Harrison's Principles of Internal Medicine

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Spanish copy of Harrison's Principles of Internal Medicine in its 19th edition. Harrison Medicina Interna 19a Edicion.jpg
Spanish copy of Harrison's Principles of Internal Medicine in its 19th edition.
Harrison's Principles of Internal Medicine in Italian Harrison it 15 pb.jpg
Harrison's Principles of Internal Medicine in Italian

Harrison's Principles of Internal Medicine is an American textbook of internal medicine. [1] First published in 1950, it is in its 21st edition (published in 2022 by McGraw-Hill Professional ISBN   978-1264268504) and comes in two volumes. Although it is aimed at all members of the medical profession, it is mainly used by internists and junior doctors in this field, as well as medical students. It is widely regarded as one of the most authoritative books on internal medicine and has been described as the "most recognized book in all of medicine." [2]

Contents

The work is named after Tinsley R. Harrison of Birmingham, Alabama, who served as editor-in-chief of the first five editions and established the format of the work: a strong basis of clinical medicine interwoven with an understanding of pathophysiology.

History

It was published in 1950 by Blakiston. [3] Creator and editor Tinsley Harrison's quotation appeared on the first edition of this book in 1950:

No greater opportunity or obligation can fall the lot of a human being than to be a physician. In the care of suffering he needs technical skill, scientific knowledge and human understanding. He who uses these with courage, humility and wisdom will provide a unique service to his fellow man and will build an enduring edifice of character within himself. The physician should ask of his destiny no more than this and he should be content with no less.

Blakiston was acquired by McGraw-Hill in 1954. [4]

The 17th edition of the textbook is dedicated to George W. Thorn, who was editor of the first seven editions of the book and editor in chief of the eighth edition. He died in 2004.

The 18th edition of the book ( ISBN   978-0071748896) was edited by Anthony Fauci, Dennis Kasper, Stephen Hauser, J. Larry Jameson and Joseph Loscalzo. New chapters added include "Systems Biology in Health and Disease," "The Human Microbiome," "The Biology of Aging," and "Neuropsychiatric Illnesses in War Veterans."

The 19th edition of the book was edited by Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson and Joseph Loscalzo.

AL.com in December 2014 wrote that it was still "a best-selling internal medicine text in the United States and around the world," and that it had been reprinted 16 times and translated into 14 languages. [3]

The 20th edition of the book, edited by Dennis Kasper, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson and Joseph Loscalzo, was released on 17 August 2018. [5]

The 21st edition of the book was released on 28 March 2022. [6]

Contents

Table of contents (20th edition)

Part 1: The Profession of Medicine

Part 2: Cardinal Manifestations and Presentation of Diseases

Section 1: Pain

Section 2: Alterations in Body Temperature

Section 3: Nervous System Dysfunction

Section 4: Disorders of Eyes, Ears, Nose, and Throat

Section 5: Alterations in Circulatory and Respiratory Functions

Section 6: Alterations in Gastrointestinal Function

Section 7: Alterations in Renal and Urinary Tract Function

Section 8: Alterations in the Skin

Section 9: Hematologic Alterations

Part 3: Pharmacology

Part 4: Oncology and Hematology

Section 1: Neoplastic Disorders

Section 2: Hematopoietic Disorders

Section 3: Disorders of Hemostasis

Part 5: Infectious Diseases

Section 1: Basic Considerations in Infectious Diseases

  • Chapter 115: Approach to the Patient with an Infectious Disease
  • Chapter 116: Molecular Mechanisms of Microbial Pathogenesis
  • Chapter 117: Approach to the Acutely Ill Infected Febrile Patient
  • Chapter 118: Immunization Principles and Vaccine Use
  • Chapter 119: Health Recommendations for International Travel
  • Chapter 120: Climate Change and Infectious Disease

Section 2: Clinical Syndromes: Community-Acquired Infections

Section 3: Clinical Syndromes: Health Care-Associated Infections

  • Chapter 137: Infections Acquired in Health Care Facilities
  • Chapter 138: Infections in Transplant Recipients

Section 4: Therapy for Bacterial Diseases

Section 5: Diseases Caused by Gram-Positive Bacteria

Section 6: Diseases Caused by Gram-Negative Bacteria

Section 7: Miscellaneous Bacterial Infections

Section 8: Mycobacterial Diseases

Section 9: Spirochetal Diseases

Section 10: Diseases Caused by Rickettsiae, Mycoplasmas, and Chlamydiae

Section 11: Viral Diseases: General Considerations

  • Chapter 185: Medical Virology
  • Chapter 186: Antiviral Chemotherapy, Excluding Antiretroviral Drugs

Section 12: Infections Due to DNA Viruses

Section 13: Infections Due to DNA and RNA Respiratory Viruses

Section 14: Infections Due to Human Immunodeficiency Virus and Other Human Retroviruses

Section 15: Infections Due to RNA Viruses

Section 16: Fungal Infections

Section 17: Protozoal and Helminthic Infections: General Considerations

  • Chapter 216: Introduction to Parasitic Infections
  • Chapter 217: Agents Used to Treat Parasitic Infections

Section 18: Protozoal Infections

Section 19: Helminthic Infections

  • Chapter 225: Introduction to Helminthic Infections
  • Chapter 226: Trichinellosis and Other Tissue Nematode Infections
  • Chapter 227: Intestinal Nematode Infections
  • Chapter 228: Filarial and Related Infections
  • Chapter 229: Schistosomiasis and Other Trematode Infections
  • Chapter 230: Cestode Infections

Part 6: Disorders of the Cardiovascular System

Section 1: Introduction to Cardiovascular Disorders

  • Chapter 231: Approach to the Patient with Possible Cardiovascular Disease
  • Chapter 232: Basic Biology of the Cardiovascular System
  • Chapter 233: Epidemiology of Cardiovascular Disease

Section 2: Diagnosis of Cardiovascular Disorders

  • Chapter 234: Physical Examination of the Cardiovascular System
  • Chapter 235: Electrocardiography
  • Chapter 236: Noninvasive Cardiac Imaging: Echocardiography, Nuclear Cardiology, and Magnetic Resonance/Computed Tomography Imaging
  • Chapter 237: Diagnostic Cardiac Catheterization and Coronary Angiography

Section 3: Disorders of Rhythm

  • Chapter 238: Principles of Electrophysiology
  • Chapter 239: The Bradyarrhythmias: Disorders of the Sinoatrial Node
  • Chapter 240: The Bradyarrhythmias: Disorders of the Atrioventricular Node
  • Chapter 241: Approach to Supraventricular Tachyarrhythmias
  • Chapter 242: Physiologic and Nonphysiologic Sinus Tachycardia
  • Chapter 243: Focal Atrial Tachycardia
  • Chapter 244: Paroxysmal Supraventricular Tachycardias
  • Chapter 245: Common Atrial Flutter, Macroreentrant, and Multifocal Atrial Tachycardias
  • Chapter 246: Atrial Fibrillation
  • Chapter 247: Approach to Ventricular Arrhythmias
  • Chapter 248: Premature Ventricular Beats, Non-Sustained Ventricular Tachycardia, and Idioventricular Rhythm
  • Chapter 249: Sustained Ventricular Tachycardia
  • Chapter 250: Polymorphic Ventricular Tachycardia and Ventricular Fibrillation
  • Chapter 251: Electrical Storm and Incessant VT

Section 4: Disorders of the Heart

Section 5: Coronary and Peripheral Vascular Disease

Part 7: Disorders of the Respiratory System

Section 1: Diagnosis of Respiratory Disorders

  • Chapter 278: Approach to the Patient with Disease of the Respiratory System
  • Chapter 279: Disturbances of Respiratory Function
  • Chapter 280: Diagnostic Procedures in Respiratory Disease

Section 2: Diseases of the Respiratory System

Part 8: Critical Care Medicine

Section 1: Respiratory Critical Care

Section 2: Shock and Cardiac Arrest

Section 3: Neurologic Critical Care

Part 9: Disorders of the Kidney and Urinary Tract

  • Chapter 303: Cellular and Molecular Biology of the Kidney
  • Chapter 304: Acute Kidney Injury
  • Chapter 305: Chronic Kidney Disease
  • Chapter 306: Dialysis in the Treatment of Renal Failure
  • Chapter 307: Transplantation in the Treatment of Renal Failure
  • Chapter 308: Glomerular Diseases
  • Chapter 309: Polycystic Kidney Disease and Other Inherited Disorders of Tubule Growth and Development
  • Chapter 310: Tubulointerstitial Diseases of the Kidney
  • Chapter 311: Vascular Injury to the Kidney
  • Chapter 312: Nephrolithiasis
  • Chapter 313: Urinary Tract Obstruction

Part 10: Disorders of the Gastrointestinal System

Section 1: Disorders of the Alimentary Tract

  • Chapter 314: Approach to the Patient with Gastrointestinal Disease
  • Chapter 315: Gastrointestinal Endoscopy
  • Chapter 316: Diseases of the Esophagus
  • Chapter 317: Peptic Ulcer Disease and Related Disorders
  • Chapter 318: Disorders of Absorption
  • Chapter 319: Inflammatory Bowel Disease
  • Chapter 320: Irritable Bowel Syndrome
  • Chapter 321: Diverticular Disease and Common Anorectal Disorders
  • Chapter 322: Mesenteric Vascular Insufficiency
  • Chapter 323: Acute Intestinal Obstruction
  • Chapter 324: Acute Appendicitis and Peritonitis

Section 2: Nutrition

  • Chapter 325: Nutrient Requirements and Dietary Assessment
  • Chapter 326: Vitamin and Trace Mineral Deficiency and Excess
  • Chapter 327: Malnutrition and Nutritional Assessment
  • Chapter 328: Enteral and Parenteral Nutrition

Section 3: Liver and Biliary Tract Disease

  • Chapter 329: Approach to the Patient with Liver Disease
  • Chapter 330: Evaluation of Liver Function
  • Chapter 331: The Hyperbilirubinemias
  • Chapter 332: Acute Viral Hepatitis
  • Chapter 333: Toxic and Drug-Induced Hepatitis
  • Chapter 334: Chronic Hepatitis
  • Chapter 335: Alcoholic Liver Disease
  • Chapter 336: Nonalcoholic Fatty Liver Diseases and Nonalcoholic Steatohepatitis
  • Chapter 337: Cirrhosis and Its Complications
  • Chapter 338: Liver Transplantation
  • Chapter 339: Diseases of the Gallbladder and Bile Ducts

Section 4: Disorders of the Pancreas

  • Chapter 340: Approach to the Patient with Pancreatic Disease
  • Chapter 341: Acute and Chronic Pancreatitis

Part 11: Immune-Mediated, Inflammatory, and Rheumatologic Disorders

Section 1: The Immune System in Health and Disease

  • Chapter 342: Introduction to the Immune System
  • Chapter 343: The Major Histocompatibility Complex
  • Chapter 344: Primary Immune Deficiency Diseases

Section 2: Disorders of Immune-Mediated Injury

Section 3: Disorders of the Joints and Adjacent Tissues

  • Chapter 363: Approach to Articular and Musculoskeletal Disorders
  • Chapter 364: Osteoarthritis
  • Chapter 365: Gout and Other Crystal-Associated Arthropathies
  • Chapter 367: Arthritis Associated with Systemic Disease, and Other Arthritides
  • Chapter 366: Fibromyalgia
  • Chapter 368: Periarticular Disorders of the Extremities

Part 12: Endocrinology and Metabolism

Section 1: Endocrinology

  • Chapter 369: Approach to the Patient with Endocrine Disorders
  • Chapter 370: Mechanisms of Hormone Action
  • Chapter 371: Physiology of Anterior Pituitary Hormones
  • Chapter 372: Hypopituitarism
  • Chapter 373: Pituitary Tumor Syndromes
  • Chapter 374: Disorders of the Neurohypophysis
  • Chapter 375: Thyroid Gland Physiology and Testing
  • Chapter 376: Hypothyroidism
  • Chapter 377: Hyperthyroidism
  • Chapter 378: Thyroid Nodular Disease and Thyroid Cancer
  • Chapter 379: Disorders of the Adrenal Cortex
  • Chapter 380: Pheochromocytoma
  • Chapter 381: Multiple Endocrine Neoplasia
  • Chapter 382: Autoimmune Polyendocrine Syndromes

Section 2: Sex- and Gender-Based Medicine

  • Chapter 383: Disorders of Sex Development
  • Chapter 384: Disorders of the Testes and Male Reproductive System
  • Chapter 385: Disorders of the Female Reproductive System
  • Chapter 386: Menstrual Disorders and Pelvic Pain
  • Chapter 387: Hirsutism
  • Chapter 388: Menopause and Postmenopausal Hormone Therapy
  • Chapter 389: Infertility and Contraception
  • Chapter 390: Sexual Dysfunction
  • Chapter 391: Women’s Health
  • Chapter 392: Men’s Health
  • Chapter 393: Lesbian, Gay, Bisexual, and Transgender (LGBT) Health

Section 3: Obesity, Diabetes Mellitus, and Metabolic Syndrome

  • Chapter 394: Pathobiology of Obesity
  • Chapter 395: Evaluation and Management of Obesity
  • Chapter 396: Diabetes Mellitus: Diagnosis, Classification, and Pathophysiology
  • Chapter 397: Diabetes Mellitus: Management and Therapies
  • Chapter 398: Diabetes Mellitus: Complications
  • Chapter 399: Hypoglycemia
  • Chapter 400: Disorders of Lipoprotein Metabolism
  • Chapter 401: The Metabolic Syndrome

Section 4: Disorders of Bone and Mineral Metabolism

  • Chapter 402: Bone and Mineral Metabolism in Health and Disease
  • Chapter 403: Disorders of the Parathyroid Gland and Calcium Homeostasis
  • Chapter 404: Osteoporosis
  • Chapter 405: Paget’s Disease and Other Dysplasias of Bone

Section 5: Disorders of Intermediary Metabolism

  • Chapter 406: Heritable Disorders of Connective Tissue
  • Chapter 407: Hemochromatosis
  • Chapter 408: Wilson’s Disease
  • Chapter 409: The Porphyrias
  • Chapter 410: Disorders of Purine and Pyrimidine Metabolism
  • Chapter 411: Lysosomal Storage Diseases
  • Chapter 412: Glycogen Storage Diseases and Other Inherited Disorders of Carbohydrate Metabolism
  • Chapter 413: Inherited Disorders of Amino Acid Metabolism in Adults
  • Chapter 414: Inherited Defects of Membrane Transport

Part 13: Neurologic Disorders

Section 1: Diagnosis of Neurologic Disorders

  • Chapter 415: Approach to the Patient with Neurologic Disease
  • Chapter 416: Neuroimaging in Neurologic Disorders
  • Chapter 417: Pathobiology of Neurologic Diseases

Section 2: Diseases of the Central Nervous System

  • Chapter 418: Seizures and Epilepsy
  • Chapter 419: Cerebrovascular Diseases
  • Chapter 420: Ischemic Stroke
  • Chapter 421: Intracranial Hemorrhage
  • Chapter 422: Migraine and Other Primary Headache Disorders
  • Chapter 429: Amyotrophic Lateral Sclerosis and Other Motor Neuron Diseases
  • Chapter 423: Alzheimer’s Disease
  • Chapter 424: Frontotemporal Dementia
  • Chapter 425: Vascular Dementia
  • Chapter 426: Dementia with Lewy Bodies
  • Chapter 427: Parkinson’s Disease
  • Chapter 428: Tremor, Chorea, and Other Movement Disorders
  • Chapter 430: Prion Diseases
  • Chapter 431: Ataxic Disorders
  • Chapter 432: Disorders of the Autonomic Nervous System
  • Chapter 433: Trigeminal Neuralgia, Bell’s Palsy, and Other Cranial Nerve Disorders
  • Chapter 434: Diseases of the Spinal Cord
  • Chapter 435: Concussion and Other Traumatic Brain Injuries
  • Chapter 436: Multiple Sclerosis
  • Chapter 437: Neuromyelitis Optica

Section 3: Nerve and Muscle Disorders

  • Chapter 438: Peripheral Neuropathy
  • Chapter 439: Guillain-Barré Syndrome and Other Immune-Mediated Neuropathies
  • Chapter 440: Myasthenia Gravis and Other Diseases of the Neuromuscular Junction
  • Chapter 441: Muscular Dystrophies and Other Muscle Diseases

Section 4: Chronic Fatigue Syndrome

  • Chapter 442: Chronic Fatigue Syndrome

Section 5: Psychiatric and Addiction Disorders

  • Chapter 443: Biology of Psychiatric Disorders
  • Chapter 444: Psychiatric Disorders
  • Chapter 445: Alcohol and Alcohol Use Disorders
  • Chapter 446: Opioid-Related Disorders
  • Chapter 447: Cocaine and Other Commonly Used Drugs
  • Chapter 448: Nicotine Addiction

Part 14: Poisoning, Drug Overdose, and Envenomation

  • Chapter 449: Heavy Metal Poisoning
  • Chapter 450: Poisoning and Drug Overdose
  • Chapter 451: Disorders Caused by Venomous Snakebites and Marine Animal Exposures
  • Chapter 452: Ectoparasite Infestations and Arthropod Injuries

Part 15: Disorders Associated with Environmental Exposures

  • Chapter 453: Altitude Illness
  • Chapter 454: Hypothermia and Peripheral Cold Injuries
  • Chapter 455: Heat-Related Illnesses

Part 16: Genes, the Environment, and Disease

  • Chapter 456: Principles of Human Genetics
  • Chapter 457: The Practice of Genetics in Clinical Medicine
  • Chapter 458: Gene and Cell Based Therapy in Clinical Medicine
  • Chapter 459: The Human Microbiome

Part 17: Global Medicine

  • Chapter 460: Global Issues in Medicine
  • Chapter 461: Worldwide Changes in Patterns of Infectious Disease
  • Chapter 462: Primary Care and Global Health

Part 18: Aging

  • Chapter 463: The Biology of Aging
  • Chapter 464: Clinical Problems Associated with the Aging Process

Part 19: Consultative Medicine

  • Chapter 465: Approach to Medical Consultation
  • Chapter 466: Medical Disorders During Pregnancy
  • Chapter 467: Medical Evaluation of the Surgical Patient

Part 20: Frontiers

  • Chapter 468: Behavioral Economics and Health
  • Chapter 469: Complementary, Alternative, and Integrative Health Approaches
  • Chapter 470: Telomere Disease
  • Chapter 471: The Role of Epigenetics in Disease and Treatment
  • Chapter 472: Mitochondrial DNA and Heritable Traits and Diseases
  • Chapter 473: Applications of Stem Cell Biology in Clinical Medicine
  • Chapter 474: Microbial Genomics and Infectious Disease
  • Chapter 475: The Role of Circadian Biology in Health and Disease
  • Chapter 476: Network Medicine: Systems Biology in Health and Disease
  • Chapter 477: Emerging Neurotherapeutic Technologies

Part 21: Video Collection

  • Chapter V1: Video Library of Gait Disorders
  • Chapter V2: Primary Progressive Aphasia, Memory Loss, and Other Focal Cerebral Disorders
  • Chapter V3: Video Library of Neuro-Ophthalmology
  • Chapter V4: Examination of the Comatose Patient
  • Chapter V5: Video Atlas of Gastrointestinal Endoscopic Lesions
  • Chapter V6: The Neurologic Screening Exam
  • Chapter V7: Video Atlas of the Detailed Neurologic Examination

Part 22: Supplementary Topics

  • Chapter S1: Fluid and Electrolyte Imbalances and Acid-Base Disturbances: Case Examples
  • Chapter S2: Microbial Bioterrorism
  • Chapter S3: Chemical Terrorism
  • Chapter S4: Radiation Terrorism
  • Chapter S5: Infections in War Veterans
  • Chapter S6: Health Care for Military Veterans
  • Chapter S7: Primary Immunodeficiencies Associated with (or Secondary to) Other Diseases
  • Chapter S8: Cardiac Trauma
  • Chapter S9: Technique of Lumbar Puncture
  • Chapter S10: Classification of the Spinocerebellar Ataxias
  • Chapter S11: Hyperbaric and Diving Medicine
  • Chapter S12: The Clinical Laboratory in Modern Health Care
  • Chapter S13: Laboratory Diagnosis of Infectious Diseases
  • Chapter S14: Laboratory Diagnosis of Parasitic Infections

Part 23: Atlases

  • Chapter A1: Atlas of Rashes Associated with Fever
  • Chapter A2: Atlas of Oral Manifestations of Disease
  • Chapter A3: Atlas of Urinary Sediments and Renal Biopsies
  • Chapter A4: Atlas of Skin Manifestations of Internal Disease
  • Chapter A5: Atlas of Hematology
  • Chapter A6: Atlas of Blood Smears of Malaria and Babesiosis
  • Chapter A7: Atlas of Electrocardiography
  • Chapter A8: Atlas of Noninvasive Imaging
  • Chapter A9: Atlas of Cardiac Arrhythmias
  • Chapter A10: Atlas of Atherosclerosis
  • Chapter A11: Atlas of Percutaneous Revascularization
  • Chapter A12: Atlas of Chest Imaging
  • Chapter A13: Atlas of Liver Biopsies
  • Chapter A14: Atlas of the Vasculitic Syndromes
  • Chapter A15: Atlas of Clinical Manifestations of Metabolic Diseases
  • Chapter A16: Atlas of Neuroimaging

Part 24: Clinical Procedure Tutorials

  • Chapter CP1: Clinical Procedure Tutorial: Central Venous Catheter Placement
  • Chapter CP2: Clinical Procedure Tutorial: Thoracentesis
  • Chapter CP3: Clinical Procedure Tutorial: Abdominal Paracentesis
  • Chapter CP4: Clinical Procedure Tutorial: Endotracheal Intubation
  • Chapter CP5: Clinical Procedures Tutorial: Percutaneous Arterial Blood Gas Sampling
  • Chapter CP6: Clinical Procedures Tutorial: Lumbar Puncture
  • Chapter CP7: Clinical Procedures Tutorial: Phlebotomy
  • Chapter CP8: Clinical Procedures Tutorial: Insertion of Female Urethral Catheter
  • Chapter CP9: Clinical Procedures Tutorial: Insertion of Male Urethral Catheter
  • Chapter CP10: Clinical Procedures Tutorial: Fine Needle Aspiration of Breast Cyst
  • Chapter CP11: Clinical Procedures Tutorial: IV Insertion
  • Chapter CP12: Clinical Procedures Tutorial: Fine Needle Aspiration of Thyroid Nodules
  • Chapter CP13: Clinical Procedures Tutorial: Gynecologic Examination with Pap Smear
  • Chapter CP14: Clinical Procedures Tutorial: Knee Arthrocentesis
  • Chapter CP15: Clinical Procedures Tutorial: Pericardiocentesis
  • Chapter CP16: Clinical Procedures Tutorial: Bone Marrow Biopsy
  • Chapter CP17: Clinical Procedures Tutorial: Basic Suturing

Editors

The following is the list of editors, showing which editions they were an editor. Shaded boxes denote the chief editor of that edition. [7]

123456789101112131415161718192021
T. R. Harrison XXXXX
W. R. ResnickXXXXX
M. M Wintrobe XXXXXXX
G. W. ThornXXXXXXXX
R. D. Adams XXXXXXXXX
P. B. Beeson XX
I. L. Bennett, Jr.XXXX
E. Braunwald XXXXXXXXXXXX
K. J. Isselbacher XXXXXXXXX
R. G. PetersdorfXXXXXXX
J. D. WilsonXXXXXX
J. B. MartinXXXXX
A. S. Fauci XXXXXXXXXXX
R. RootX
D. L. KasperXXXXXXXXX
S. L. HauserXXXXXXXX
D. L. LongoXXXXXXXX
J. L. JamesonXXXXXXX
J. LoscalzoXXXXX

See also

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<span class="mw-page-title-main">Transverse myelitis</span> Medical condition of the spinal cord

Transverse myelitis (TM) is a rare neurological condition wherein the spinal cord is inflamed. The adjective transverse implies that the spinal inflammation (myelitis) extends horizontally throughout the cross section of the spinal cord; the terms partial transverse myelitis and partial myelitis are sometimes used to specify inflammation that affects only part of the width of the spinal cord. TM is characterized by weakness and numbness of the limbs, deficits in sensation and motor skills, dysfunctional urethral and anal sphincter activities, and dysfunction of the autonomic nervous system that can lead to episodes of high blood pressure. Signs and symptoms vary according to the affected level of the spinal cord. The underlying cause of TM is unknown. The spinal cord inflammation seen in TM has been associated with various infections, immune system disorders, or damage to nerve fibers, by loss of myelin. As opposed to leukomyelitis which affects only the white matter, it affects the entire cross-section of the spinal cord. Decreased electrical conductivity in the nervous system can result.

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<span class="mw-page-title-main">Blood in stool</span> Medical condition

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<span class="mw-page-title-main">Nausea</span> Medical symptom or condition

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<span class="mw-page-title-main">W. Ian Lipkin</span> Professor, microbiologist, epidemiologist

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Post-viral cerebellar ataxia also known as acute cerebellitis and acute cerebellar ataxia (ACA) is a disease characterized by the sudden onset of ataxia following a viral infection. The disease affects the function or structure of the cerebellum region in the brain.

<span class="mw-page-title-main">Signs and symptoms of HIV/AIDS</span>

The stages of HIV infection are acute infection, latency, and AIDS. Acute infection lasts for several weeks and may include symptoms such as fever, swollen lymph nodes, inflammation of the throat, rash, muscle pain, malaise, and mouth and esophageal sores. The latency stage involves few or no symptoms and can last anywhere from two weeks to twenty years or more, depending on the individual. AIDS, the final stage of HIV infection, is defined by low CD4+ T cell counts, various opportunistic infections, cancers, and other conditions.

<span class="mw-page-title-main">Symptoms of COVID-19</span> Overview of the symptoms of COVID-19

The symptoms of COVID-19 are variable depending on the type of variant contracted, ranging from mild symptoms to a potentially fatal illness. Common symptoms include coughing, fever, loss of smell (anosmia) and taste (ageusia), with less common ones including headaches, nasal congestion and runny nose, muscle pain, sore throat, diarrhea, eye irritation, and toes swelling or turning purple, and in moderate to severe cases, breathing difficulties. People with the COVID-19 infection may have different symptoms, and their symptoms may change over time. Three common clusters of symptoms have been identified: one respiratory symptom cluster with cough, sputum, shortness of breath, and fever; a musculoskeletal symptom cluster with muscle and joint pain, headache, and fatigue; and a cluster of digestive symptoms with abdominal pain, vomiting, and diarrhea. In people without prior ear, nose, or throat disorders, loss of taste combined with loss of smell is associated with COVID-19 and is reported in as many as 88% of symptomatic cases.

References

  1. Simonson, MT (July 2000). "Product review. Harrison's Online". National Network (Dallas, Tex.). 25 (1): 28–29. PMID   11184336.
  2. Malani, Preeti N. (7 November 2012). "Harrison's Principles of Internal Medicine". JAMA: The Journal of the American Medical Association. 308 (17): 1813. doi:10.1001/jama.308.17.1813-b.
  3. 1 2 "Legendary Tinsley Harrison – UAB med school pioneer, doctor, teacher – subject of new bio". AL.com. Retrieved 2018-07-16.
  4. "Blakiston Books Sold; McGraw-Hill Acquires Medical Subsidiary of Doubleday". The New York Times. 1954-10-18. ISSN   0362-4331 . Retrieved 2019-11-10.
  5. results, search; Fauci, Anthony S.; Kasper, Dennis L.; Hauser, Stephen L.; Longo, Dan L.; Loscalzo, Joseph (2018). Harrison's Principles of Internal Medicine, Twentieth Edition (20th ed.). McGraw-Hill Education / Medical. ISBN   978-1259644030.
  6. Loscalzo, Joseph; Fauci, Anthony S.; Kasper, Dennis L.; Hauser, Stephen; Longo, Dan; Larry Jameson, J. (2022). Harrison's Principles of Internal Medicine. ISBN   978-1264268504.
  7. Loscalzo, Joseph; Fauci, Anthony S.; Kasper, Dennis L.; Hauser, Stephen L.; Longo, Dan Louis; Larry Jameson, J. (2022). Harrison's Principles of Internal Medicine. ISBN   978-1264268504.