By Alfred I. Tauber
"My venture is to research medicinal drugs moral constitution. I accomplish that as either a healthcare professional and a thinker. Of my voices, it's the latter that's trained via the former.... As a doctor i've got sought expert options to the frustrations of scuffling with a scientific procedure that has develop into more and more adversarial to my criteria of deal with my sufferers; as a thinker i'm going to discover right here the moral concerns i think are the foundation of our predicament."-- from the introductionIn Confessions of a medication guy, Alfred Tauber probes the moral constitution of modern drugs in a controversy obtainable to put readers, healthcare execs, and ethicists alike. via own anecdote, ancient narrative, and philosophical dialogue, Tauber composes an ethical portrait of the doctor-patient courting. In a time whilst dialogue has enthusiastic about marketplace forces, he seeks to exhibit how our easy conceptions of overall healthiness, the physique, and so much essentially our very concept of selfhood body our event of affliction. Arguing opposed to an ethics dependent on a presumed autonomy, Tauber offers a relational ethic that needs to orient clinical technology and a voracious again to their basic ethical accountability: the empathetic reaction to the decision of the in poor health.
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Neurologic examination is limited by the patient’s inability to cooperate but appears to be nonfocal. Kernig sign (resistance to passive extension of the flexed leg with the patient lying supine) is negative. 1. What is the typical presentation of bacterial meningitis? • Symptoms commonly associated with both bacterial and viral meningitis include acute onset of fever, headache, neck stiffness ff (meningismus), photophobia, and confusion 2. What are the major etiologic agents of meningitis, and how do they vary with age or other characteristics of the host?
A diagnosis of pneumonia is made, and the patient is admitted to the hospital for administration of intravenous antibiotics. 1. What are the important pathogens for patients with community-acquired pneumonia based on severity of illness and site of care? • The most likely pathogens are Streptococcus pneumoniae, Haemophilus influenzae fl , and Moraxella catarrhalis • Other potential pathogens include Mycoplasma pneumoniae, Chlamydophila pneumoniae, Legionella pneumophila, and respiratory viruses • Tuberculosis, anaerobes, and fungi should also be considered, although these are less likely in this patient with such an acute presentation • Staphylococcus aureus and Pseudomonas aeruginosa should be added to the differential ff diagnosis, particularly if the patient had been recently hospitalized and the patient were ill enough to require ICU admission • Inhalation of infectious droplets into the lower airways • Aspiration of oropharyngeal contents • Spread along the mucosal membrane surface • Hematogenous spread 3.
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