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Harrison's Principles of Internal Medicine - 19th Edition (April 17, 2015)

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Guidelines for the Diagnosis of Prolonged Grief Disorder Print E-mail
Written by G. Firman MD   
Monday, 02 March 2015 07:32

 

 

The death of a loved one is one of life's greatest, universal stressors to which most bereaved individuals successfully adapt without clinical intervention. For a minority of bereaved individuals, grief is complicated by superimposed problems and healing does not occur. The resulting syndrome of complicated grief causes substantial distress and functional impairment even years after a loss, yet knowing when and how to intervene can be a challenge.

Last Updated on Friday, 27 March 2015 08:03
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Diagnosis of Autoreactive Pericarditis Print E-mail
Written by G. Firman MD   
Thursday, 26 February 2015 04:50

 

Recently, the term "autoreactive pericarditis" has been introduced to describe patients with identification of elements indicative of an autoimmune response who would otherwise be classed as idiopathic.

Last Updated on Tuesday, 17 March 2015 04:11
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Staging and Risk Stratification of Germ-Cell Tumors Print E-mail
Written by G. Firman MD   
Friday, 30 January 2015 06:59

 

Germ cell tumours of the testis are the commonest malignancy in men aged 20-40 years. Considerable therapeutic improvements in management—based on the cancer's responsiveness to chemotherapy that contains platinum—mean that over 95% of these patients can now expect to be cured.

Last Updated on Thursday, 05 March 2015 06:52
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DSM-5 Criteria for Withdrawal Delirium (Delirium Tremens) Print E-mail
Written by G. Firman MD   
Friday, 30 January 2015 07:05

 

The criteria for withdrawal delirium, are delirium (a rapid-onset fluctuating disturbance of attention and cognition, sometimes with hallucinations) plus alcohol withdrawal.

 

Last Updated on Wednesday, 11 March 2015 04:34
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Diagnostic Criteria in Sézary's Syndrome (SS) Print E-mail
Written by G. Firman MD   
Thursday, 15 January 2015 04:20

 

Sézary Syndrome corresponds to 3% of all cutaneous lymphomas, and it is characterized by a triad of manifestations: erythrodermia with pruritus, limphonodomegalia and atypical circulating lymphocytes (referred to as Sézary or Lutzner cells). Associated clinical manifestations include lagophthalmos, alopecia, palmoplantar hyperkeratosis and onycodystrophy. Erythrodermia may be the progression of previous patches and plaques, developing from idiopathic erythrodermia or emerging de novo.

Last Updated on Monday, 02 March 2015 07:13
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