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Assessment of Physical Function

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101. Hyperhidrosis and bromhidrosis. A guide to assessment and management.

be considered for late onset, recent onset or very severe hyperhidrosis • Blood tests – full blood count – electrolytes and renal function tests – liver function tests – thyroid function tests – HIV serology – fasting blood glucose level • Testing for specific infectious diseases as suggested by the history (eg. tuberculosis) • 24 hour urinary catecholamines FOCUS Hyperhidrosis and bromhidrosis – a guide to assessment and management 268 Reprinted from AustRAliAn F Amily PhysiciAn Vol. 42, no. 5, mA y 2013 (...) Hyperhidrosis and bromhidrosis. A guide to assessment and management. Embarrassing problems 266 Reprinted from AustRAliAn F Amily PhysiciAn Vol. 42, no. 5, mA y 2013 Hyperhidrosis and bromhidrosis A guide to assessment and management Background Hyperhidrosis and bromhidrosis are two common conditions, which are troublesome for patients and carry a significant psychosocial burden. Objective This article details an approach to the assessment and management of hyperhidrosis and bromhidrosis

2013 Clinical Practice Guidelines Portal

102. Assessment of symptoms that may be ovarian cancer: a guide for GPs

, unexplained symptoms may have ovarian cancer. The guide is based on the Clinical practice guidelines for the management of women with epithelial ovarian cancer. w w w . o v a r i a n c a n c e r p r o g r a m . o r g . a u Patient with vague, persistent abdominal symptoms >1 month Careful clinical history Physical examination abdominal palpation and pelvic assessment Mass identi? ed clinically No mass identi? ed clinically* (...) Assessment of symptoms that may be ovarian cancer: a guide for GPs Assessment of symptoms that may be Ovarian cancer: a guide for GPs SYMPTOMS Most women diagnosed with ovarian cancer report symptoms. Symptoms of ovarian cancer are often vague and generalised and not gynaecological in nature. Types of symptoms reported by women diagnosed with ovarian cancer • Abdominal bloating • Increased abdominal girth • Indigestion • Lack of appetite • Feeling full after only a small amount of food • Weight

2005 Cancer Australia

103. Guidelines for assessing the utility of data from prevention of mother-to-child transmission

Guidelines for assessing the utility of data from prevention of mother-to-child transmission For more information, contact: World Health Organization Department of HIV/AIDS Avenue Appia 20 1211 Geneva 27 Switzerland E-mail: hiv-aids@who.int www.who.int/hiv UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance Guidelines for assessing the utility of data from prevention of mother-to-child transmission (PMTCT) programmes for HIV sentinel surveillance among pregnant women ISBN 978 92 4 (...) 150561 1WHO Library Cataloguing-in-Publication Data Guidelines for assessing the utility of data from prevention of mother-to-child transmission (PMTCT) programmes for HIV sentinel surveillance among pregnant women. UNAIDS/WHO Working Group on Global HIV/AIDS and STI Surveillance. I.World Health Organization. ISBN 978 92 4 150561 1 (NLM classification: WC 503.4) © World Health Organization 2013 All rights reserved. Publications of the World Health Organization are available on the WHO web site

2013 World Health Organisation HIV Guidelines

104. ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management Full Text available with Trip Pro

- operative cardiac risk assessment and is measured in metabolic equivalents (METs). One MET equals the basal metabolic rate. Ex- ercise testing provides an objective assessment of functional cap- acity. Without testing, functional capacity can be estimated from the ability to perform the activities of daily living. One MET repre- sents metabolic demand at rest; climbing two ?ights of stairs demands 4 METs, and strenuous sports, such as swimming,.10 METS (Figure 1). The inability to climb two ?ights (...) ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management ESC/ESA GUIDELINES 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management The Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA) Authors/Task Force Members: Steen Dalby Kristensen * (Chairperson) (Denmark), Juhani Knuuti * (Chairperson) (Finland), Antti

2014 European Society of Cardiology

105. Sports ankle injuries - assessment and management

is a simple dynamic functional task that may be employed by general practitioners clinically to assess proprioception during rehabilitation (Figure 6). 9 A detailed description of this test is beyond the scope of this article. Acute phase management of lateral ligament complex strains once a fracture/dislocation or unstable syndesmotic injury is excluded, acute phase (1–5 days) management can be instituted. The aim is to decrease pain and swelling with ice, compression and elevation where possible. simple (...) surface pain free 2–4 weeks • Progression – slow jog – running in straight lines – slow change of direction – high speed zigzags Return to training: functional exercises and sports specific drills 4–6 weeks • Full ankle range of motion • Roughly 80% strength compared with contralateral lower limb • Running and changing direction at pace pain free • Capable of light controlled skills drills Return to competition 5–8 weeks • After two full pain free training sessionsSports ankle injuries – assessment

2010 Clinical Practice Guidelines Portal

106. Vertigo part 1 - assessment in general practice

Vertigo part 1 - assessment in general practice Reprinted from AustRAliAn F Amily PhysiciAn Vol. 37, No. 5, May 2008 341 clinicAl PRActice Vertigo Part 1 – Assessment in general practice the word vertigo is derived from the latin ‘vertere’ meaning to turn and ‘-igo’ meaning a condition. medically, vertigo refers to a specific symptom describing a false sense of motion, usually spinning or rotatory, in the surroundings or within oneself despite the absence of physical movement. in clinical (...) at the Journal of Neurology, Neurosurgery, and Psychiatry website (see Resources). Note: the head impulse test is usually performed with the clinician sitting face-to-face with the patient and holding the patient’s head from the front. Due care should be taken when performing this test on patients with neck pathology as the manoeuvre requires a rapid repositioning of the head. Romberg test A Romberg test assesses the integrity of peripheral proprioception, cerebellar and vestibular functions. A Romberg test

2008 The Royal Australian College of General Practitioners

107. The 2012 Canadian Hypertension Education Program recommendations for the management of hypertension: Blood pressure measurement, diagnosis, assessment of risk, and therapy

The 2012 Canadian Hypertension Education Program recommendations for the management of hypertension: Blood pressure measurement, diagnosis, assessment of risk, and therapy The 2012 Canadian Hypertension Education Program Recommendations for the Management of Hypertension: Blood Pressure Measurement, Diagnosis, Assessment of Risk, and Therapy - Canadian Journal of Cardiology Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 28 (...) , Issue 3, Pages 270–287 The 2012 Canadian Hypertension Education Program Recommendations for the Management of Hypertension: Blood Pressure Measurement, Diagnosis, Assessment of Risk, and Therapy x Stella S. Daskalopoulou Affiliations Division of General Internal Medicine, McGill University, Montreal, Québec, Canada Correspondence Corresponding author: Dr Stella S. Daskalopoulou, McGill University, McGill University Health Centre, Montreal General Hospital, 1650 Cedar Avenue, B2.101.4, Montreal

2012 CPG Infobase

108. Cervical spine assessment following trauma

or carotid arterial injuries can be difficult to detect, but may also result in permanent neurologic sequelae. However, spinal cord injury is a very rare occurrence and is most often associated with major trauma. Clinical assessment Assessment of the patient includes: history general physical examination, and evaluation of neurologic status. 5 In acute severe trauma, Advanced Trauma Life Support (ATLS) guidelines should be followed. In other settings a thorough history of the traumatic incident should (...) Acute abnormality may be indicated by tenderness, a gap or step in the continuity of the cervical structures, oedema, haematoma or associated muscle spasm. Neurologic examination includes assessment of sensation, motor function and reflexes to identify objective signs of focal deficit, such as paraesthesia, weakness or decreased/absent deep tendon reflexes. 8 Importantly, pain may not necessarily be a principal feature initially, despite the presence of serious injury, if pain from other injuries

2012 Clinical Practice Guidelines Portal

109. Cardiac risk assessment before the use of stimulant medications in children and youth

Cardiac risk assessment before the use of stimulant medications in children and youth Regulatory decisions and scientific statements regarding the management of attention-deficit hyperactivity disorder (ADHD) raise questions about the safety of medications and the appropriate pretreatment evaluation to determine suitability for treatment with medication. This is particularly true in the setting of known structural or functional heart disease. The present paper reviews the available data (...) , including peer-reviewed literature, data from the United States Food and Drug Administration Web site on reported adverse reactions in children using stimulant medication, and Health Canada data on the same problem. A consensus-based guideline on appropriate assessment is provided, based on input from members of the Canadian Paediatric Society, the Canadian Cardiovascular Society and the Canadian Academy of Child and Adolescent Psychiatry, with specific expertise and knowledge in the areas of both ADHD

2009 Canadian Paediatric Society

110. Assessment and management of polycystic ovary syndrome: summary of an evidence-based guideline

, challenges to feminine identity and body image due to obesity, acne, excess hair, infertility and long-term health-related concerns compromise QoL and adversely affect mood and psychological wellbeing. With a higher prevalence and greater severity of depression and anxiety, low self-esteem, negative body image, and psychosexual dysfunction, , assessment of psychological functioning in women with PCOS is vital. This is relevant to clinical care as mood disturbance, in turn, impairs QoL and adversely (...) affects ability to self-manage and optimise lifestyle. Optimal approaches to screening and assessment of psychological functioning in PCOS are unknown and recognition is generally poor; hence, this area was prioritised in the guideline (Section 4). If mood disturbance is detected during screening, further assessment and management is required. Reproductive and reproductive hormonal features are often the best-recognised features in PCOS as they form the basis of the diagnostic criteria. These include

2011 MJA Clinical Guidelines

111. Peripheral Artery Disease and Cardiovascular Disease: Screening and Risk Assessment With the Ankle-Brachial Index

. See the Clinical Considerations section for suggestions for practice regarding the I statement. I View the Clinical Summary in Population Adults Recommendation No recommendation. Grade: I (insufficient evidence) Risk Assessment Major risk factors for PAD include older age, diabetes, current smoking, high blood pressure, high cholesterol level, obesity, and physical inactivity. Screening Tests Resting ABI is most commonly used to detect PAD in clinical settings. ABI is calculated as the systolic (...) patients; interventions to prevent CVD events include smoking cessation, lowering cholesterol levels, managing high blood pressure, and antiplatelet therapy. Other Relevant USPSTF Recommendations The USPSTF has made recommendations on many factors related to CVD prevention, including screening for high blood pressure, statin use, counseling on smoking cessation, counseling on healthful diet and physical activity, CVD risk assessment with nontraditional risk factors, and low-dose aspirin use in certain

2018 U.S. Preventive Services Task Force

112. HIV transmission : guidelines for assessing risk

HIV transmission : guidelines for assessing risk HIV Transmission: Guidelines for Assessing Risk A RESOURCE FOR EDUCATORS, COUNSELLORS AND HEALTH CARE PROVIDERS Fifth Edition Now including hepatitis C transmissionHIV Transmission: Guidelines for Assessing Risk A RESOURCE FOR EDUCATORS, COUNSELLORS AND HEALTH CARE PROVIDERS Fifth EditionCopyright © 2004 Canadian AIDS Society / Société canadienne du sida All rights reserved. No part of this publication may be reproduced or transmitted (...) aussi disponible en français.HIV TRANSMISSION: Guidelines for Assessing Risk 1 Contents Foreward and Acknowledgements . . . . . . . . . . . . . . . . 3 Quick Reference HIV . . . . . . . . . . . . . . . . . . . . . . . . . 5 Quick Reference Hepatitis C . . . . . . . . . . . . . . . . . . . . 6 1. Guidelines Context Who is this document for? . . . . . . . . . . . . . . . . . . . 7 How the Document Was Produced . . . . . . . . . . . . 7 A?rming Sexuality and the Risk Reduction Approach

2005 CPG Infobase

113. Initial assessment of Emergency Department patients

irrespective of the patient disposition, and this record should be linked to any subsequent ED notes, to ensure that an audit trail is maintained. Navigation Navigation refers to the process of directing patients to appropriate services prior to a formal process of clinical assessment. Navigation should not involve redirection to off-site services. Navigation is best and most safely undertaken by a clinician (e.g. an experienced nurse). This function may sometimes be performed by a non-clinician, provided (...) , and is demanding and physically tiring to undertake. Initial Assessment of Emergency Department Patients (February 2017) Page 7 Triage vs Early Warning Scores Triage prioritises patients where demand exceeds capacity to fully assess them within an appropriate time frame. Early Warning Scores help identify the physiologically disrupted or deteriorating patient. The two are not mutually exclusive. Triage A number of algorithms have been developed to sort patients, according to a combination of their presenting

2017 Royal College of Emergency Medicine

114. Comprehensive Geriatric Assessment and Community Practice

a comprehensive management plan for holistic treatment, rehabilitation, support and long-term follow up. It is part of the core skills and knowledge base of specialists in geriatric medicine. 2. Comprehensive Geriatric Assessment has proven efficacy in affecting optimal living location, reducing hospital readmission, maintaining optimal cognitive and physical function and reducing mortality. It is useful in guiding therapeutic and prognostic decisions about the older person. 3. The older person is central (...) . Geriatrician's role. Comprehensive Geriatric Assessment is core business for specialist geriatricians. Functional impairment usually has as its basis multiple medical and physical problems which require accurate diagnosis. Geriatricians, through their training, provide these skills as well as a broad knowledge base for the management of problems and indications as to prognosis in the older patient. Referral for geriatric assessment is therefore referral for specialist geriatric medical input as part

2011 Australian and New Zealand Society for Geriatric Medicine

115. AIUM Practice Parameter for the Performance of Vascular Ultrasound Examinations for Postoperative Assessment of Hemodialysis Access

legal and local health care facility requirements. Speci?cationsoftheExamination The ultrasound examination is designed to detect abnormalities that may cause access thrombosis, poor function, inability to access for dialysis, or undesirable upper extremity symptoms and to assess for causes of AVF nonmaturation. It is important to understand the anatomic con- ?guration of the hemodialysis access to enable an accurate and complete evaluation. Review of clinical records can be useful (...) assessment of spectral Doppler waveforms in the ipsilateral inter- nal jugular vein and subclavian vein can detect signs of central stenosis, which may be further assessed with other imaging modalities. Central stenoses can be present even with high ?ow in an access, causing arm swelling. Note that multiple abnormalities may be presentin a single dysfunctionalaccess. 33 An AVF must have adequate arterial in?ow to mature and function. 34 The prevalence of in?ow arte- rial stenosis is much higher

2020 American Institute of Ultrasound in Medicine

116. WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations

WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations WHO GUIDELINE ON USE OF FERRITIN CONCENTRATIONS TO ASSESS IRON STATUS IN INDIVIDUALS AND POPULATIONSWHO GUIDELINE ON USE OF FERRITIN CONCENTRATIONS TO ASSESS IRON STATUS IN INDIVIDUALS AND POPULATIONSWHO guideline on use of ferritin concentrations to assess iron status in individuals and populations ISBN 978-92-4-000012-4 (electronic version) ISBN 978-92-4-000296-8 (print version) © World Health (...) relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. WHO guideline on use of ferritin concentrations to assess iron status in individuals and populations. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. Sales, rights and licensing. To purchase WHO publications, see http

2020 World Health Organisation Guidelines

117. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome

hyperandrogenismneedtobe considered. Historyofsymptomonsetandprogressionis criticalin assessing for neoplasia, however, some androgen-secreting neoplasms may only induce mild to moderate increases in biochemical hyperandrogenism. _ Clinicalhyperandrogenism CCR A comprehensive history and physical examination should be completed for symptoms and signs of clinical hyperandrogenism, including acne, alopecia, and hirsutism and, in adolescents, severe acne and hirsutism. **** CCR Health professionals should be aware (...) Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome Helena J. Teede, M.B.B.S., Ph.D., FRACP, FAAHMS, a,b,c Marie L. Misso, Ph.D., B.Sc.(Hons.), a,b,c Michael F. Costello, M.B.B.S., M.Med.(RH&HG), FRANZCOG, C.R.E.I., D.Med.Sc., d Anuja Dokras, M.D., Ph.D., e Joop Laven, M.D., Ph.D., f Lisa Moran

2018 Society for Assisted Reproductive Technology

118. EHRA/HRS/APHRS/LAHRS Expert Consensus on Risk Assessment in Cardiac Arrhythmias: Use the Right Tool for the Right Outcome

EHRA/HRS/APHRS/LAHRS Expert Consensus on Risk Assessment in Cardiac Arrhythmias: Use the Right Tool for the Right Outcome European Heart Rhythm Association (EHRA)/Heart Rhythm Society (HRS)/Asia Paci?c Heart Rhythm Society (APHRS)/Latin American Heart Rhythm Society (LAHRS) expert consensus on risk assessment in cardiac arrhythmias: use the right tool for the right outcome, in the right population Jens Cosedis Nielsen (EHRA Chair), 1 Yenn-Jiang Lin (APHRS Co-Chair), 2 Marcio Jansen de Oliveira (...) Oeynhausen, Germany, 49 Waikato Hospital, Hamilton, New Zealand, 50 Division of Cardiology, McGill University Health Center, Montreal, Canada, 51 ClinicforCardiologyII(InterventionalElectrophysiology),HeartCenterBadNeustadt,Bad Neustadt a.d. Saale, Germany, and 52 Univ Rennes, CHU Rennes, INSERM, Rennes, France. TABLE OF CONTENTS Introduction 4 Evidence review 4 Relationships with industry and other con?icts 5 General tools for risk assessment, strengths, limitations, and pretest probability 5 Value

2020 Heart Rhythm Society

119. Thyroid Function Testing in the Diagnosis and Monitoring of Thyroid Function Disorder

Thyroid Function Testing in the Diagnosis and Monitoring of Thyroid Function Disorder Guidelines & Protocols Advisory Committee Thyroid Function Testing in the Diagnosis and Monitoring of Thyroid Function Disorder Effective Date: October 24, 2018 Scope This guideline outlines testing for thyroid dysfunction in patients (pediatric and adult), including pregnant women or women planning pregnancy, and the monitoring of patients treated for primary thyroid function disorders. It does not apply (...) to the BC Newborn Screening Program. This guideline outlines testing for thyroid stimulating hormone (TSH), free thyroxine (fT4), free triiodothyronine (fT3) and anti-thyroid peroxidase (TPO). Information on other tests, including thyroglobulin/antithyroglobulin (Tg/anti Tg) and antibodies to the thyroid stimulating hormone receptor (TRAb), are covered in the associated BC Guideline Hormone Testing – Indications and Appropriate Use. Key Recommendations • Routine thyroid function testing

2018 Clinical Practice Guidelines and Protocols in British Columbia

120. Alcohol-use disorders: diagnosis and management of physical complications

inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Alcohol-use disorders: diagnosis and management of physical complications (CG100) © NICE 2019. All rights reserved. Subject to Notice of rights (https (...) of alcohol withdrawal 19 4 Assessment and monitoring 19 5 Wernicke's encephalopathy 20 Update information 21 Recommendations that have been amended in 2017 21 Alcohol-use disorders: diagnosis and management of physical complications (CG100) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 3 of 22This guideline is the basis of QS11. This guideline should be read in conjunction with PH24. Recommendations Recommendations

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

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