Current Medical Diagnosis and Treatment 24th Edition

0120456789  160 0



1 !"!4#$%&''&()!*

+,-./ +'
 

,1233456 789 5 8 95 3496456 4 89638  6  868 5 4 6 95
94  1 56456



!"#$%&$'
"$(")*+#,$-,.,!$


!"#$/&$

012$3"4"1+ 5",!$,2$6"
40+#$


!"#$7&$82+1"9:",:"$


!"#$;&$82+1"9:",!$<=*9!,:"$8*=9"$


!"#$>&$?!0,@$309+#2"#9$


!"#$A&$

012$,2$82+1"9:",!$B9C:
0!#0:$309+#2"#9$


!"#$D&$

012$8*=9"$,2$("@1":!$


!"#$E&$85*=1!+#C$F$G..0:"$B"20!#0:9$


!"#$H&$-55=,0I!0+,$


!"#$%J&$'#4"1$K"20:0,"$


!"#$%%&$(+#51$

012
++2$(=!#0!0+,$,2$-!9$309+#2"#9$


!"#$%/&$?5"#@",:0"9$,2$-,L=#0"9$


!"#$%7&$B+09+,0,@$


!"#$%;&$
#0!0:1$
#"$


!"#$%>&$<M0,$


!"#$%A&$?C"$


!"#$%D&$G#1$K"20:0,"$,2$3",!09!#C$


!"#$%E&$?#N$(+9"N$,2$'
#+!$


!"#$%H&$O"9 0#!+#C$'#:!$,2$K"209!0,=5$


!"#$/J&$<1"" $K"20:0,"$


!"#$/%&$
#20+49:=1#$309"9"9$


!"#$//&$P9!#+0,!"9!0,1$'#:!$


!"#$/7&$Q04"#$,2$B,:#"9$


!"#$/;&$R02,"C$,2$S#0,#C$'#:!$


!"#$/>&$("=#+1+@0:$,2$K=9:=1#$309+#2"#9$


!"#$/A&$G#!
+ "20:9$


!"#$/D&$< +#!9$K"20:0,"$


!"#$/E&$O"
*010!!0+,$K"20:0,"$


!"#$/H&$O
"=5!0:$309"9"9$


!"#$7J&$T"5!+1+@0:$309+#2"#9$


!"#$7%&$("+ 19!0:$309"9"$


!"#$7/&$B0,$K,@"5",!$,2$B110!04"$
#"$


!"#$77&$-55=,+2".0:0",:C$


!"#$7;&$?,2+:#0,"$309+#2"#9$


!"#$7>&$30*"!"9$K"110!=9$


!"#$7A&$-,*+#,$?##+#9$+.$K"!*+1095$


!"#$7D&$P","!0:9$,2$3C95+#
+1+@C$


!"#$7E&$811"#@0:$309+#2"#9$


!"#$7H&$8,!050:#+*01$'
"# C$


!"#$;J&$-,.":!0+,9U$V0#1$,2$O0:M"!!901$


!"#$;%&$T=5,$-55=,+2".0:0",:C$V0#=9$-,.":!0+,$


!"#$;/&$-,.":!0+,9U$6:!"#01$,2$< 0#+:
"!1$


!"#$;7&$-,.":!0+,9U$B#90!0:$,2$KC:+!0:$


!"#$;;&$<"W=11C$'#,950!!"2$-,.":!0+,9$


!"#$;>&$X1=02N$?1":!#+1C!"N$,2$8:02Y69"$309+#2"#9$,2$'
"# C$


!"#$;A&$B"20!#0:$Q*+#!+#C$K"20:0,"$,2$O"."#",:"$O,@"9$

, 012345689 15 5 624
0665422 6524545246

41

4 542 !"43"5015
#$%&'()'*+(,-./01-*(.*2-3-,04+-1/5,,6*5447047(5/-*807*5*9:+01/':0,2*
(1851/*;'-1*/'-*1<7.-*4<,,.*/'-*(1851/*/0*5*.(//(1=*40.(/(01>*
?$%@-52*,5=*(.*47-.-1/*;'-1*/'-*(1851/.*/7<1A*(.*,(8/-2B*
C$%D'-*(1851/*(.*5E,-*/0*.<4407/*/'-*'-52*;'-1*/'-*/7<1A*(.*,(8/-2B*
F$%D'-*(1851/*(.*E7(-8,6*5E,-*/0*'0,2*/'-*'-52*-7-)/B*
G$%D'-*(1851/*(.*8<,,6*5E,-*/0*.<4407/*512*'0,2*/'-*'-52*(1*5*./75(='/*
,(1-B*
*
HIJ&KLM*N*
*
H*9:+01/':0,2*(1851/*(.*5E,-*/0*'0,2*/'-*'-52*-7-)/*01,6*E7(-8,6*512*
)01/(1<-.*/0*'53-*.0+-*'-52*,5=B*O/*(.*10/*<1/(,*P*+01/'.*08*5=-*/'5/*
/'-*(1851/*)51*A--4*'(.*07*'-7*'-52*(1*5*./75(='/*,(1-*;'-1*4<,,-2*/0*
5*.(//(1=*40.(/(01B*
*
Q$%H4470R(+5/-,6*;'5/*.'0<,2*5*1-;E071*;-(='*5/*S*6-57*08*5=-*(8*/'-*
1-;E071.*E(7/'*;-(='/*;5.*T*40<12.*U*0<1)-.>*
?$%SP*VWP*40<12.*
C$%99*SWX*40<12.*
F$%9Y*SW9*40<12.*
G$%Z15E,-*/0*-./(+5/-*;-(='/*5/*S*6-57*
*
HIJ&KLM*[*
*
H1*(1851/*/7(4,-.*/'-*E(7/'*;-(='/*E6*S*6-57*08*5=-B*H1*(1851/*20<E,-.*
/'-*E(7/'*;-(='/*E6*U*+01/'.*08*5=-B*H1*(1851/*\<527<4,-.*/'-*E(7/'*
;-(='/*E6*9*6-57.*08*5=-B*&-(='/*5/*U*+01/'.]*S*6-57]*512*9*6-57.*08*
5=-*)51*E-*-./(+5/-2*870+*/'-*E(7/'*;-(='/B*

, 013456489 9 9    9 6 8589 9594    9 
  

14   956 94 9 
 94
5
9 8 8
6 8589 9994 8 
458

14   956 94 9 !
 94
645 8 9
" 94 8 
9 85995 "8595 989 

#1 84 4   $!
 94
5
98 5 8 9

%1&'
 94
5
958 95 " 5 945 695 8 9


()*3+,-.

/5956    9  5 89 8
"88 9   95   !
 945 6 89 5 "5
5949890" 995 "9 
85995 "8595 0 5 "989 

 !
 94
645 8
9 
 94 8  695595 8059  5 56 95 
    9 
  
( 5
94 8 89458  9  948
 " 58
  89 95 " 5595 89944  5 9  98 
(865 
8 5 58 8 9!  948
 "
,5 " 5 945 695 8
58 9 65956  5 89 
"88 9   9 9594 
645 64 81  948
 "

21(9 4 94!
 94
5
98 
64565 565859094 
8 84"5 45645  53 95 8
145 606708 .08506/709 58
1&&,045 6067/0 67
#185045 609 580 967
%185 &&,0670 9 58

()*3+,-(

45 606708 .08506/70 9 58  94  5 9 8 : 6 

5  53 95 8
 4 94!
 94
5
9
&&,58"5  9

9  !  948
 "
9 5 665 ;967<58  " 
 5 589  5 94 =
*