Goodman & Gilman's The Pharmacological Basis of Therapeutics, 11e
Laurence L. Brunton, editor-in-chief
John S. Lazo and Keith L. Parker, Associate Editors
Editors of the online edition:
Laurence L. Brunton, editor-in-chief
Associate Editors: Keith L. Parker, Nelda Murri, Donald K. Blumenthal, and Björn C. Knollmann
In Memoriam
We are sad to report the death of our colleague and friend, Keith Parker. He will always be remembered for his energy, breadth of knowledge, and sparkling ideas. Memorial contributions may be made to endocrinology research at the Keith L. Parker Fund, UT Southwestern Medical Center, P.O. Box 910888, Dallas, Texas 75391-0888.
Descargalo!!!!!!!
Thursday, September 9, 2010
The Textbook of Hepatology: From Basic Science to Clinical Practice, 3rd Edition
The Textbook of Hepatology: From Basic Science to Clinical Practice, 3rd Edition
Juan Rodes (Editor), Jean-Pierre Benhamou (Editor), Andres Blei (Editor), Juerg Reichen (Editor), Mario Rizzetto (Editor)
ISBN: 978-1-4051-2741-7
Hardcover
2360 pages
August 2007, Wiley-Blackwell
Friday, August 27, 2010
Semiologia Medica Argente ALvarez
Este Libro viene en 2 archivos tienes que bajar los 2 archivos para poder accesar al libro disfrutenlo y sobre todo leanlo
Parte 1
Parte 2
Aqui encontraras las 2 partes
Anatomia Humana en Cortes
Excelente libro de anatomia humana con cortes coronales y sagitales de cadaver, tomograficos y Resonancia Magnetica.
http://www.4shared.com/file/B1xSfk5B/Human_sectional_anatomy.html
http://www.4shared.com/file/B1xSfk5B/Human_sectional_anatomy.html
Aldous Huxley --- un mundo Feliz
Descarga
La novela anticipa el desarrollo en tecnología reproductiva, cultivos humanos e hipnopediaque, combinadas, cambian radicalmente la sociedad. El mundo aquí descrito podría ser una utopía, aunque irónica y ambigua: la humanidad es desenfadada, saludable y avanzada tecnológicamente. La guerra y la pobreza han sido erradicadas, y todos son permanentemente felices. Sin embargo, la ironía es que todas estas cosas se han alcanzado tras eliminar muchas otras: lafamilia, la diversidad cultural, el arte, la ciencia, laliteratura, la religión y la filosofía.
Thursday, August 26, 2010
Adams & Victor’s Principles of Neurology, 9e Allan H. Ropper, Martin A. Samuels
Adams & Victor’s Principles of Neurology, 9e
Allan H. Ropper, Martin A. Samuels
Las letras que yo pueda poner estan demas un libro mas a la coleccion.
Allan H. Ropper, Martin A. Samuels
Las letras que yo pueda poner estan demas un libro mas a la coleccion.
Da Click y descargalo |
Intoxicacion Alcoholica Aguda
Para todos aquellos que cuando toman no saben que hacer con el que se puso bastante ebrio, y tambien para todos aquellos que estan rotando en el servicio de urgencia y a las supresiones alcoholicas le ponen MVI aqui les dejo un articulo de como se trata una intoxicacion alcoholica aguda.
http://www.box.net/shared/mq7g2lrkhe
Ademas de la clasificacion deCIWA para saber como clasificar este padecimiento.
http://www.reseaufranco.com/en/assessment_and_treatment_information/assessment_tools/clinical%20institute%20withdrawal%20assessment%20for%20alcohol%20(ciwa).pdf
Link para ver PDF sobre la clasificcacion de CIWA
http://www.box.net/shared/mq7g2lrkhe
Ademas de la clasificacion deCIWA para saber como clasificar este padecimiento.
http://www.reseaufranco.com/en/assessment_and_treatment_information/assessment_tools/clinical%20institute%20withdrawal%20assessment%20for%20alcohol%20(ciwa).pdf
Link para ver PDF sobre la clasificcacion de CIWA
Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale
Scoring
The cumulative score provides the basis for treatment of patients undergoing alcohol withdrawal.
Cumulative Score | |
---|---|
0-7 | No medication is necessary |
8-14 | Medication is optional for patients with a score of 8–14 |
15-20 | A score of 15 or over requires treatment with medication |
>20 | A score of over 20 poses a strong risk of Delirium tremens |
67 | Maximum possible cumulative score |
Assessment Tool
Nausea and Vomiting
Ask: "Do you feel sick to your stomach? Have you vomited?"
Score | |
---|---|
0 | no nausea and no vomiting |
1 | mild nausea with no vomiting |
2 | |
3 | |
4 | intermittent nausea with dry heaves |
5 | |
6 | |
7 | constant nausea, frequent dry heaves and vomiting |
Tremor
Arms extended and fingers spread apart
Score | |
---|---|
0 | no tremor |
1 | not visible, but can be felt fingertip to fingertip |
2 | |
3 | |
4 | moderate, with patient’s arms extended |
5 | |
6 | |
7 | severe, even with arms not extended |
Paroxysmal Sweats
Score | |
---|---|
0 | no sweat visible |
1 | barely perceptible sweating, palms moist |
2 | |
3 | |
4 | beads of sweat obvious on forehead |
5 | |
6 | |
7 | drenching sweats |
Anxiety
Ask: "Do you feel nervous?"
Score | |
---|---|
0 | no anxiety, at ease |
1 | mildly anxious |
2 | |
3 | |
4 | moderately anxious, or guarded, so anxiety is inferred |
5 | |
6 | |
7 | equivalent to acute panic states as seen in severe delirium or acute schizophrenic reactions |
Agitation
Score | |
---|---|
0 | normal activity |
1 | somewhat more than normal activity |
2 | |
3 | |
4 | moderately fidgety and restless |
5 | |
6 | |
7 | paces back and forth during most of the interview, or constantly thrashes about |
Tactile Disturbances
Ask: "Have you any itching, pins and needles sensations, burning sensations, numbness or do you feel bugs crawling on or under your skin?"
Score | |
---|---|
0 | none |
1 | very mild itching, pins and needles, burning or numbness |
2 | mild itching, pins and needles, burning or numbness |
3 | moderate itching, pins and needles, burning or numbness |
4 | moderately severe hallucinations |
5 | severe hallucinations |
6 | extremely severe hallucinations |
7 | continuous hallucinations |
Auditory Disturbances
Ask: "Are you more aware of sounds around you? Are they harsh? Do they frighten you? Are you hearing anything that is disturbing to you? Are you hearing things you know are not there?"
Score | |
---|---|
0 | not present |
1 | very mild harshness or ability to frighten |
2 | mild harshness or ability to frighten |
3 | moderate harshness or ability to frighten |
4 | moderately severe hallucinations |
5 | severe hallucinations |
6 | extremely severe hallucinations |
7 | continuous hallucinations |
Visual Disturbances
Ask: "Does the light appear to be too bright? Is its colour different? Does it hurt your eyes? Are you seeing anything that is disturbing to you? Are you seeing things you know are not there?"
Score | |
---|---|
0 | not present |
1 | very mild sensitivity |
2 | mild sensitivity |
3 | moderate sensitivity |
4 | moderately severe hallucinations |
5 | severe hallucinations |
6 | extremely severe hallucinations |
7 | continuous hallucinations |
Headache, Fullness in Head
Ask: "Does your head feel different? Does it feel as if there is a band around your head?" Do not rate for dizziness or lightheadedness. Otherwise, rate severity.
Score | |
---|---|
0 | not present |
1 | very mild |
2 | mild |
3 | moderate |
4 | moderately severe |
5 | severe |
6 | very severe |
7 | extremely severe |
Orientation and Clouding of Sensorium
Ask: "What day is this? Where are you? Who am I?"
Score | |
---|---|
0 | oriented and can do serial additions |
1 | cannot do serial additions or is uncertain about date |
2 | disoriented for date by no more than 2 calendar days |
3 | disoriented for date by more than 2 calendar days |
4 | disoriented for place and/or person |
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