Medicina

Discover the answer to the mysteries of these debilitating illnesses Explaining "Unexplained Illnesses" provides long-sought explanations for the properties of chronic fatigue syndrome (CFS), multiple chemical sensitivity (MCS), fibromyalgia, and posttraumatic stress disorder. This groundbreaking book examines common symptoms and signs; short-term stressors such as infection, chemical exposure, physical trauma, and severe psychological stress; why people are often diagnosed as having more than one of these illnesses, and approaches for treating the cause of each disease, rather than the symptoms. The book presents a detailed and well-supported mechanism (the NO/ONOO- cycle) that provides consistent explanations for many of the puzzling elements of these diseases. At least a dozen scientists have proposed that chronic fatigue syndrome, multiple chemical sensitivity, and fibromyalgia must share a common mechanism; others have suggested posttraumatic stress disorder may belong to this group as well. This unique book provides explanations for their previously unexplained properties with more than 1,500 references to scientific literature, creating a whole new approach to therapy and treatment of these illnesses. Explaining "Unexplained Illnesses" provides answers to these questions: * how do short-term stressors initiate chronic illness? * how does the biochemistry of the NO/ONOO- cycle produce chronic illness? * how can the diverse symptoms and signs of these illnesses be generated as a consequence of their common biochemistry? * why is there so much variation in symptoms from one sufferer to another? * what are the principles underlying the NO/ONOO- cycle mechanism? * how does the NO/ONOO- cycle provide explanations for a dozen previously unexplained properties of these illnesses? * how might 14 additional illnesses/diseases also be caused by the NO/ONOO- cycle etiology? * and many moreExplaining "Unexplained Illnesses" is a must-read for physicians and scientists, and for anyone who suffers from-or knows someone who suffers from--these previously puzzling illnesses.

More than 1 million Americans have congenital heart defects, according to the Adult Congenital Heart Association (ACHA). Congenital heart defects (CHD) occur when the heart or blood vessels near the heart don't develop normally before birth. Most specialists don't know why they occur, but they're always researching. Keep up with advances in this issue Guest Edited by Gary D. Webb, MD, FRCP(C), FACC, from the Philadelphia Adult Congenital Heart Center at the University of Pennsylvania School of Medicine. The chapters planned include syndromes encountered in adult CHD patients, sudden death in perspective in ACHD, pregnancy and congenital heart disease and more.

This is a clinical manual providing succinct, evidence-based guidelines to the diagnosis and management of approximately 100 common paediatric problems, as well as additional material on examination of children, milestone checks, immunisations, etc. Each clinical problem will be covered in 1-3 pages of text, and the treatment recommendations will be supported by references to the best available guidelines, websites and other reference material. The book will help bridge the gap between primary and secondary care, so that it is clear when and where to manage the ill child - when to refer for hospital care, and when to manage within the primary care setting.

This book takes a problem-oriented approach to the evaluation of common symptoms presenting to medical students. It begins with guidance in history taking and examination leading the student on to neurological examination. The following sections outline all the common presenting symptoms, such as forgetfulness, dizziness or pain, and relate them to the spectrum of neurological conditions and diseases. Some case histories are used to illustrate problems and the book ends with a section of MCQ's. This is the second in a new series which aims to help medical students to think like doctors. By combining a symptom and problem-based approach with systematic coverage, the book appeals to instructors and students on traditional and integrated courses.

Most clinicians find it difficult to diagnose dizzy patients, as the potential causes span various subspecialties, including internal medicine, neurology, otology, ophthalmology and psychiatry. This book offers a novel approach, with chapters organized by easily recognisable clinical presentation, such as recurrent vertigo or positional vertigo. To orientate the reader, a table with differential diagnoses is given at the beginning of each chapter, including key features of each disorder. The authors' friendly approach extends to advice on history taking and clinical examination, and each chapter ends with hints on 'what to do if you haven't a clue'. Common disorders are highlighted, with brief coverage of rarities. Basic science aspects are limited to what is really relevant to the clinicians. A useful CD shows the clinical examination, positioning and exercises for vestibular rehabilitation. With this book at hand, many more doctors will approach their next dizzy patient with confidence.