By Charles D. Forbes DSc MD FRCP FRSE, William F. Jackson MA MB BChir MRCP, William F. Jackson
The colour Atlas and textual content of scientific drugs, 2d variation presents a different advent to scientific medication, with an emphasis on speedy visible identity. it really is geared up through physique procedure, then via sickness. the excellent variety of images illustrates the medical symptoms of such a lot significant scientific issues, supplemented with prime quality radiological, ultrasound, endoscopic, and different pictures. Histopathology and microscopic appearances are incorporated the place they're key to class and analysis. each one photo is supported through concise textual content and captions.
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80). 37), with generalized viraemia and encephalitis. Genital herpes has reached epidemic proportions and differs from other sexually transmitted diseases because of the likelihood of spontaneous recurrence. It is extremely conta- VIRAL INFECTIONS gious, being spread by secretions to partners and to the fetus. There is a causal relationship between genital herpes, cervical cell metaplasia and cervical carcinoma. Herpes simplex virus II is the most common infecting agent in young women. The primary lesions appear within a day or so of exposure and are thin-walled vesicles which are painful.
Antimicrobial drugs may be necessary. Leprosy, which is caused by Mycobacterium leprae, remains an important disease in tropical and subtropical countries. Infection is spread by droplets from infected nasal mucosa, but prolonged close contact is required. The incubation period is usually between 3 and 15 years. The spectrum of disease activity in leprosy depends upon the host's immune response to the infection. Lepromatous leprosy develops when the response is poor. In this form, there are widespread lesions which contain enormous numbers of bacilli.
If host resistance is lowered in later life, TB may be reactivated, spreading locally and, via the blood stream, throughout the body and producing many possible manifestations. 127) • pulmonary TB (see p. 194) • gastrointestinal TB in the ileocaecal area (see p. 385) • genitourinary TB affecting the kidneys and other parts of the genitourinary tract (see p. 128, see p. 492) • tuberculous osteomyelitis (see p. 160) • tuberculous arthritis (see p. 14) • constrictive pericarditis (see p. 254) • adrenal involvement leading to Addison's disease (see p.
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