By Samy Azer

ISBN-10: 0340816716

ISBN-13: 9780340816714

ISBN-10: 1444139436

ISBN-13: 9781444139433

Middle medical situations courses you to think about the sufferer as a complete, instead of as a chain of unconnected signs. With its useful procedure strongly associated with underlying idea, the sequence integrates your wisdom with the realities of handling scientific difficulties, and offers a foundation for constructing problem-solving talents.

The middle components of undergraduate learn are coated in a logical series of studying actions: every one is by way of an in depth solution, in addition to a couple of short-answer inquiries to assist you perform for examinations within the first to 3 years of your path. Mechanisms displaying the pathogenesis of a ailment approach and causes of the medical findings and laboratory investigations were included.

This ebook presents a hugely based case historical past textual content overlaying all of the vital elements of the undergraduate biomedical sciences, within the kind of forty five medical eventualities. every one state of affairs is via 8 to 10 questions and solutions with unique suggestions.

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G. g. albumin, clotting factors, apolipoproteins, angiotensinogen, insulin-like growth factor I) Synthesis of glutathione Kupffer cells and natural killer (NK) cells which help in clearance of bacteria and foreign antigens in the portal circulation. 4 summarizes the different types of liver cells and their functions. 4 Functions of different liver cells Liver cells Functions Liver cells (hepatocytes) Hepatocytes are highly specialized and metabolically active. They are arranged into cords and characterized by the presence of two domains: the sinusoidal and canalicular domains.

G. Crohn’s disease) or resection of the terminal ileum → impaired absorption of bile acids → interruption of the enterohepatic circulation of bile salts → depletion of bile acid pool → increased tendency for gallbladder stones. g. ciclosporin, ethinylestradiol, oestrogen and oral contraceptives) → interruption of the enterohepatic circulation of bile salts → formation of gallstones. g. cholestyramine) → disturbance of the balance of cholesterol:bile salt in bile → increased gallstones. g. ursodeoxycholic acid and chenodeoxycholic acid) has been effectively used in solubilization of gallstones and their treatment.

No shifting dullness on percussion of her abdomen. Neurological examination: she is a little bit drowsy. No evidence of a focal neurological lesion. Investigations Serum bilirubin: raised Serum AST and ALT: raised ++++ ALP: normal GGT: raised + Serum albumin: normal range Prothrombin time: prolonged Serum sodium and potassium: low Blood glucose level: low Blood urea and creatinine: raised Screening for hepatitis: negative Paracetamol blood concentration: 55 μg/mL at 20 h Pregnancy test: negative.

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Core Clinical Cases in Basic Biomedical Science by Samy Azer

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