Textbook of Medical Treatment Seventh EditionPDF电子书下载

INFECTIOUS DISEASES 1

General Management 1

Anthrax 7

Chickenpox 9

Diphtheria 9

Bacillary Dysentery 16

Enteric Fevers 18

Erysipelas 23

Glandular Fever 23

Influenza 24

Measles 26

Meningococcal Infection 28

Mumps 34

Poliomyelitis 35

Ornithosis 38

Rubella 39

Scarlet Fever 39

Smallpox 42

Tetanus 46

Typhus Fever 48

Whooping-cough 51

Septicaemia 53

Serum Reactions 54

CHEMOTHERAPY 57

Introduction 57

Sulphonamides 59

Penicillin 64

Streptomycin 69

Tetracyclines 72

Chloramphenicol 75

Erythromycin 77

Polymyxin 77

Neomycin 77

Mycostatin 78

CORTICOTROPHIN AND CORTISONE 79

Physiological Role 79

Pharmacological Role 81

Contra-indications 84

Cortisone or Corticotrophin？ 84

Dosage and Administration 85

Principles of Treatment 86

Use in Various Diseases 86

ANTICOAGULANT THERAPY 92

Heparin 92

Coumarin Drugs 93

Control of Therapy 93

Long-term Therapy 93

Contra-indications 94

DEHYDRATION AND ELECTROLYTE DEFICIENCIES 96

Anatomy and Physiology of Body Fluids 96

Pathogenesis of Dehydration 97

Treatment of Dehydration 103

Potassium Deficiency 111

Dehydration in Infants 113

TUBERCULOSIS 115

Introduction 115

Prevention 116

Principles of Treatment 122

Chemotherapy 124

Primary Tuberculosis 129

Miliary Tuberculosis 131

Tuberculous Meningitis 132

Pulmonary Tuberculosis 133

Pleural Effusion 137

Other Forms of Tuberculosis 138

Marriage and Pregnancy 141

COMMON DISEASES OF THE SKIN 143

Local Treatment 143

Bacterial Infections 150

Impetigo Contagiosa 150

Furunculosis 152

Sycosis 153

Parasitic Infections 154

Ringworm 154

Scabies 157

Pediculosis 158

Acne 159

Rosacea 161

Eczema 161

Due to External Causes 162

Due to Internal Causes 163

Varicose Eczema 165

Occupational Dermatitis 166

Exfoliative Dermatitis 166

Pruritus 167

Urticaria 168

Drug Eruptions 169

Bullous Eruptions 170

Herpes Simplex 170

Herpes Zoster 171

Lupus Erythematosus 171

Alopecia 171

Pityriasis Rosea 172

Lichen Planus 172

Psoriasis 172

VENEREAL DISEASES 175

Prevention 175

Gonorrhoea 176

In the Male 176

In the Female 177

Local Complications 178

Metastatic Complications 181

Non-gonococcal Urethritis 182

Syphilis 184

Drug Treatment 184

Early Syphilis 186

Secondary Syphilis 186

Gummatous Syphilis 187

Cardio-vascular Syphilis 187

Neuro-syphilis 188

Syphilis during Pregnancy 191

Congenital Syphilis 191

Endemic Syphilis 193

Chancroid 193

Granuloma Inguinale 193

Venereal Warts 194

Trichomonas Infestations 194

COMMON TROPICAL DISEASES AND HELMINTHIC INFECTIONS 196

Malaria and Blackwater Fever 196

African Trypanosomiasis 202

Leishmaniasis 205

Leptospirosis 207

Rat Bite Fever 207

Plague 208

Undulant Fever 209

Cholera 209

Amoebiasis 211

Lambliasis 215

Malabsorption Syndrome 215

Leprosy 217

Yaws 218

Yellow Fever 219

Rabies 221

Prickly Heat 223

Tropical Neurasthenia 224

Helminthic Infestations 225

Schistosomiasis 225

Cestodiasis 226

Filariasis 228

Ancylostomiasis 230

Ascariasis 230

Strongyloidiasis 231

Enterobiasis 231

Trichuris Trichiura 232

Trichiniasis 232

Insecticides，Repellents and Acaricides 232

SOME COMMON DISORDERS IN INFANCY AND EARLY CHILDHOOD 236

Introduction 236

Special Methods of Feeding 237

Special Methods of Giving Fluid 238

Neo-natal Conditions 239

Prematurity 239

Neo-natal Infection 242

Epidemic Diarrhoea 243

Haemorrhagic Disease 243

Haemolytic Disease 244

Birth Injuries 245

Diseases of the Digestive System 247

Stomatitis 247

Vomiting 248

Constipation 251

Gastro-enteritis 251

Coeliac Disease 252

Pancreatic Disease 253

Diseases of the Respiratory System 254

＂Colds＂ 254

Otitis Media 254

Bronchitis and Pneumonia 254

Empyema 256

Pulmonary Fibrosis and Bronchiectasis 256

Convulsions 257

Mental Deficiency 259

Enuresis 259

Cyclical Vomiting 260

Pink Disease 261

THE CARE OF OLD PEOPLE 263

Attitude of the Doctor 263

The Natural History of Aging 263

Management in their Own Homes 265

Management in Hospital 270

INDUSTRIAL DISEASES 274

Introduction 274

Effects of High Temperatures 275

Work in Unusual Atmospheric Pressures 276

Work with Pneumatic Drills 277

Miners＇Nystagmus 277

Poisoning by Metals 277

Poisonous Fumes，Gases and Solvents 283

METABOLIC DISEASES 289

Diabetes Mellitus 289

Dietetic Treatment 289

Insulin Treatment 296

Hypoglycaemia 304

Blood Glucose Tests 305

Diabetic Coma 306

Diabetes in Children 308

Diabetes and Pregnancy 313

Complications of Diabetes 316

The Surgical Diabetic 320

Obesity 324

Nutritional Disorders 332

DISEASES OF THE DUCTLESS GLANDS 351

The Thyroid 351

Simple Goitre 351

Thyroiditis 352

Cretinism 353

Myxoedema 354

Hyperthyroidism 356

The Parathyroid Glands 369

Hypoparathyroidism 369

Hyperparathyroidism 371

The Suprarenal Glands 371

Addison＇s Disease 371

Cortical Hyperfunction 373

Tumours of the Medulla 375

The Pituitary 375

Diabetes Insipidus 375

Adenomata 376

Pituitary Dwarfism 376

Hypopituitarism 377

Male Hormone Therapy 378

Female Sex Endocrinology 380

Gonadotrophic Hormones 381

Ovarian Hormones 382

Disorders of Menstrual Function 384

Sterility 391

Recurrent Abortion 393

Lactational Disorders 394

The Menopause 395

Post-menopausal Disturbances 397

DISORDERS OF THE BLOOD 399

Introduction 399

Classification 400

Anaemias due to Iron Deficiency 402

Chronic Nutritional Hypochromic Anaemia 402

Nutritional Hypochromic Anaemia of Infancy 409

Post-haemorrhagic Anaemia 411

Pernicious Anaemia and other Megaloblastic Anaemias 414

Hemolytic Anaemias 423

Aplastic and Hypoplastic Anaemia 429

Portal Hypertension 431

Myelofibrosis 434

Polycythaemia Vera 434

Enterogenous Cyanosis 437

The Haemorrhagic Diseases 438

Haemophilia 439

Hypoprothrombinaemia 442

Fibrinogenopenia 443

The Purpuras 444

Agranulocytosis 447

Diseases of the Reticulo-endothelial System 449

The Leukaemias 451

Deep Ⅹ-Ray Treatment 457

CHEMOTHERAPY IN MALIGNANT AND ALLIED DISEASES 459

The Nitrogen Mustards 460

Urethane 464

Myleran 464

Colcemid 465

Aminopterin 465

6-Mercaptopurine 467

Hormones 467

DISEASES OF THE ALIMENTARY SYSTEM 472

Symptomatic Treatment 472

Diseases of the Mouth 474

Diseases of the CEsophagus 476

Diseases of the Stomach 479

Peptic Ulcer 479

Gastritis 489

Carcinoma 489

Diseases of the Intestines 490

Intestinal Obstruction 490

Regional Enteritis 492

Malabsorption Syndrome 493

Ulcerative Colitis 495

Diverticulitis 498

Constipation 499

Parenteral Feeding 501

Peritonitis 503

Functional Disease 504

Diseases of the Liver 507

Hepatic Failure 507

Portal Hypertension 509

Viral Hepatitis 510

Nutritional Disease 510

Cirrhosis 511

Pyogenic Infections 511

Diseases of the Biliary Tract 512

Diseases of the Pancreas 514

Pancreatitis 514

Carcinoma 515

DISEASES OF THE HEART AND CIRCULATION 517

Principles of Therapeutics 517

Varieties of Heart Failure 519

Congestive Failure 519

Acute Left-ventricular Failure 548

Acute Right-ventricular Failure 550

Anginal Failure 551

Acute Circulatory Failure 558

Simple Syncope 559

Cardiac Syncope 559

Collapse and Shock 561

The Infections 564

Rheumatic Fever 564

Pericarditis 569

Circulatory Failure in Acute Infections 571

Focal Sepsis in Heart Disease 571

Bacterial Endocarditis 572

Congenital Heart Disease 575

Heart Disease in Pregnancy 580

Hypertension 584

The Senile Heart 595

The Cardiac Arrhythmias 596

Auricular Fibrillation 596

Auricular Flutter 599

Paroxysmal Tachycardia 599

Heart-block 602

Extra-systoles 602

Surgery in Cardiac Disease 603

The Ambulant Cardiac Patient 608

The Cardiac Neuroses 611

Imaginary Heart Disease 612

Anxiety States 613

The Effort Syndrome 614

DISEASES OF THE BLOOD VESSELS OF THE LIMBS AND THE EFFECTS OF COLD 616

Physiology 616

Classification 616

Sudden Obstruction of Larger Arteries 617

Gradual Obstruction of Arteries 617

Intermittent Obstruction of Arteries 620

Erythro-cyanosis 621

The Effects of Cold 622

Venous Thrombosis 623

DISEASES OF THE NOSE，THROAT AND EAR 625

The Nose 625

Epistaxis 627

Rhinitis 628

Foreign Bodies 630

Sinusitis 631

The Pharynx 632

Tonsillitis 632

Pharyngitis 635

The Ear 637

Diseases of the External Ear 637

Affections of the Drum 639

Diseases of the Middle Ear 639

Deaf Aids 643

The Larynx 644

Laryngitis 644

CEdema of the Larynx 645

Prescriptions 646

DISEASES OF THE RESPIRATORY SYSTEM 648

Prophylaxis 648

Acute Coryza 650

Bronchitis 652

Acute Bronchitis 652

Chronic Bronchitis 656

Emphysema 658

The Pneumonias 660

Empyema 668

Spontaneous Pneumothorax 671

Haemothorax 672

Bronchiectasis 673

Pulmonary Abscess 676

Post-operative Pulmonary Complications 678

Intrathoracic New Growths 680

Pneumoconiosis 681

Fungous Infection 682

Sarcoidosis 683

Bronchial Asthma 683

Paroxysmal Rhinorrhoea 695

RENAL DISEASES 698

Nephritis 698

Classification 698

Biochemistry 699

Type 1 Nephritis 700

Type 2 Nephritis 708

Diabetic Glomerulosclerosis 713

Renal Amyloidosis 713

Anuria 714

Focal Nephritis 718

Functional Proteinuria 718

Diets 720

Renal Calculi 723

Infections of the Urinary Tract 724

Nephroptosis 728

CHRONIC RHEUMATIC DISEASES AND DISEASES OF BONE 729

Introduction 729

Classification 731

Prophylaxis 732

Rheumatoid Arthritis 733

Osteoarthritis 751

Chronic Menopausal Arthritis 753

Spondylitis 754

Still＇s Disease 756

Collagen Diseases 757

Gout 758

Non-articular Rheumatism 761

Surgery in Rheumatic Diseases 767

Appendix 769

The Rheumatism Clinic 769

Local Heat 770

Plaster Splints 771

Exercises 774

The Sedimentation Rate 777

Diseases of Bone 777

PSYCHOTHERAPY IN GENERAL PRACTICE 778

Introduction 778

Doctor-Patient Relationship 780

The Interview 782

Patients requiring Specialist Treatment 787

Tasks within the Practitioner＇s Scope 792

Alcoholism and Drug Addiction 801

DISEASES OF THE NERVOUS SYSTEM 806

Introduction 806

Infections 807

Meningitis 807

Encephalitis 808

Chorea 811

Spinal Cord Infections 812

Tumours 815

Traumatic Disease 816

Vascular Disease 818

Demyelinating Diseases 821

Motor Neurone Disease 822

Congenital and Familial Diseases 822

Epilepsy 822

Migraine 826

Disorders of Muscle 827

Neuritic Syndromes 828

Speech Therapy 832

Physiotherapy 833

THE WELFARE OF THE DISABLED 838

Introduction 838

Congenital Cerebral Palsy 839

Epilepsy 841

The Mentally Handicapped 842

Blindness 843

Deafness 845

Acquired Palsy 846

Heart Disease 848

TREATMENT OF POISONING 849

General Principles 849

Antidotes 850

TECHNICAL PROCEDURES 852

Asepsis 852

Subcutaneous Administration of Fluid 853

Venepuncture 854

Intravenous Infusion 857

Blood Transfusion 861

Intradermal Injection 870

Hypodermic Injection 870

Intramuscular Injection 871

Paracentesis of the Abdomen 872

Aspiration of the Pleural Cavity 873

Paracentesis of the Pericardium 874

Lumbar Puncture 875

Cisternal Puncture 878

Aspiration of Joints 879

Oxygen Therapy 880

PRINCIPLES OF PRESCRIBING 887

Introduction 887

Form of Prescription 888

Legal Requirements 888

National Health Service Prescribing 889

Nomenclature of Drugs 891

Dosage 891

Selection of Preparation 892

Cost of Drugs 893

Glossary 895

CONVERSION TABLE FOR WEIGHTS AND MEASURES 900

INDEX 901