Andrews' Diseases of the Skin: Clinical Dermatology - Expert by William D. James MD, Timothy Berger MD, Dirk Elston MD

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By William D. James MD, Timothy Berger MD, Dirk Elston MD

The eleventh variation of the vintage Andrews' illnesses of the outside, by way of Drs. William D. James, Timothy G. Berger and Dirk M. Elston, offers the last word beginning in dermatology with finished information to successfully diagnose and deal with quite a lot of dermis stipulations. those hugely revered authors stability evidence-based remedy instructions with recommendation from their very own medical event, delivering a pragmatic and real looking clinical point of view. up-to-date all through with the most recent dermatologic findings and a brand new bankruptcy on beauty surgical thoughts, this name is helping you retain present, enhance your talents, and get ready for checks. it is also on-line entry to the whole textual content, pictures, and bonus illustrations making this an vital, handy reference for trainees and practising dermatologists. perform with self belief in the course of the valued authorship of professional pros Dr. William D. James, Dr. Timothy G. Berger, and Dr. Dirk M. Elston. swiftly enhance your wisdom of dermis stipulations via a concise, clinically concentrated, straight forward layout. receive thorough information on medical presentation and treatment for an entire variety of universal and infrequent epidermis illnesses. be certain your diagnoses via evaluating your scientific findings to greater than 1,150 illustrations, forty% of that are fresh. replace your surgical abilities with chapters dedicated to easy dermatologic, laser, and plastic surgery, contributed through Dr. Issac M. Neuhaus. seek the total contents on-line, obtain the entire illustrations, and examine an extra four hundred pictures, at www.expertconsult.com. In Andrews' ailments of the surface, the authors offer working towards dermatologists and citizens with the center info wanted.

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Additional info for Andrews' Diseases of the Skin: Clinical Dermatology - Expert Consult - Online and Print (James, Andrew's Disease of the Skin), 11th Edition

Sample text

Ann Rheum Dis 2005; 64:966. Immersion foot syndromes Trench foot Trench foot results from prolonged exposure to cold, wet conditions without immersion or actual freezing. The term is derived from trench warfare in World War I, when soldiers stood, sometimes for hours, in trenches with a few inches of cold water in them. Fishermen, sailors, and shipwreck survivors are sometimes seen with this condition. The lack of circulation produces edema, paresthesias, and damage to the blood vessels. Gangrene may occur in severe cases.

Rapid rewarming in a water bath between 37 and 43°C (100–110°F) is the treatment of choice for all forms of frostbite. Rewarming should be delayed until the patient has been removed to an area where there is no risk of refreezing. Slow thawing results in more extensive tissue damage. Analgesics, unless contraindicated, should be administered because of the Actinic injury considerable pain experienced with rapid thawing. When the skin flushes and is pliable, thawing is complete. The use of tissue plasminogen activator to lyse thrombi decreases the need for amputation if given within 24 h of injury.

Since these volatile hydrocarbons may be airborne, the patient may give no history of touching tar products. The burning and erythema may continue for 1–3 days. While up to 70% of white persons exposed to such a combination develop this reaction, persons with type V and VI skin are protected by their constitutive skin pigmentation. Following the acute reaction, hyperpigmentation occurs, which may persist for years. Coal tar or its derivatives may be found in cosmetics, drugs, dyes, insecticides, and disinfectants.

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