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My Wife Is A Fox

My Wife Is A Fox

138 3 197

Her name is a beaver, not a vixen fox;It is her specialty to do destruction and trouble;It is her nature to play tricks and trick people;Seventy-two changes is her magic weapon to defeat the enemy;Inadvertently took over a business, accidentally lost the pink crystal fox pendant, and accidentally involved her in a whirlpool of conspiracy and love ...(Readers please rest assured that there are millions of words before Xianer finishes this novel. Xianer will never be an eunuch or irrigation. Xianer will never do half-way things, so please believe Xianer!)…

The osler medical handbook -john hopkin

The osler medical handbook -john hopkin

21 0 1

Section VIII – Infectious DiseasesSection Editors:Christopher Hoffmann, MD, MPH   Nicola Zetola, MDChapter 53 – Fever of Unknown OriginScott Kim, MD   Rachel Damico, MD, PhD   Paul Auwaerter, MDFAST FACTS   ▪    The contemporary understanding of fever of unknown origin (FUO) is derived from Petersdorf and Beeson's 1961 characterization of FUO. A stringent definition of FUO is composed of the following criteria[1]: temperature higher than 38.3° C measured on several occasions, 3-week duration (to exclude self-limiting fevers), negative blood cultures, no apparent explanation, and three outpatient visits or three hospital days.   ▪    Infections, malignancies, and noninfectious inflammatory diseases account for the majority of cases of FUO.   ▪    In patients older than 65 years, temporal arteritis should be considered early in any evaluation.   ▪    Patients with FUO who remain undiagnosed after exhaustive study usually have a favorable prognosis. In one study, in a cohort of 61 patients with FUO discharged without diagnosis, the 5-year mortality rate was only 3.2%.[2]…