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bell's palsy guideline

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61. Tonsillectomy in Children

Tonsillectomy in Children Clinical Practice Guideline: Tonsillectomy in Children (Update) | American Academy of Otolaryngology-Head and Neck Surgery b Search form Toggle navigation Bundle includes SHL, Tubes, Bell's Palsy, AOE and Tonsillectomy Clinical Practice Guideline: Tonsillectomy in Children (Update) Clinical Practice Guideline: Tonsillectomy in Children (Update) This is more content. This guideline was published as a supplement in the February 2019 issue of Otolaryngology — Head (...) and Neck Surgery. This clinical practice guideline (CPG), which is intended for all clinicians in any setting who interact with children aged 1 to 18 years who may be candidates for tonsillectomy, is an update of, and replacement for, the prior CPG that was published in 2011. The purpose of this multidisciplinary CPG is to identify quality improvement opportunities in managing children under consideration for tonsillectomy and to create explicit and actionable recommendations to implement

2019 American Academy of Otolaryngology - Head and Neck Surgery

62. Appropriate Use Criteria: Imaging of the Brain

sclerosis and other white matter diseases 11 Inflammatory conditions, unspecified 11 Trauma 11 Trauma 11 Tumor or Neoplasm 12 Acoustic neuroma (Adult only) 12 Pituitary adenoma (Adult only) 13 Tumor – not otherwise specified 13 Miscellaneous Conditions 14 Bell’s palsy (peripheral facial nerve palsy) 14 Cerebrovascular accident or transient ischemic attack 14 Dementia (Adult only) 15 Horner’s syndrome 16 Hydrocephalus/ventricular assessment 16 Mental status change and encephalopathy 17 Movement disorders (...) Appropriate Use Criteria: Imaging of the Brain 8600 West Bryn Mawr Avenue South Tower – Suite 800 Chicago, IL 60631 www.aimspecialtyhealth.com Appropriate.Safe.Affordable © 2017 ©©©© 2019 AIM Specialty Health 2057-0119 CLINICAL APPROPRIATENESS GUIDELINES ADVANCED IMAGING Appropriate Use Criteria: Imaging of the Brain EFFECTIVE JANUARY 1, 2019 Proprietary Imaging of the Brain Copyright © 2019. AIM Specialty Health. All Rights Reserved. 2 Table of Contents Description and Application

2019 AIM Specialty Health

63. Valacyclovir

-dose acyclovir compared to valacyclovir for reduction of asymptomatic 2006 18. Prednisone-Placebo vs Prednisone- Valacyclovir in Bell´s Palsy Prednisone-Placebo vs Prednisone- Valacyclovir in Bell´s Palsy - Full Text View - ClinicalTrials.gov A service of the U.S. National Institutes of Health Example: "Heart attack" AND "Los Angeles" Search for studies: Study Record Detail Prednisone-Placebo vs Prednisone- Valacyclovir in Bell´s Palsy (PVBP) This study has been completed. Sponsor: Universidad de (...) la Republica Information provided by: Universidad de la Republica (...) ClinicalTrials.gov Identifier: NCT00561106 First received: November 19, 2007 Last updated: NA Last verified: November 2007 History: No changes posted Full Text View Purpose Since steroids carry a moderate beneficial effect in Bell's palsy, and to address this question, valacyclovir was added to prednisone for the treatment of this condition. Bell´s Palsy Drug: prednisone- valacyclovir Drug: prednisone-placebo Study Type

2018 Trip Latest and Greatest

64. Prednisone

in the Complete Recovery of Patients With Bell?s Palsy: A Systematic Review "The Efficacy of Prednisone Versus Antivirals in the Complete Recovery " by Robin Tyner > > > > Title Author Date of Award Summer 8-10-2013 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies Rights . Abstract Background: Bell’s palsy is an idiopathic condition, caused by inflammatory injury to the facial nerve, resulting (...) viral etiology. Does the use of antivirals alone or in conjunction (...) with steroids substantially increase the overall recovery in patients with Bell’s palsy? Methods: An exhaustive search was conducted using Medline-OVID, CINAHL-EBSCOhost, EBMR Multifile, and Web of Science using the keywords: Bell’s palsy, antiviral agents and prednisone or prednisolone. The NIH clinical trials site revealed no on-going or registered trials comparing the treatment of steroids and antivirals in patients with Bell’s 2013 11. AAP Top 10 2016 #6: RCT of single dose Dex vs multi dose prednisone

2018 Trip Latest and Greatest

65. Prednisolone

13 2017 03 15 2345-4563 5 1 2017 Emergency (Tehran, Iran) Emerg (Tehran) Methyl prednisolone vs Dexamethasone in Management of COPD Exacerbation; a Randomized Clinical Trial. e35 Corticosteroids are routinely used in management of chronic obstructive pulmonary disease (COPD) exacerbation. The main purpose of present study was to compare the efficacy of methyl prednisolone (MP 2017 4. Treatment of Bell's Palsy - Should antivirals be added to prednisolone ? BestBets: Treatment of Bell's Palsy (...) - Should antivirals be added to prednisolone ? Treatment of Bell's Palsy - Should antivirals be added to prednisolone ? Report By: Saba Mattar - ENT Clinical Fellow Search checked by Muhammad Azam Majeed and Bernard A Foex - SpR Emergency Medicine and Consultant in Emergency Medicine Institution: St Michael's Hospital, Bristol, UK Original institution: Queen Elizabeth Hospital, Birmingham (...) , UK and Manchester Royal Infirmary, Manchester, UK Date Submitted: 31st July 2011 Date Completed: 12th June

2018 Trip Latest and Greatest

66. Corticosteroids

), African Index Medicus (up to January 2015), the Cumulative Index to Nursing and Allied Health Literature (CINAHL) (up to July 2015), EMBASE (up to July 2015) and the metaRegister of Controlled Trials (mRCT) for ongoing trials. SELECTION CRITERIA: All randomised 2015 14. Antiviral Agents Added to Corticosteroids for Early Treatment of Adults With Acute Idiopathic Facial Nerve Paralysis (Bell Palsy). CLINICAL QUESTION: Compared with oral corticosteroids alone, are oral antiviral drugs associated (...) with improved outcomes when combined with oral corticosteroids in patients presenting within 72 hours of the onset of Bell palsy? BOTTOM LINE: Compared with oral corticosteroids alone, the addition of acyclovir, valacyclovir, or famcyclovir to oral corticosteroids for 2016 15. Saline irrigation and corticosteroid spray are effective first choice treatments for chronic sinusitis NIHR DC | Signal - Saline irrigation and corticosteroid spray are effective first choice treatments for chronic sinusitis

2018 Trip Latest and Greatest

67. Acyclovir

In [uncomplicated chicken pox infection in immunocompetent children] is [oral acyclovir ] beneficial in [reducing severity and duration of infection]? Clinical Scenario A 4-year-old child is brought to the emergency department by her mother because of a rash that has developed over the preceding 24 hours. The rash is that of uncomplicated chicken pox infection and the child has no medical history of note and is not immunocompromised 2005 13. Early treatment with prednisolone or acyclovir in Bell's palsy (...) . 17942873 2007 10 18 2007 10 25 2013 11 21 1533-4406 357 16 2007 Oct 18 The New England journal of medicine N. Engl. J. Med. Early treatment with prednisolone or acyclovir in Bell's palsy. 1598-607 Corticosteroids and antiviral agents are widely used to treat the early stages of idiopathic facial paralysis (i.e., Bell's palsy), but their effectiveness is uncertain. We conducted a double-blind, placebo-controlled, randomized (...) , factorial trial involving patients with Bell's palsy who were recruited

2018 Trip Latest and Greatest

68. ACR–ASNR–SPR Practice Parameter for the Performance of Magnetic Resonance Imaging (MRI) of the Head and Neck

standard of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. PRACTICE PARAMETER 2 MRI Head and Neck I. INTRODUCTION This practice parameter was revised collaboratively by the American College (...) , and congenital lesions like encephalocele. In addition, in the pediatric population, neck MRI can be considered when cross-sectional imaging of the neck is indicated because of concerns about radiation exposure with CT [2]. Nevertheless, there are many clinical scenarios in which CT of the head and neck are appropriate in children, particularly when pediatric dose-reduction strategies are employed. II. SAFETY GUIDELINES AND POSSIBLE CONTRAINDICATONS See the ACR Practice Parameter for Performing

2019 American Society of Neuroradiology

69. Management of Infertility

and the Agency for Healthcare Research and Quality. This report may be used and reprinted without permission except those copyrighted materials that are clearly noted in the report. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders. AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools (...) assisted reproduction by infertility diagnosis 98 Table 32. Birth rates by number of embryos transferred 100 Table 33. Outcomes with fresh and frozen IVF cycles 100 Table 34. Strength of evidence for major outcomes—across all infertility diagnoses 102 Table 35. Report findings and major guidelines/recommendations—KQ 1. PCOS 108 Table 36. Report findings and major guidelines/recommendations—KQ 2, endometriosis 110 xiii Table 37. Report findings and major guidelines/recommendations—KQ 3, unexplained

2019 Effective Health Care Program (AHRQ)

70. Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

when 153 addressing a different critical question. Question-specific Classes of Evidence grading may be found in the 154 Evidentiary Table included at the end of this policy. 155 156 Translation of Classes of Evidence to Recommendation Levels 157 Based on the strength of evidence grading for each critical question (ie, Evidentiary Table), the 158 subcommittee drafted the recommendations and the supporting text synthesizing the evidence, using the following 159 guidelines: 160 Level (...) believe that it is equally important to alert emergency physicians to this fact. 186 This clinical policy is not intended to represent a legal standard of care for emergency physicians. 187 Recommendations offered in this policy are not intended to represent the only diagnostic or management options 188 available to the emergency physician. ACEP recognizes the importance of the individual physician’s judgment and 189 patient preferences. This guideline provides clinical strategies for which medical

2019 American College of Emergency Physicians

71. ACR–ASNR–SPR Practice Parameter for the Performance of Computed Tomography (CT) of the Extracranial Head and Neck

tools and not intended to establish a legal standard of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. 2 / CT_Extracranial Head and Neck PRACTICE PARAMETER I. INTRODUCTION This practice (...) in patients without contraindications. For selected indications, a noncontrast examination may be obtained focused to the area of specific interest, such as concern for a foreign body, trauma, salivary stones, or for patients undergoing radioiodine therapy for thyroid cancer as per institutional guidelines [61,62]. If the examination is performed for a vocal cord tumor, axial sections (or axial reformats) should be parallel to the vocal cords or hyoid bone. Most indications for soft-tissue neck CT can

2019 American Society of Neuroradiology

72. Sudden Hearing Loss

Sudden Hearing Loss Clinical Practice Guideline: Sudden Hearing Loss (Update) - Sujana S. Chandrasekhar, Betty S. Tsai Do, Seth R. Schwartz, Laura J. Bontempo, Erynne A. Faucett, Sandra A. Finestone, Deena B. Hollingsworth, David M. Kelley, Steven T. Kmucha, Gul Moonis, Gayla L. Poling, J. Kirk Roberts, Robert J. Stachler, Daniel M. Zeitler, Maureen D. Corrigan, Lorraine C. Nnacheta, Lisa Satterfield, 2019 Cookies Notification This site uses cookies. By continuing to browse the site you (...) and conditions Share URL copied to clipboard View permissions information for this article Clinical Practice Guideline: Sudden Hearing Loss (Update) .entryAuthor" data-author-container-selector=".NLM_contrib-group"> Show all authors , MD 1 2 3 1ENT & Allergy Associates, LLP, New York, New York, USA2Zucker School of Medicine at Hofstra-Northwell, Hempstead, New York, USA3Icahn School of Medicine at Mount Sinai, New York, New York, USA by this author for this author , , MD 4 4Kaiser Permanente, Walnut Creek

2019 American Academy of Otolaryngology - Head and Neck Surgery

73. Neonatal seizures

Neonatal seizures Refer to online version, destroy printed copies after use Maternity and Neonatal C linical G uideline Queensland Health Neonatal seizures Queensland Clinical Guideline: Neonatal seizures Refer to online version, destroy printed copies after use Page 2 of 32 Document title: Neonatal seizures Publication date: May 2017 Document number: MN17.23-V2-R22 Document supplement: The document supplement is integral to and should be read in conjunction with this guideline. Amendments (...) : Full version history is supplied in the document supplement. Amendment date: Full review of original document published in 2011. Replaces document: MN23-V1-R16 Author: Queensland Clinical Guidelines Audience: Health professionals in Queensland public and private maternity and neonatal services. Review date: 2022 Endorsed by: Queensland Clinical Guidelines Steering Committee Statewide Maternity and Neonatal Clinical Network (Queensland) Contact: Email: Guidelines@health.qld.gov.au URL

2019 Queensland Health

74. Diagnosis and Treatment of Peripheral Arterial Diseases

Diagnosis and Treatment of Peripheral Arterial Diseases We use cookies to enhance your experience on our website. By continuing to use our website, you are agreeing to our use of cookies. You can change your cookie settings at any time. 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS) | European Heart Journal | Oxford Academic Search Account Menu Menu Navbar Search Filter Mobile Microsite (...) Search Term Close search filter search input Article Navigation Close mobile search navigation Article navigation 01 March 2018 Article Contents Article Navigation 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS): Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries Endorsed by: the European Stroke Organization (ESO

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2017 European Society of Cardiology

75. Appropriate Use Criteria: Imaging of the Head & Neck

trigeminal neuralgia: a blinded case-control study and meta-analysis. Pain. 2014; 155(8):1464-1471. 9. Arab AF, Ahmed ME, Ahmed AE, et al. Accuracy of Canadian CT head rule in predicting positive findings on CT of the head of patients after mild head injury in a large trauma centre in Saudi Arabia. Neuroradiol J. 2015 Dec;28(6):591-7. 10. Baugh RF, Basura GJ, Ishii LE, et al. Clinical practice guideline: Bell’s palsy. Otolaryngol Head Neck Surg. 2013 Nov;149(3 Suppl):S1-S27. 11. Beck J, Raabe A, Szelenyi (...) is required to direct treatment Surveillance of established tumor CT Head | Copyright © 2018. AIM Specialty Health. All Rights Reserved. 9 Common Diagnostic Indications Neurologic Signs & Symptoms This section contains indications for Bell’s palsy, headache, mental status change, syncope, vertigo/dizziness, and visual disturbance. Advanced imaging based on nonspecific signs or symptoms is subject to a high level of clinical review . Appropriateness of imaging depends upon the context in which

2018 AIM Specialty Health

76. CrackCAST E129 – Bacteria

support. Even with limited resources, mortality can be reduced to less than 50% with basic medication and experienced medical personnel. [7] List 5 differential diagnoses for Bell’s Palsy Common entities: CVA Trigeminal neuralgia Herpes zoster oticus (Ramsay Hunt syndrome) CNS tumour – acoustic neuroma; cerebellopontine angle lesions (meningioma); facial nerve schwanoma, parotid gland tumour, sarcoma Parotitis Malignant otitis externa Uncommon entities Cephalic tetanus Tick paralysis Botulism CN (...) palsies Due to cerebral aneurysms Amyloidosis GBS HIV Neurosyphillis Cephalic tetanus is especially difficult to diagnose when the cranial nerve palsy precedes trismus. The differential diagnosis of cephalic tetanus also includes Bell’s palsy, botulism, cranial nerve palsies, and facial cellulitis with facial nerve compression and ophthalmoplegia. [8] Describe 4 major components of management of tetanus There are no laboratory tests to confirm or to exclude the diagnosis of tetanus. Physical

2017 CandiEM

77. CRACKCast E101 – Stroke

arteritis Polyarteritis nodosa Lupus / vasculitis Cerebral venous sinus thrombosis Metabolic Hypoglycemia Wernicke’s encephalopathy (ophthalmoplegia, ataxia, confusion) Post-seizure induced Todd’s paralysis Infectious Bell’s palsy Labyrinthitis Vestibular neuronitis Demyelination or Peripheral Neuropathy Peripheral nerve palsy Demyelinating disease Meniere’s disease This is list is similar to the differential diagnosis of hemorrhagic stroke, but hemorrhagic stroke includes: Hypertensive encephalopathy (...) treatable cause for TIAs (eg. high-grade carotid stenosis, mural thrombus) should be sought, which would require in-hospital treatment such as anticoagulation, stenting, or carotid endarterectomy. Check out: As per the Canadian Best practise guidelines we should be starting patients with TIAs in the ED on antiplatelet therapy (as long as they have no contraindications). The NNT for this is 77. ASA alone if not currently on antiplatelet. Add second antiplatelet agent (eg. plavix plus ASA) if already

2017 CandiEM

78. Let?s talk about protection: enhancing childhood vaccination uptake public health guidance

. If applicable, demonstrates ability to use registry or computer to call up patient record, assess what is due today, and update computer immunisation history. 4. Asks for and updates patient’s record of immunisations and reminds them to bring it to each visit. Some suggestions for action to improve skills include: a. Watch video on immunisation techniques. b. Review office protocols. c. Review manuals, textbooks, wall charts or other guides. d. Review package inserts. e. Review vaccine handling guidelines

2016 European Centre for Disease Prevention and Control - Public Health Guidance

79. Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association

of childhood that leads to coronary artery aneurysms in ≈25% of untreated cases. It has been reported worldwide and is the leading cause of acquired heart disease in children in developed countries. Methods and Results: To revise the previous American Heart Association guidelines, a multidisciplinary writing group of experts was convened to review and appraise available evidence and practice-based opinion, as well as to provide updated recommendations for diagnosis, treatment of the acute illness, and long (...) might be required for selected patients. In 2004, the American Heart Association (AHA) published guidelines for the diagnosis, treatment, and long-term management of KD. The current scientific statement incorporates new evidence regarding underlying pathological processes, an algorithm to ensure capture of incomplete KD during the effective window of therapy, improved management of the acute illness that includes the use of additional therapies for IVIG-refractory patients, greater use of Z scores

2017 American Heart Association

80. Periviable Birth

in the proportion of children at age 30 months with severe or moderate impairment (defined as cerebral palsy, blindness, profound hearing loss, or developmental quotient 2 SDs or more below the mean) with increasing gestational age at birth: 45% at 22–23 weeks, 30% at 24 weeks, and 17% at 25 weeks of gestation ( ). Similarly, a recent systematic review found that the incidence of moderate-to-severe neurodevelopmental impairment among survivors at 4–8 years decreased progressively with each week gained (...) these outcome studies, it also should be emphasized that although summary data often are grouped into segments of weeks, outcomes for deliveries at the extreme may be closer to those of the adjacent week than to those at the other extreme of the same week (eg, outcomes at 23 6/7 weeks may be more similar to those at 24 0/7 weeks than to those at 23 0/7 weeks of gestation). Fig.1 . Percentage of survival by gestational age. * Stoll BJ, Hansen NI, Bell EF, Shankaran S, Laptook AR, Walsh MC, et al. Neonatal

2017 American College of Obstetricians and Gynecologists

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