Ferri's Clinical Advisor 2004: Instant Diagnosis and by Fred F. Ferri

By Fred F. Ferri

Comprehensively up to date each year, "Ferri's medical consultant" covers greater than a thousand present themes in five convenient sections. it is the quick, effective technique to entry the real diagnostic and healing details you wish each day! Divided into 5 special sections facing over a thousand subject matters, this booklet deals simple info on over six hundred issues prepared into easy-to-use lists, better with ICD-9CM codes, medical pearls, and illustrations, tables, and bins highlighting vital concerns. virtually 500 signs and two hundred medical algorithms help in prognosis and expediting sufferer workup and remedy. extra sections of the publication provide over two hundred laboratory exams with interpretation of effects, in addition to broad info on scientific preventive prone and sufferer care instructions from the U.S. Preventive companies activity strength. this can be a must-have for each fundamental care healthcare supplier.

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BASIC INFORMATION DEFINITION Liver abscess is a necrotic infection of the liver usually classified as pyogenic or amebic. 0 Abscess of liver EPIDEMIOLOGY & DEMOGRAPHICS • Worldwide, amebic liver abscess is more common than pyogenic liver abscess. , pyogenic liver abscess is more common than amebic liver abscess. • Incidence of pyogenic liver abscess is 6 to 10 cases per 100,000. • Amebic liver abscesses complicate amebic colitis in nearly 10% of cases. • Most abscesses occur on the right lobe of the liver.

REFERRAL • Always refer to self-help groups (AA, NA) for patient, Al-Anon for significant others. • Intensive substance abuse treatment is nearly always indicated in substance-dependent individuals. • Individuals with coexisting primary psychiatric illness and substance abuse nearly always require the care of a psychiatrist. REFERENCES Fiellin DA, O’Connor P: Office-based treatment of opioid-dependent patients. N Engl J Med 347:817, 2002. Strote J, Lee JE, Wechsler H: Increasing MDMA use among college students: results of a rational survey, J Adolesc Health 30:64, 2002.

PHYSICAL FINDINGS & CLINICAL PRESENTATION • Classic triad: fever, headache, and focal neurologic deficit are present in <50% of cases. • Fever is present in only 50% of patients. , seizures, hemiparesis, aphasia, ataxia) depend on the location of the abscess and are seen in 30% to 50% of cases. • Papilledema is present in 25% of cases. • Presence of adjacent infections (dental abscess, otitis media, and sinusitis) may be a clue to the underlying diagnosis and should be sought in any suspected case.

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