肌肉、骨骼與皮膚

內容概要

這個最新版本增加了許多有關皮膚系統(tǒng)的新內容。本書首先引領你學習肌肉、骨骼與皮膚的基礎知識。每章都采用了整合形式，即將解剖學、胚胎學、組織學、生理學與藥理學加以綜合。然后概述了肌肉、骨骼與皮膚的基本病理學，并列舉一些主要疾病及其主訴。第二部分則通過對現(xiàn)有肌肉、骨骼與皮膚主訴患者的臨床分析，將基礎知識與臨床應用加以整合，包括肌肉、骨骼與皮膚最常見的主訴，如何采集病史、體檢、與患者的溝通技巧及進一步的診斷方案。由選擇題、簡答題和問題題組成的第三部分則能讓你在學完本課程以后評估你取得的進步和你的水平。

書籍目錄

PrefaceAcknowledgementsDedicationPart 1:Basic Medical Science of Muscles,Bones and Skin 1. Musculoskeletal System—an overview 2. Skeletal Muscel 3. Cardiac and Smooth Muscle  4. Bone 5. Joints and Related Structures 6. The Functioning Musculoskeletal System 7. Skin 8. Disorders of the skinPart 2: Clinical Assessment 9. Common Presentations of Muscle,Bone and Skin Disease 10. History and Examination 11. Further lnvestigationsFart 3:Self-saaessmentIndex

章節(jié)摘錄

　　Hypopigmentation Vitiligo Aetiology This is a common acquired idiopathic disorder thatleads to patchy, scaled macules （Plate 21）. There isan association with pernicious anaemia, thyroiddisease and Addison's disease, with about 30% of patients having a positive family history. The onset isusually between 10 and 30 years of age; the male:female ratio is　1:1, and it affects around 0.5% of thepopulation.Clinical featuresVitiligo may be precipitated by trauma or sunburn.The well-defined white macules are usuallysymmetrical, and frequently affect the hands, wrists,knees, neck and areas surrounding orifices.Complications As melanocytes are absent from lesions, care must betaken when skin is exposed to the sun.Management Camouflage cosmetics often prove unsatisfactory.Sunscreen helps to reduce the contrast betweentanned skin and patches of vitiligo and, in darkerskin, topical steroids may induce repigmentation.When vitiligo is nearly universal and very noticeable,induced depigmentation of remaining normal skincan be caused by 20% hydroquinone ointment.AlbinismAlbinism is an autosomal recessive disorder, which has a prevalence of 1 in 20 000. In this condition, melanocytes fail to synthesize melanin, leading to a lack of pigment in the skin. As well as the skin being pale, the hair is also white and the eye lacks pigmentation. Patients suffer from photophobia, nystagmus and poor sight. As the body has no protection against ultraviolet rays, the sun should be strictly avoided as the risk of squamous cell carcinoma is greatly increased.Phenylketonuria　This is an autosomal recessive metabolic defect. The enzyme that converts phenylalanine into tyrosine is　missing, which leads to the accumulation of　metabolites in the brain. If left untreated, mentalretardation and choreoathetosis occur. The hair and skin are fair because melanin synthesis is impaired.l addition, atopic eczema is common. Treatment is through a diet low in phenylalanine.　　……

編輯推薦

　　不要驚慌！快速醫(yī)學教程--現(xiàn)在你終于擁有了夢寐以求的完美系列教程！你曾經因為熬夜而錯過第二天的早課嗎？你曾經因為謝入課堂的陽光而分散了注意力嗎？如果你無法作一個完整的課堂筆記--現(xiàn)在有了快速醫(yī)學教程，一切都不必擔心了?！　≡诮淌谥笇拢犊焖籴t(yī)學教程：肌肉·骨骼和皮膚（第2版）》以學生的視有進行編寫，快速寫學教程采取了容易學習吸收的筆記形式。你可以用這《快速醫(yī)學教程：肌肉·骨骼和皮膚（第2版）》作為復習指南或是教材的補充。以下幾個特點將最大程度地幫助你掌握相關知識：　　●理解檢查板地塊測試你對新學課題的理解?！　　裉崾景鍓K引起你對主要內容的關注并指導如何記憶。　　●彩圖的廣泛應用幫助你在測驗題中測試你的知識。　　●詳細的索引讓你隨心所欲的閱讀，并且非常便捷。　　最熱銷的新版基礎醫(yī)學與臨床醫(yī)學整合教程，簡潔的文字和清晰的插圖讓你知識充實學得更輕松，選擇題和簡答題供自我評估練習。

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