Hoarseness, laryngitis and dysphonia

SICS Editore
1
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In the treatment of laryngitis the most important advice to the patient is voice rest, to avoid coughing, clearing one's throat and whispering. Voice rest does not necessitate total avoidance of talking, only significant restriction. Antibiotics are not indicated. It is important to keep the mucosa of the vocal cords moist (inhalation of a humidifying aerosol; steam inhalation). Patients in professions with heavy vocal loading should have a sufficiently long sick leave, at least one week, in acute hoarseness. Voice amplifier reduces vocal loading and is thus an efficient aid in the treatment of voice disorders. Indirect laryngoscopy must always be performed if the hoarseness is not associated with a respiratory infection, and in all patients with hoarseness lasting for more than two weeks. If the vocal cords cannot be fully visualized at indirect laryngoscopy the patient should be referred to a phoniatrician or an ENT specialist. Hoarseness in children is an indication for consultation by a phoniatrician or an ENT specialist (indirect laryngoscopy is difficult to perform).
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Additional Information

Publisher
SICS Editore
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Published on
Oct 1, 2014
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Pages
43
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ISBN
9788869308765
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Language
English
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Genres
Medical / Infectious Diseases
Medical / Oncology
Medical / Otorhinolaryngology
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Content Protection
This content is DRM protected.
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Deep vein thrombosis (DVT) may be asymptomatic in a patient confined to bed – pulmonary embolism (PE) may be the first symptom. Every hospital and clinic should have active management guidelines for the prevention of venous thromboembolism (DVT and PE). The prevention of venous thromboembolism (VTE) consists of early mobilisation, compression bandages or anti-embolism stockings, low molecular weight heparin (LMWH) and warfarin if long-term prophylaxis is indicated. The following anticoagulants may be used in special cases: fondaparinux (patients at high-risk of VTE, heparin allergy), dabigatran, rivaroxaban or apixaban (oral agents for use after elective knee and hip replacement surgery). Rivaroxaban may also be used for secondary prevention of venous thromboembolism and pulmonary embolism in an uncomplicated patient. Idiopathic VTE (no identified risk factors) is three times more likely to recur than provoked VTE (risk factors present). Indefinite treatment is therefore often recommended after idiopathic VTE. If VTE develops without any provoking factors in a patient aged less than 50 years, tests for hereditary coagulation disorders are indicated to facilitate the choice of treatment duration (indefinite or temporary) . Aspirin is mainly used for the prevention of arterial occlusion, but there is accumulating evidence on aspirin and statins in preventing recurrence of venous thromboembolism and pulmonary embolism. A patient who has a previous history of VTE, or is otherwise predisposed to thrombus formation, must be given guidance regarding high risk situations.
From one of the country's foremost doctors comes a ground-breaking book about diagnosing, treating and healing Lyme, and peeling away the layers that lead to chronic disease.

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Practical and clinically focused, Abeloff’s Clinical Oncology is a trusted medical reference book designed to capture the latest scientific discoveries and their implications for cancer diagnosis and management of cancer in the most accessible manner possible. Abeloff’s equips everyone involved - from radiologists and oncologists to surgeons and nurses - to collaborate effectively and provide the best possible cancer care.Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Select the most appropriate tests and imaging studies for cancer diagnosis and staging of each type of cancer, and manage your patients in the most effective way possible by using all of the latest techniques and approaches in oncology.Enhance your understanding of complex concepts with a color art program that highlights key points and illustrates relevant scientific and clinical problems. Stay at the forefront of the latest developments in cancer pharmacology, oncology and healthcare policy, survivorship in cancer, and many other timely topics.See how the most recent cancer research applies to practice through an increased emphasis on the relevance of new scientific discoveries and modalities within disease chapters.Streamline clinical decision making with abundant new treatment and diagnostic algorithms as well as concrete management recommendations.Take advantage of the collective wisdom of preeminent multidisciplinary experts in the field of oncology, including previous Abeloff’s editors John E. Niederhuber, James O. Armitage, and Michael B. Kastan as well as new editors James H. Doroshow from the National Cancer Institute and Joel E. Tepper of Gunderson & Tepper: Clinical Radiation Oncology.Quickly and effortlessly access the key information you need with the help of an even more user-friendly, streamlined format.Access the complete contents anytime, anywhere at Expert Consult, and test your mastery of the latest knowledge with 500 online multiple-choice review questions.
The Oxford Textbook of Medicine: Infection is selected from the infection section of the renowned Oxford Textbook of Medicine, Fifth Edition. The book is an authoritative resource on infectious diseases. Comprehensive in its coverage and beautifully illustrated in full colour, it is an essential guide to the present-day management and prevention of a wide variety of infectious diseases. Covering diseases that are both familiar and tropical as well as those that continue to emerge, medical professionals will find it immensely valuable when diagnosing and preventing infection in their day-to-day practice. In 121 chapters, experts in infectious diseases from across the world review the essentials of current infectious disease practice and provide a wealth of practical advice that medical professionals can use in clinical situations. In addition, background information on epidemiology, pathogenesis and pathophysiology encourages a fuller understanding of conditions, and over 250 full colour images help with diagnosis when treating patients. A commanding discussion of infectious diseases from both Western and tropical countries, the Oxford Textbook of Medicine: Infection provides detailed information on a extensive range of viruses, bacteria, fungi, protozoa and helminths. Vast in scope and truly global in reach, chapters span a variety of topics including, pathogenic microorganisms and the host, the patient with suspected infection, travel and expedition medicine, and non-venomous arthropods. They reflect the globalization of disease that has resulted from the unprecedented increase in international travel and immigration, as well as natural/man-made disasters that demand massive international aid efforts. This up-to-date and essential reference tool, supports all medical professionals in the treatment and prevention of infectious diseases. It will be of particular value to clinicians working in, or seeing patients from the developing world, due to the wide range of pathogens discussed. It also supports those taking diploma courses in Tropical Medicine and Hygiene, and HIV medicine. No infectious disease specialist or trainee should be without a copy of this definitive resource.
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