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By Harisios Boudoulas MD, Charles F. Wooley MD (auth.), Juan M. Bowen M.D., Ernest L. Mazzaferri M.D., FACP (eds.)

In the former volumes of this sequence, we offered vintage difficulties in inner medication as illustrated via genuine instances cared for in our establishment. it's been pleasant for us to determine the curiosity that those volumes have generated with scholars and trainees. We stay devoted to the case approach to guideline, and think that there's no higher technique to examine drugs than to have someone sufferer challenge because the foundation for learn of pathophysiology, ordinary background, analysis and administration. we are hoping that our readers locate this 3rd quantity as relaxing and instructive because the editors came across it. Juan M. Bowen, MD Ernest L. Mazzaferri, MD, FACP xiii Acknowledgement The editors are thankful to Jeff Smith and Jenny Riegler for his or her unflagging professionalism and endurance. xiv Contents Case 1 Mitral Regurgitation - persistent as opposed to Acute: Implications for Timing of surgical procedure • . • • • . . • . . . . . • . . . . . . . . . . . 1 Harisios Boudoulas, MD Charles F. Wooley, MD Advances and diagnostic imaging in a surgical process have replaced the method of mitral valve regurgitation. This bankruptcy presents an expert's viewpoint. Case 2 Cystic Fibrosis in Adults .. • •••••••••••• 36 Andrew Libertin, MD John S. Heintz, MD As young children with cystic fibrosis develop into maturity, the internist assumes a better function of their care. Case three Thrombotic Thrombocytopenic Purpura . . . . . . . . . . fifty one . . . Donald E. Thornton, MD Earl N. Metz, MD, FACP sufferers with ITP proceed to offer problems in analysis and administration. specialists speak about the present method of ITP.

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