出版時(shí)間:2003-9 出版社:上海世界圖書出版公司 作者:second edition 頁數(shù):271
內(nèi)容概要
這個(gè)最新版本增加了許多有關(guān)皮膚系統(tǒng)的新內(nèi)容。本書首先引領(lǐng)你學(xué)習(xí)肌肉、骨骼與皮膚的基礎(chǔ)知識(shí)。每章都采用了整合形式,即將解剖學(xué)、胚胎學(xué)、組織學(xué)、生理學(xué)與藥理學(xué)加以綜合。然后概述了肌肉、骨骼與皮膚的基本病理學(xué),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(chǔ)知識(shí)與臨床應(yīng)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(jìn)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(xué)完本課程以后評估你取得的進(jìn)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. ……
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