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The histological section of the brainstem is very According to the author purchase 100 mg zudena free shipping, this is a book for medical students detailed order 100 mg zudena with amex. There is a limited presentation of the pathways that blends the physiological systems approach with the and functional systems, with text. The emphasis is on the “processing” of a CD-ROM containing all the illustrations, with some information, for example, in the visual system. Excellent illustrations of the nervous system, as well as of the skull, the autonomic and peripheral ner- This is the “neuro” section from Gray’s Anatomy. The text is interesting but Although somewhat dated, there is excellent reference may be dated. The limbic system and its development are also well Central Nervous System, Springer Verlag, Berlin, 1981. Unique three-dimensional drawings of the CNS and its pathways are presented, in tones of gray. A handy resource on the cranial nerves, with some very nice illustrations. It is relatively complete and easy to A well illustrated (color) atlas, with text and illustrations, follow. Functional systems are drawn onto © 2006 by Taylor & Francis Group, LLC Annotated Bibliography 241 the brain sections with the emphasis on the neuroanatomy; Harrison’s is a trusted, authoritative source of information, the accompanying text is quite detailed. Part 2 in Section 3 (Volume I) has dimensional brain reconstructions by J. The online A Visual Guide to the Human Central Nervous System, version of Harrison’s has updates, search capability, prac- 2nd ed. Part II of the book is a complete pictorial atlas of the human brain, with some color illustrations and radio- Ropper, A. Parts III and IV consist of histological of Neurology, 8th ed. Part V presents the pathways, accompa- A comprehensive neurology text — with part devoted to nied by some explanatory text. A well-known, complete, and trustworthy neurology text- book, now edited by L. If a student wishes to consult a clinical book for a quick look at a disease or syndrome, then this is a suitable book Royden-Jones, H. Clinical findings are given, and inves- Teterboro, NJ, 2005.

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A 40-year-old white woman whom you have been treating for resistant hypertension presents for rou- tine follow-up purchase zudena 100mg without prescription. The patient has been receiving a thiazide diuretic cheap zudena 100 mg on-line, a calci- um channel blocker, and an ACE inhibitor at near maximal doses for several weeks. Her blood pressure today remains very elevated, at 175/100 mm Hg. She experienced a minimal response to titration of her antihypertensive medicines. Today, the physical examination is unchanged, except that you notice a soft bruit in the left upper quadrant. Which of the following statements regarding renovascular hypertension is true? Renovascular hypertension is an exceptionally rare cause of hyperten- sion in patients with treatment-resistant hypertension ❏ B. Stenosing lesions of the renal circulation cause hypertension through ischemia-mediated activation of the renin-angiotensin-aldosterone system 10 BOARD REVIEW ❏ C. Fibromuscular disease is an uncommon cause of renovascular hyper- tension in patients of this age ❏ D. Atheromatous disease and fibromuscular disease are equally frequent causes of renovascular hypertension Key Concept/Objective: To know the characteristics of renovascular hypertension that is mediat- ed by atheromatous lesions and fibromuscular disease Renovascular hypertension is the most common form of potentially curable secondary hypertension. It probably occurs in 1% to 2% of the overall hypertensive population. The prevalence may be as high as 10% in patients with resistant hypertension, and it may be even higher in patients with accelerated or malignant hypertension. Stenosing lesions of the renal circulation cause hypertension through ischemia-mediated stimulation of the renin-angiotensin-aldosterone axis. Fibromuscular disease is the most common cause of renovascular hypertension in younger patients, especially women between 15 and 50 years of age; it accounts for approximately 10% of cases of renovascular hypertension. Athero- matous disease is the most common cause of renovascular hypertension in middle-aged and older patients and accounts for approximately 90% of cases of renovascular hyper- tension. The prevalence of atheromatous renal artery disease increases with age and is common in older hypertensive patients, especially in those with diabetes or with athero- sclerosis in other vascular beds. Most patients with atheromatous renal vascular disease and hypertension have essential hypertension. A 55-year-old man presents to establish primary care. His medical history is significant only for 40 pack- years of smoking. On physical examina- tion, the patient’s blood pressure is 158/98 mm Hg, and he is moderately obese (body mass index, 27); the rest of his examination is normal.

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