By Ian Schott, Robert Youngson
A physician gets rid of the conventional, fit facet of a patient's mind rather than the malignant tumor. a guy whose leg is scheduled for amputation wakes as much as locate his fit leg got rid of. those contemporary examples are a part of a background of scientific mess ups and embarrassments as outdated because the occupation itself.
In short heritage of undesirable medication, Robert M. Youngson and Ian Schott have written the definitive account of clinical mishap in glossy and not-so- smooth instances. From recognized quacks to curious types of sexual therapeutic, from errors with the mind to medicinal drugs worse than the illnesses they're meant to regard, the e-book unearths shamefully harmful medical professionals, human guinea pigs, and the mythical health practitioner who was once himself a craven morphine addict.
Exploring the road among the comical and the tragic, the sincere mistake and the intentional crime, short heritage of undesirable medication illustrates as soon as and for all that you simply can't continuously belief the folk in white coats.
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Extra resources for A Brief History of Bad Medicine
Brain responsible for ∼20% of total body O2 consumption. Cerebral perfusion pressure (CPP): Ⅲ CPP = MAP − ICP Ⅲ MAP = mean arterial blood pressure Ⅲ ICP = intracranial pressure Monro–Kellie Hypothesis Ⅲ Ⅲ The sum of the volume of the brain, blood, and CSF within the skull must remain constant. Therefore, an increase in one of the above must be offset by an decreased volume of the others. If not, the ICP will increase. Increased ICP can thus result in cerebral herniation, or when ICP = systolic blood pressure (BP), cerebral blood ﬂow ceases and brain death occurs.
Includes a head-to-toe evaluation of the trauma patient and frequent reassessment of status. Neurologic examination, procedures, radiologic examination, and laboratory testing take place at this time if not already accomplished. HIGH-YIELD FACTS Tetanus Prophylaxis Immunize as needed. ᭤ H E AD T R AU MA Anatomy and Physiology Ⅲ Trauma Layers of the scalp: Skin Connective tissue Aponeurosis (galea) Loose areolar tissue Pericranium Ⅲ Ⅲ Ⅲ Ⅲ Concept of CPP is important in a hypertensive patient. Lowering the BP too fast will also decrease the CPP, creating a new problem.
Consist of upright chest and abdominal x-rays, as well as a supine abdominal x-ray. Look for free air, bowel gas patterns, air–ﬂuid levels, and stool in the intestine. Facial Films Ⅲ Ⅲ Ⅲ Diagnostics When suspecting epiglottitis, don’t send patients to radiology by themselves! Useful for trauma and sinus evaluation. Complicated fractures are usually followed up with computed tomography (CT) scan. Look for opaciﬁcation of sinuses, air–ﬂuid levels, and mucosal thickening, which are indicative of sinusitis.