New PDF release: Harrison's Gastroenterology and Hepatology, 2e

By Dan Longo, Anthony S. Fauci

Gastroenterology – as simply Harrison’s can hide it

Featuring an excellent compilation of chapters with regards to gastroenterology that seem in Harrison’s ideas of inner medication, Eighteenth Edition, this concise, full-color medical better half provides the newest wisdom within the box sponsored by way of the medical rigor and authority that experience outlined Harrison’s. you can find content material from popular editors and participants in a carry-anywhere presentation that's perfect for the school room, hospital, ward, or exam/certification preparation.

Features

  • Complete assurance of must-know gastroenterology and hepatology issues, together with cardinal manifestations of illness, differential analysis and diagnostic assessment, administration of illnesses and problems, weight problems, nutrients, and consuming issues
  • Reflects the most up-tp-date advances in genetics, mobile biology, pathophysiology, and therapy
  • Integration of pathophysiology with scientific administration
  • 107 high-yield questions and solutions drawn from Harrison’s ideas of inner drugs Self-Assessment and Board evaluate, 18e
  • Content updates and new advancements because the booklet of Harrison’s ideas of inner drugs, 18e
  • 60 chapters written by way of physicians who're well-known specialists within the box of gastroenterology
  • Helpful appendix of laboratory values of scientific importance

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Extra resources for Harrison's Gastroenterology and Hepatology, 2e

Example text

30 SECTION I achalasia. In diffuse esophageal spasm (DES), LES function is normal, with the disordered motility restricted to the esophageal body. Absent peristalsis combined with severe weakness of the LES is a nonspecific pattern commonly found in patients with scleroderma. APPROACH TO THE PATIENT Cardinal Manifestations of Gastrointestinal Disease dysphagia or a tracheoesophageal fistula. The presence of hoarseness may be another important diagnostic clue. When hoarseness precedes dysphagia, the primary lesion is usually laryngeal; hoarseness that occurs after the development of dysphagia may result from compromise of the recurrent laryngeal nerve by a malignancy.

Esophageal dysphagia The adult esophagus measures 18–26 cm in length and is anatomically divided into the cervical esophagus, extending from the pharyngoesophageal junction to the suprasternal notch, and the thoracic esophagus, which continues to the diaphragmatic hiatus. When distended, the esophageal lumen has internal dimensions of about 2 cm in the anteroposterior plane and 3 cm in the lateral plane. Solid food dysphagia becomes common when the lumen is narrowed to <13 mm but also can occur with larger diameters in the setting of poorly masticated food or motor dysfunction.

Figure 3-1 Gingival overgrowth secondary to calcium channel blocker use. Figure 3-3 Erosive lichen planus. 21 22 SECTION I Cardinal Manifestations of Gastrointestinal Disease Figure 3-4 Stevens-Johnson syndrome—reaction to nevirapine. , the patient should be treated for this fungal infection). Figure 3-7 Angular cheilitis. Figure 3-6 Severe periodontitis. Figure 3-8 Sublingual leukoplakia. 23 CHAPTER 3 Figure 3-9 A. Epulis (gingival hypertrophy) under denture. B. Epulis fissuratum. Figure 3-10 Traumatic lesion inside of cheek.

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