genito-urinary system). Each chapter has been written by a recognised expert in the organ or organ system concerned and, with the aid of full colour histo- and cytopathological specimens throughout, outlines the most important diagnostic and differential diagnostic features and indicates not only where confident diagnosis can sometimes prove problematic, but also how best to avoid these potential pitfalls in the first instance.

"Preventing Misdiagnosis of Women is a crucial resource for all therapists who treat women. Not only will the information further the well-being of women clients, but it could literally save lives. Interesting, readable, and well-organized, this book belongs on the shelf next to the DSM-IV. The case examples will grip the reader whether professional or lay audience." --Natalie Porter, Ph.D., California School of Professional Psychology "I am greatly impressed with the book. It is a brand new idea, one that is long overdue." --Hannah Lerman, Ph.D., Clinical Psychologist, Los Angeles Some clients don't respond to a therapist's chosen treatment for a specific mental disorder. Could there be a physical disorder that is causing psychiatric symptoms? How can a therapist distinguish between similar psychiatric and physical disorders to arrive at the correct diagnosis, refer on, and/or suggest appropriate treatment? Preventing Misdiagnosis of Women gives the therapist the foundation for identifying those physiological disorders that may be at the root of the mental problems presented by women clients. Hyperthyroidism, for example, can result in depression and anxiety, and temporal lobe epilepsy can manifest itself with the same symptoms as bipolar disorder. This special guidebook sorts out potential mix-ups by providing detailed cases and illustrations, a quick reference table for checking symptoms, and a glossary. Making technical information clear and concise, the authors cover endocrinological--including thyroid, adrenal, pituitary, and parathyroid systems--and brain seizure problems as well as other diseases--such as multiple sclerosis, mitral heart valve prolapse, and lupus erythematosus. They offer a basic overview of the systems and organs involved and focus on how particular malfunctions can result in serious behavioral problems. A guide to providing the best and most effective care to women clients, Preventing Misdiagnosis of Women presents important information about assessment and interfacing with medical professionals. All mental health and helping professionals will find this book invaluable, as will students in clinical/counseling psychology, health psychology, social work, and gender studies. "This book is informative and interesting to read. This is a text that can be read more than once and be that much more helpful in subsequent readings. . . . Preventing Misdiagnosis of Women will certainly have an impact on feminist assessment, theory, and therapy. In a broader context, it provides a foundation to spawn research hypotheses on women's health and to reconnect the mind and body. Written accessibly even for reader without a background in physiological psychology, it fills a gap in the clinical and counseling literature. This text has far-reaching implications about the origin of psychiatric symptoms and possibly for explaining some differential rates in sex ratios for prevalence of certain psychologically based clinical syndromes. I found the text a humbling reminder of how easy it can be to miss the obvious and how easy it can be to attribute psychological explanations to symptom clusters one doesn't understand. This book could easily become a 'required' text for graduate students in mental health professions and mental health professionals. . . . This text will undoubtedly have an impact." --Maria P. P. Root, Ph.D., University of Washington "Preventing Misdiagnosis of Women is very good and will make an important contribution to the field. . . . The book's message--that it is critical that differential diagnosis include consideration of both psychiatric disorders--is convincing and important to emphasize to students in graduate programs." --Helene Jackson, Ph.D., The Columbia University School of Social Work

Everything you'll need for your clinical rotations in one handy and affordable set!Hit the ground running as you undertake your required clinical rotations with the quick-access, 7-volume pocket-sized set, The Physician Assistant Student's Guide to the Clinical Year. Written by PA educators experienced in these specialty areas, this first-of-its-kind series covers all 7 clinical rotations including Family Medicine, Internal Medicine, Emergency Medicine, Pediatrics, Surgery, Obstetrics and Gynecology, and Behavioral Medicine. Brimming with pithy information on the precise knowledge and duties required of a physician assistant, you will learn about practice settings, equipment, exam techniques, frequently encountered disease entities, commonly ordered studies and medications, procedures, and more! Small enough to fit in your lab coat pocket for on-the-spot reference, each consistently organized guide delivers brief bulleted content with handy tables and figures to promote quick learning and retention. You'll also find useful examples of pertinent documentation for each specialty along with clinical pearls that deliver savvy pointers from the experts. Key Features: Delivers a pocket-size overview of the precise knowledge and duties required for each clinical rotation Offers consistently organized, quick-access, bulleted content for all seven rotations Describes common clinical presentations, disease entities, and procedures Presents key diagnostic studies and their indications Reflects the 2019 NCCPA PANCE blueprint Includes bonus digital chapters with guided case studies to help reinforce clinical reasoning and rotation exam-style questions with remediating rationales Set includes: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; Pediatrics; Surgery; OB/GYN; Behavioral Medicine.

This book guides practitioners in the assessment of patients with a liver problem. The emphasis is on the role of macro- and microscopic pathology in elucidating pathogenesis as well as identifying confounding features of image findings that may lead to a more elaborate differential diagnosis. If appropriate, the role of light and electron microscopic examination, along with the role of specific stains and molecular techniques, is illustrated. In addition, the concept of each liver disease is summarized briefly and its up-to-data is provided, and unresolved problems in diagnosis, treatment, and pathogenesis are clearly described.The approach in this book is a practical one with a focus on the evaluation of illustrative cases, simultaneously demonstrating cross-sectional images (ultrasonography, computed tomography, magnetic resonance imaging, and angiography), pathological findings, and peritoneoscopic images. The diagnosis and therapy are summed up in helpful tables, and association of clinical manifestations with image analysis and pathological findings is shown to be important in differential diagnosis and treatment. With the authors comprising internationally renowned experts, this book will serve as a useful source of information for medical students, physicians, internists, hepatologists, gastroenterologists, radiologists, and pathologists worldwide.

Three practicing doctors present the stories of nine individuals diagnosed with brain tumors. Humanizing Brain Tumors details the lived experiences of patients and their loved ones, from the presentation of symptoms to diagnosis and treatment. These nine test cases and the accompanying compendium offer insight and guidance to anyone living with, caring for, or treating those with brain tumors. Written with a humanistic, yet realistic touch, the authors have created a resource that reminds readers of the important partnership between doctors, patients, and caregivers. This collection delves into our modern understanding of brain tumors, using clinical presentation to illustrate the patient experience and summarize methods of treatment. Imagery, including both MRI scans and medical illustrations, facilitates a vivid description of neuroanatomy. Providing a concise description of modern forms of treatment for patients affected with brain tumors, this book presents a patient-centric perspective. Humanizing Brain Tumors will appeal to the hundreds of thousands of patients and their loved ones who are affected by brain tumors every year.

According to a wry saying among radiologists, finding a tumour in a mammogram is like finding a snowball in a blizzard. Up to thirty percent of breast-cancer diagnoses are given to those who have no cancer at all. Medicine is subject to far more uncertainty than we commonly acknowledge. While it is portrayed a science, it can sometimes be scarily close to educated guesswork. Covering everything from the efficacy of Prozac to the regular barrage of health advice by the media, Snowball in a Blizzard is a profound meditation on why it's essential that doctors and their patients know what we don't know. The world is more complicated than we like to believe. Informed by years of frontline medical experience and filled with personal reflections, this important book is filled with counter-intuitive revelations about flawed reasoning, helpful guidance and hard-earned insight. It will change the way you view the health of yourself, your loved ones or your patients.

Uroscopy - the diagnosis of disease by visual examination of the urine - played a very prominent role in early modern medical practice and in the lives of ordinary people. Widely considered as the most reliable way to diagnose diseases and pregnancies it was taught at the best universities. Leading physicians prided themselves on their mastery in this field. Countless medical writings were dedicated to uroscopy and artists represented it in hundreds of illustrations and paintings. Based on a wide range of textual and visual sources, such as autobiographies, court records, medical treatises and genre painting, this book offers the first comprehensive study of the place of uroscopy in early modern medicine, culture and society and of the - gradually changing - ways in which medical practitioners, lay persons and, last but not least, artists perceived and used it.

Examination is an area of medical practice which requires much factual, diagnostic and procedural knowledge to be committed to memory: this in itself can be a challenging feat. Medical Examination Made Memorable puts research on learning and memorising techniques into action, presenting medical examination in a unique, enjoyable and easy-to-learn format. Health conditions are linked to well-known people, and specially drawn images - often deliberately bizarre or exaggerated to make them more memorable - are included throughout. Information is broken down into easily recallable chunks, and mnemonics (which may not suit all learning styles) are only included where especially clear or useful. Discussing information with others stimulates the aural component of memory, and practicing physical skills leads to kinaesthetic memorisation (muscle memory): the book also takes these vital learning techniques into account. Medical Examination Made Memorable is a vital reference and aide-memoire for students and practitioners at all levels and in all specialisms.

Dr. Jerome Blackman, author of 101 Defenses: How The Mind Shields Itself, has once again crafted an extraordinarily user-friendly book that demonstrates to all readers, from trainees to advanced analysts, the process of diagnosing mental disturbance. Get the Diagnosis Right provides a systematic method for accurately determining whether a person suffering with mental problems needs medication, supportive/cognitive, dynamic, and/or psychoanalytic treatment. Amalgamating the most useful ideas from general psychiatry, cognitive psychology, and modern psychoanalytic theory, Dr. Blackman guides readers who prescribe treatment for mental disturbances. The book also serves as a check for those who are considering what type of mental health professional they should be consulting.
After reading this book, you will no longer have to guess whether a depressed patient should obtain medication, supportive therapy, insight therapy, or some mixture of the three; or question how to conduct an initial interview and assessment. Written in language that is clear but not simplistic, this book goes far beyond other diagnostic manuals.

Undergraduate and postgraduate teaching increasingly favours a symptom-based approach to diagnosis. Unlike many other textbooks in acute medicine, this book reflects this shift in emphasis, presenting a logical and structured approach to the diagnosis and initial management of acutely unwell adults. It discusses the relevant pathophysiology of each clinical presentation, and provides a comprehensive table of differential diagnoses, highlighting common causes. The book's description of generic emergency management emphasises important diagnoses, and explains relevant history, examination findings and investigations involved in assessment or diagnosis. Senior medical students and junior doctors in their first four years after qualifying will find this an invaluable aid to honing their clinical practice. The logical systems of diagnostic thought will serve them throughout their careers. No book can replace hard work on the ward and in clinics but books can speed up the acquisition of skills by fostering sound basic principles and developing the right instincts. Diagnosis in Acute Medicine is particularly helpful in this regard. I strongly recommend it.A " - From the Foreword by Ian Pavord

This book aims to provide medical students with some basic principles of diagnosis and management, medico-legal pitfalls and roles of evidence in primary care. Using practical examples, the whole mental process of arriving at a clinical diagnosis is clearly described, with emphasis on important signs or symptoms and investigations to look out for.The book is designed to take the reader to the next step of health assessment, beyond basic history and physical examination and into a diagnostic reasoning process. The primary care provider who masters the differential diagnosis in this book will be able to accurately diagnose the majority of patients seen in practice today. This book is an essential text for all medical students and primary care trainees.

Maintaining the first edition s unique parallel to the strategy used by pathologists and pulmonologists to arrive at a patient s diagnosis in daily practice, Diagnostic Pulmonary Pathology starts with the patient and their biopsy findings, directing the pathologist or clinician to the proper diagnosis. With many advances in pulmonary pathology, radiology, and pulmonary medicine, this new edition provides thorough updates in:

• progress in classification and diagnosis of interstitial lung diseases
• evolution of our understanding of pre-neoplastic lesions
• technology in histopathology
• molecular pathology
• thoracic radiology

Written by contributing doctors who are at the forefront of recent advancements, Diagnostic Pulmonary Pathology

• is organized based on how the patient should be approached, and the patient s own projections, signs, symptoms, and disease
• provides new imaging techniques and molecular diagnostic tests
• investigates the new classification schemes, i.e. classification and terminology for lung neoplasms, pulmonary hypertension, and lung transplant rejection
• gives coverage of the merging of radiology and pathology, including molecular imaging