Medical Insights: From Classroom to Patient by Morton A. Diamond

By Morton A. Diamond

Scientific Insights: From school room to sufferer is a short connection with support doctors and scholars on how you can decipher clinical info. Many texts current fabrics in a voluminous and disjointed demeanour. This consultant takes disparate scientific info and places it jointly in a manner that readers can make the most of to fast make vital scientific connections. subject matters are offered in a clinically suitable and easy-to-use layout. this is often an amazing source for all doctors and scholars.

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Whether it be anginal discomfort in the chest or cramping in the leg, ischemia of muscle is the unifying pathophysiologic mechanism. The key clinical point is that there are many claudications. QXD 26 8/12/09 12:02 PM Page 26 Chapter 1 Medical Brevities • • • • • Leg Arm Jaw Intestine Uterus Cardiac claudication, of course, is angina pectoris. The myocardial ischemia may result from myocardial oxygen demand outstripping oxygen supply, as is typical in the patient who has atherosclerotic heart disease or left ventricular hypertrophy of any etiology.

Release of serotonin from platelets is thought to promote this pathway. Platelet concentration of serotonin is increased before a migraine headache; during the migraine headache the serotonin concentration in the platelets is low. The action of the SSRIs (or triptans) in treatment of acute migraine is still somewhat ill defined. One beneficial action of the triptans is to stimulate 5-HT 1 receptors that reduce dural arterial vasodilation and inflammation. Additionally, the triptans stimulate the 5-HT 1 serotonin receptors in the brain stem, which reduces the awareness of pain.

While HF has multiple pathophysiologic mechanisms, there are still common denominators. 2. Understanding these common denominators enables the clinician to better define and treat HF. Brevity 7: Flushing Flushing is a ubiquitous symptom in medicine. It is related to emotion, ingestion of food or medicine, neoplasia, endocrine imbalance, and dermatologic disorders. Further, its causes are age-related. Clinical vignette, Healthy Individual A: A 22-year-old woman appears for her medical school interview.

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