Oxford Handbook of Clinical Medicine: Part 2

(BQ) Continued part 1, part 2 of the document Adult cardiac surgery and method of perioperative care (Fifth edition) has contents: Fluid management, renal, metabolic, and endocrine problems, cardiovascular management, respiratory management, mediastinal bleeding, and other contents. Invite you to refer. | Oxford Handbook of Clinical Medicine Part 2 372 9 Infectious diseases1 Contents Classification of pathogens 374 375 An approach to infectious diseases Travel advice 377 Antibiotics penicillins 378 Cephalosporins and others 379 Empirical blind treatment 382 Using a side-room laboratory 383 Drug abuse amp infectious diseases 384 PUO and the tropical traveller 386 9 Gastroenteritis 390 Immunization 391 Nosocomial infections 391 Some specific infections Malaria 394 Tuberculosis 398 MDR-TB 409 Infectious mononucleosis 401 Influenza 402 Fig 1. Infections seduce us into 3 beautiful Toxoplasmosis amp CMV 404 but dangerous beliefs that we can say that Cytomegalovirus 404 the cause of any communicable disease Viral hepatitis 406 1 Is often simple and unitary suggesting that HIV 408 415 simple magic bullet treatments will work. Sexually transmitted infections 416 2 Determines the features of the disease scabies chlamydia etc more than host factors or social milieu. Vaginal discharge amp urethritis 418 3 Can be killed leading to diseases being con- quered by applying ever more reductionist Some Gram ve infections 420 science microscopes PCR etc . Staphylococci including MRSA VISA As we shall see the 3 great infections diseases Streptococci Anthrax Listeriosis TB malaria and HIV test these ideas to de- Diphtheria Nocardiosis struction and show their enduring nature by Some Gram ve infections 422 requiring 3 older principles co-evolution Enterobacteria Brucella co-operation and compromise. An example prospective studies show that Pertussis Pasteurella after infective diarrhoea some people recover Pseudomonas Yersinia fast while others get irritable bowel symp- Less common infections toms for years predicated by their mental Tetanus 424 state at the time of Don t blame the Cholera amp bacillary dysentery 426 pathogen don t blame the patient don t blame Leprosy 428 anyone. Instead look for networks of interre- Spirochetes including Syphilis 430 lating causes interacting

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