Archive | July 2012

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Chapter 4 – Biophysiology and Clinical Considerations in Radiotherapy

84 Chapter 4 – Biophysiology and Clinical Considerations in Radiotherapy George E. Laramore The use of ionizing radiation in medicine dates back almost to the very date of its discovery. In 1895, Wilhelm Roentgen discovered x-rays, and 3 years later, Pierre and Marie Curie announced that they had isolated radium from pitchblende. The first documented […]

Chapter 3 – Overview of Diagnostic Imaging of the Head and Neck

25 Chapter 3 – Overview of Diagnostic Imaging of the Head and Neck Robert W. Dalley William D. Robertson Patrick J. Oliverio S. James Zinreich Diagnostic medical imaging has changed medical and surgical diagnosis in ways never imagined. Every area of clinical medicine has been affected in a profound way. Medical imaging specialists are able, […]

Chapter 2 – The Preoperative Evaluation

15 Chapter 2 – The Preoperative Evaluation James Blaugrund Dario Kunar Preoperative evaluation of surgical patients is, in its broadest sense, an extension of the diagnostic process. The surgeon should strive to determine the extent of disease; prove the necessity of surgery or clearly demonstrate its benefit to the patient; optimize the choice of surgical […]

Chapter 1 – History and Physical Examination

Chapter 1 – History and Physical Examination Marion E. Couch It is a privilege to be a physician requested to evaluate a person and render an opinion and diagnosis. The importance of an accurate, detailed history cannot be overemphasized because it is the framework on which the otolaryngologist places all available information, building toward an […]

ICU & Fluids – Electrolytes – Nutrition

ICU & Fluids – Electrolytes – Nutrition: Edited by Andy S. Binder, MD, Pulmonologist, Critical Care.  Contents:  Electrolytes:  Fluids:  Dehydration:  Shock:  Nutrition & Vitamins:  Common Conversions: Therapeutic Levels:  Hypoxemia: Hypoxia:  Pulse Oximetry: Hypercapnea:  Intubation:  Mechanical Ventilation: Sedation: Vascular Access: PA Cath Patterns:  Acid-Base Physiology:  Preamble & Abbrev & Labs:    9-08-01. Serum Electrolytes: Links:  Sodium (Na):   […]


202 ADVERSE DRUG REACTIONS Harrison’s Manual of Medicine 202 ADVERSE DRUG REACTIONS Bibliography Adverse drug reactions are among the most frequent problems encountered clinically and represent a common cause for hospitalization. They occur most frequent in pts receiving multiple drugs and are caused by 1. Errors in self-administration of prescribed drugs (quite common in the […]


201 NARCOTIC ABUSE Harrison’s Manual of Medicine 201 NARCOTIC ABUSE Clinical Features Bibliography Narcotics, or opiates, bind to specific opioid receptors in the CNS and elsewhere in the body. These receptors mediate the opiate effects of analgesia, euphoria, respiratory depression, and constipation. Endogenous opiate peptides (enkephalins and endorphins) are natural ligands for the opioid receptors […]


200 ALCOHOLISM Harrison’s Manual of Medicine 200 ALCOHOLISM Clinical Features Laboratory Findings Bibliography Alcoholism and alcohol abuse are defined by the regular and excessive use of alcohol with concomitant social, occupational, and/or physical problems; alcohol is associated with half of all traffic fatalities and half of all homicides. In alcohol dependence, the regular use of […]


199 PSYCHIATRIC MEDICATIONS Harrison’s Manual of Medicine 199 PSYCHIATRIC MEDICATIONS General Principles of Use Antidepressants Anxiolytics Antipsychotic Medications Mood-Stabilizing Agents Bibliography Four major classes of psychiatric medications are commonly used in adults: (1) antidepressants, (2) anxiolytics, (3) antipsychotics, and (4) mood stabilizing agents. Nonpsychiatric physicians should become familiar with one or two drugs in each […]


198 APPROACH TO THE PATIENT WITH PSYCHIATRIC SYMPTOMS Harrison’s Manual of Medicine 198 APPROACH TO THE PATIENT WITH PSYCHIATRIC SYMPTOMS Major Psychiatric Disorders (Axis I Diagnoses) Mood Disorders (Major Affective Disorders) Schizophrenia and Other Psychotic Disorders Anxiety Disorders Personality Disorders (Axis Ii Diagnoses) Cluster A Personality Disorders Cluster B Personality Disorders Cluster C Personality Disorders […]