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Guncel Tibbin Temelleri

Text of Guncel Tibbin Temelleri

  • GNCEL TIBBIN TEMELLER

    LAWRENCE M. TIERNEY, Jr.SANJAY SAINTMARY A. WHOOLEY

    eviri Editr

    Prof. Dr. Mehmet Akif Karan

    LANGE

    LANGE

    GNCEL

    TIBBIN TEM

    ELLER

    eviri Editr

    Prof. Dr. M

    ehmet A

    kif Karan

    Tierney

    Saint

    Whooley

    GNCEL TIBBIN TEMELLERLawrence M. Tierney, MD Sanjay Saint, MD, MPH Mary A. Whooley, MD

    eviri EditrProf. Dr. Mehmet Akif Karan

    Klinikte ve poliklinikte mkemmel bir hzl bavuru kayna!

    Klinik uygulamada en sk grlen 500den fazla hastaln tan ve tedavisi hakknda gncel bilgiler

    Her sayfada bir hastalk Her hastalk iin maddeler

    halinde Tan Esaslar, Ayrc Tan, Tedavi, pucu ve Kaynak

    Hem ayaktan hem yatan hastalar kapsamakta

    Hastalklar ile birlikte Kadn Hastalklar ve Doum, Cerrahi ve Pediatri gibi uzmanlk dallarn iermekte

    Tamamyla gncellenmi klinik belirtiler, tan testleri ve tedavi seenekleri

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    1 Kardiyovaskler Hastalklar

    Pulmoner Hastalklar

    Gastrointestinal Sistem Hastalklar

    Hepatobiliyer Sistem Hastalklar

    Hematolojik Hastalklar

    Romatolojik ve Otoimmun Hastalklar

    Endokrin Hastalklar

    nfeksiyon Hastalklar

    Onkolojik Hastalklar

    Sv, Asit-Baz ve Elektrolit Bozukluklar

    Genitoriner ve Bbrek Hastalklar

    Nrolojik Hastalklar

    Geriatri

    Psikiyatrik Bozukluklar

    Deri Hastalklar

    Jinekolojik, Obstetrik ve Meme Hastalklar

    Sk Karlalan Cerrahi Hastalklar

    Sk Karlalan Pediatrik Hastalklar

    Genetik Hastalklar

    Sk Grlen Gz Hastalklar

    Kulak Burun ve Boazn Sk Rastlanan Hastalklar

    Zehirlenmeler

  • Editrler

    Lawrence M. Tierney, Jr., MDProfessor of MedicineUniversity of California, San FranciscoAssociate Chief of Medical ServicesVeterans Affairs Medical CenterSan Francisco, California

    Sanjay Saint, MD, MPHAssociate Chief of Medicine, Ann Arbor VA Medical CenterDirector, VAIUM Patient Safety Enhancement ProgramProfessor of Internal Medicine, University of Michigan Medical SchoolAnn Arbor, Michigan

    Mary A. Whooley, MDProfessor of Medicine, Epidemiology and BiostatisticsUniversity of California, San FranciscoDepartment of Veterans Affairs Medical CenterSan Francisco, California

    eviri Editr

    Prof. Dr. Mehmet Akif Karanstanbul niversitesi, stanbul Tp Fakltesi, Hastalklar Anabilim Dal,Geriatri Bilim Dal

    NOBEL TIP KTABEVLER

    GNCELTIBBIN TEMELLER

  • 2013 Nobel Tp Kitabevleri Ltd. ti.

    Gncel Tbbn Temelleri, Drdnc Bask

    eviri Editr: Prof. Dr. Mehmet Akif Karan

    ISBN: 978-975-420-937-2

    Current Essentials of Medicine, Fourth EditionLawrence M. Tierney, Sanjay Saint, Mary A. WhooleyISBN: 978-0-07-163790-9 2011 McGraw-Hill Companies

    Bu kitabn Trkeye eviri hakk McGraw-Hill Companies tara-fndan NOBEL TIP KTABEVLERne verilmitir. 5846 ve 2936 sayl Fikir ve Sanat Eserleri yasas gerei herhangi bir blm, resmi veya yazs, yazarlarn ve yaynlaycsnn yazl izni alnmadan tek-rarlanamaz, baslamaz, kopyas karlamaz, fotokopisi alnamaz veya kopya anlam tayabilecek hibir ilem yaplamaz.

    Dzenleme: NobelTpKitabevleri

    HandeDalsaldaur

    Kapak: Hakkakr

    Bask / Cilt: NobelMatbaaclk, Hadmky-STANBUL

    NOBEL TIP KTABEVLER LTD. T.

    ANKARASalk Sokak No:17/C ankaya (Shhiye) Tel: (0312) 434 10 87

    ANTALYAMeltem Mahallesi Dumlupnar BulvarBakent Sit. B Blok. No: 4 Meltem-Antalya Tel: (0242) 238 15 55

    BURSAUluda niversitesi Grkle Kamps Kamps AVM No: 7 Nilfer-BursaTel: (0224) 224 60 21

    ELAZIYahya Kemal Cad. niversite Mah. No: 36/B Tel: (0424) 233 43 43

    SAMSUNUlugazi Mah. 19 Mays Bulvar 16/6 Tel: (0362) 435 08 03

    APAMillet Cad. No:111 apa-stanbul Tel: (0212) 632 83 33 Fax: (0212) 587 02 17

    CERRAHPAA Cerrahpaa Tp Fakltesi Kars Park ii Cerrahpaa-stanbul Tel: (0212) 586 17 58

    KADIKY Rhtm Cad. Derya Merkezi No: 7 Kadky-stanbul Tel: (0216) 336 60 08

  • Anne babasna hayatlarnn son dneminde mutlak bir ballkla hizmet eden ve kendisini tanma bahtna sahip olan herkes iin bir model olan bir kz karde, Katherine Thirneye

    Lawrence M. Tierney, Jr.

    Eitime olan ballklar yeni kuaklara ilham verecek olan, babam Prem Saint ve kaynpederim James McCarthye

    Sanjay Saint

    Annem Mary Aquinas Whooley (1940-2003)in ansna,

    Mary A. Whooley

  • vindekiler

    Katkda Bulunanlar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vii

    nsz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi

    eviriye Katkda Bulunanlar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii

    1. Kardiyovaskler Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

    2. Pulmoner Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

    3. Gastrointestinal Sistem Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

    4. Hepatobiliyer Sistem Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92

    5. Hematolojik Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

    6. Romatolojik ve Otoimmun Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147

    7. Endokrin Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 178

    8. nfeksiyon Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202

    9. Onkolojik Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 286

    10. Sv, Asit-Baz ve Elektrolit Bozukluklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309

    11. Genitoriner ve Bbrek Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325

    12. Nrolojik Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 350

    13. Geriatri . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 372

    14. Psikiyatrik Bozukluklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 381

    15. Deri Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 399

    16. Jinekolojik, Obstetrik ve Meme Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . 450

    17. Sk Karlalan Cerrahi Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 468

    18. Sk Grlen Pediatrik Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 481

    19. Genetik Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500

    20. Sk Grlen Gz Hastalklar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 509

    21. Kulak Burun ve Boazn Sk Rastlanan Hastalklar . . . . . . . . . . . . . . . . . . . . 529

    22. Zehirlenmeler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 540

    ndeks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 565

  • vii

    Katkda Bulunanlar

    Timir Baman, MDCardiology Fellow, University of Michigan Medical School, Ann Arbor, MichiganCardiovascular Diseases

    Alex Benson, MDFellow, Department of Pulmonary and Critical Care Medicine, University of Colorado Hospital, Aurora, ColoradoPulmonary Diseases

    Aaron Berg, MDClinical Lecturer and Hospitalist, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MichiganFluid, AcidBase, and Electrolyte Disorders

    Jeffrey Critchfield, MDAssociate Professor of Clinical Medicine, Department of Medicine, San Francisco General Hospital, University of California, San Francisco School of Medicine, San Francisco, CaliforniaRheumatologic & Autoimmune Disorders

    Vanja Douglas, MDAssistant Clinical Professor, Department of Neurology, University of California, San Francisco, CaliforniaNeurologic Disorders

    Rebecca A. Jackson, MDAssociate Professor & Chief, Obstetrics, Gynecology and Reproductive Sciences, San Francisco General Hospital, University of California, San Francisco, CaliforniaGynecologic, Obstetric, and Breast Disorders

    Kirsten Neudoerffer Kangelaris, MDResearch Fellow, Division of Hospital Medicine, University of California, San Francisco, CaliforniaSelected Genetic Disorder

  • viii Katkda Bulunanlar

    Helen Kao, MDAssistant Professor, Division of Geriatrics, Deparment of Medicine, University of California, San Francisco, San Francisco, CaliforniaGeriatrics

    Kewchang Lee, MDAssociate Clinical Professor of Psychiatry, University of California, San Francisco; Director of Psychiatry Consultation, San Francisco Veterans Affairs Medical Center, San Francisco, CaliforniaPsychiatric Disorders

    Joan C. Lo, MDResearch Scientist, Division of Research, Kaiser Permanente Northern California; Associate Clinical Professor of Medicine, University of California, San Francisco, Oakland, CaliforniaEndocrine Disorders

    Michael P. Lukela, MDDirector, Medicine-Pediatrics Residency Program, University of Michigan Medical School, Ann Arbor, MichiganCommon Pedi