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E/M Established Outpatient Visit

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2981. Anaphylaxis (Treatment)

, Sampson HA. Anaphylaxis epidemic: fact or fiction?. J Allergy Clin Immunol . 2008 Dec. 122(6):1166-8. . Simons FE, Peterson S, Black CD. Epinephrine dispensing patterns for an out-of-hospital population: a novel approach to studying the epidemiology of anaphylaxis. J Allergy Clin Immunol . 2002 Oct. 110(4):647-51. . Moneret-Vautrin DA, Morisset M, Flabbee J, Beaudouin E, Kanny G. Epidemiology of life-threatening and lethal anaphylaxis: a review. Allergy . 2005 Apr. 60(4):443-51. . Bock SA, Muñoz (...) Anaphylaxis (Treatment) Anaphylaxis Treatment & Management: Approach Considerations, Initial Emergency Department Interventions, Administration of Epinephrine Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Emergency Medicine

2982. Abortion, Septic (Treatment)

. Reprod Health Matters . 2008 May. 16(31 Suppl):173-82. . Hakim-Elahi E, Tovell HM, Burnhill MS. Complications of first-trimester abortion: a report of 170,000 cases. Obstet Gynecol . 1990 Jul. 76(1):129-35. . Lohr PA. Surgical abortion in the second trimester. Reprod Health Matters . 2008 May. 16(31 Suppl):151-61. . Osazuwa H, Aziken M. Septic abortion: a review of social and demographic characteristics. Arch Gynecol Obstet . 2007 Feb. 275(2):117-9. . Pazol K, Gamble SB, Parker WY, Cook DA, Zane SB (...) Abortion, Septic (Treatment) Abortion Complications Treatment & Management: Prehospital Care, Emergency Department Care, Consultations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzk1MDAxLXRyZWF0bWVudA

2014 eMedicine Emergency Medicine

2983. Atrial Fibrillation (Treatment)

Atrial Fibrillation (Treatment) Atrial Fibrillation Treatment & Management: Approach Considerations, Risk-Management Decisions, Management of New-Onset AF Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) with AF. Pharmacologic cardioversion has the advantage of not requiring sedation or anesthesia, but the major disadvantage is the risk of ventricular tachycardia and other serious arrhythmias. Previous Next: Long-Term Management Long-term management of atrial fibrillation (AF) is focused on reducing the likelihood of AF recurrence, reducing AF-related symptoms, control of ventricular rate, and reducing stroke risk. As discussed previously, AF is often the result of established cardiovascular risk

2014 eMedicine Emergency Medicine

2984. Pediatrics, Child Abuse (Overview)

neglect associated with FTT is rarely diagnosed in one visit. The EM provider should refer to specialists for further evaluation either on admission or as an outpatient. Risk factors for neglect include poverty, poor support systems, parenteral mental health issues or mental disability, parenteral substance abuse, poor parenting skills, or complex child physical/medical/psychological needs. Medical child abuse (previously known as Munchausen-by-proxy) involves a complex dynamic of a parent fabricating (...) . The memory of children . New York: Springer-Verlag; 1978. Pierce MC, Bertocci GE, Janosky JE, Aguel F, Deemer E, Moreland M. Femur fractures resulting from stair falls among children: an injury plausibility model. Pediatrics . 2005 Jun. 115(6):1712-22. . Pierce MC, Kaczor K, Thompson R. Bringing back the social history. Pediatr Clin North Am . 2014 Oct. 61:889-905. . King WK, Kiesel EL, Simon HK. Child abuse fatalities: are we missing opportunities for intervention?. Pediatr Emerg Care . 2006 Apr. 22(4

2014 eMedicine Emergency Medicine

2985. Pediatrics, Bacteremia and Sepsis (Overview)

parental misconceptions about fever changed in 20 years?. Pediatrics . 2001 Jun. 107(6):1241-6. . Purssell E. Parental fever phobia and its evolutionary correlates. J Clin Nurs . 2009 Jan. 18(2):210-8. . Crocetti M, Sabath B, Cranmer L, Gubser S, Dooley D. Knowledge and management of fever among Latino parents. Clin Pediatr (Phila) . 2009 Mar. 48(2):183-9. . Tessler H, Gorodischer R, Press J, Bilenko N. Unrealistic concerns about fever in children: the influence of cultural-ethnic and sociodemographic (...) M, Stanley RM, Younger JG, Bradin SA. Accuracy of non-contact infrared thermometry versus rectal thermometry in young children evaluated in the Emergency Department for Fever. J Emerg Nurs . 2010 Mar. 36(2):101-4. . Jean-Mary MB, Dicanzio J, Shaw J, Bernstein HH. Limited accuracy and reliability of infrared axillary and aural thermometers in a pediatric outpatient population. J Pediatr . 2002 Nov. 141(5):671-6. . McCarthy PL, Lembo RM, Fink HD, et al. Observation, history, and physical

2014 eMedicine Emergency Medicine

2986. Myasthenia Gravis (Overview)

References Grob D, Brunner N, Namba T, Pagala M. Lifetime course of myasthenia gravis. Muscle Nerve . 2008 Feb. 37(2):141-9. . Li Y, Arora Y, Levin K. Myasthenia gravis: newer therapies offer sustained improvement. Cleve Clin J Med . 2013 Nov. 80(11):711-21. . Spillane J, Higham E, Kullmann DM. Myasthenia gravis. BMJ . 2012. 345:e8497. . Gwathmey K, Balogun RA, Burns T. Neurologic indications for therapeutic plasma exchange: an update. J Clin Apher . 2011. 26(5):261-8. . Bershad EM, Feen ES, Suarez JI (...) in myasthenia gravis patients. Muscle Nerve . 2011 Mar. 43(3):329-34. . Sakaguchi H, Yamashita S, Hirano T, Nakajima M, Kimura E, Maeda Y. Myasthenic crisis patients who require intensive care unit management. Muscle Nerve . 2012 Sep. 46(3):440-2. . Mazia CG, De Vito EL, Varela M. BiPAP in acute respiratory failure due to myasthenic crisis may prevent intubation. Neurology . 2003 Jul 8. 61(1):144; author reply 144. . Seneviratne J, Mandrekar J, Wijdicks EF, Rabinstein AA. Noninvasive ventilation

2014 eMedicine Emergency Medicine

2987. Pacemaker and Automatic Internal Cardiac Defibrillator (Overview)

Pacemaker and Automatic Internal Cardiac Defibrillator (Overview) Pacemakers and Implantable Cardioverter-Defibrillators: Practice Essentials, Overview, Evolution of the ICD Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTYyMjQ1LW92ZXJ2aWV3 processing > Pacemakers and Implantable Cardioverter-Defibrillators Updated: Feb 13, 2017 Author: Daniel M Beyerbach, MD, PhD; Chief Editor: Jeffrey N Rottman, MD Share Email Print Feedback Close Sections Sections Pacemakers and Implantable Cardioverter-Defibrillators Overview Practice Essentials An implantable cardioverter-defibrillator (ICD) is a specialized device designed to directly treat many dysrhythmias, and it is specifically designed to address ventricular tachyarrhythmias. ICDs have

2014 eMedicine Emergency Medicine

2988. Pneumonia, Viral (Overview)

Pneumonia, Viral (Overview) Viral Pneumonia: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzAwNDU1LW92ZXJ2aWV3 processing > Viral Pneumonia Updated: Jul 24, 2018 (...) culture Rapid antigen detection Polymerase chain reaction (PCR) assay Serologies: Particularly useful for definitively confirming the diagnosis Radiography Chest radiography usually demonstrates bilateral lung involvement, but none of the viral etiologies of pneumonia result in pathognomonic findings with this modality Lung biopsy and histologic studies Infrequently, lung biopsy is required to establish a diagnosis in very ill patients, who often are immunocompromised. See for more detail. Management

2014 eMedicine Emergency Medicine

2989. Pneumonia, Immunocompromised (Overview)

of the Fourth NHLBI Workshop. Am J Respir Crit Care Med . 2001 Dec 1. 164(11):2120-6. . Boyton RJ. Infectious lung complications in patients with HIV/AIDS. Curr Opin Pulm Med . 2005 May. 11(3):203-7. . Kanmogne GD. Noninfectious pulmonary complications of HIV/AIDS. Curr Opin Pulm Med . 2005 May. 11(3):208-12. . Schneider E, Moore M, Castro KG. Epidemiology of tuberculosis in the United States. Clin Chest Med . 2005 Jun. 26(2):183-95, v. . Trends in tuberculosis incidence--United States, 2006. MMWR Morb (...) Pneumonia, Immunocompromised (Overview) Pneumonia in Immunocompromised Patients: Overview, Causes of Pneumonia, HIV/AIDS Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODA3ODQ2LW92ZXJ2aWV3 processing > Pneumonia

2014 eMedicine Emergency Medicine

2990. Pediatrics, Fever (Overview)

changed in 20 years?. Pediatrics . 2001 Jun. 107(6):1241-6. . Purssell E. Parental fever phobia and its evolutionary correlates. J Clin Nurs . 2009 Jan. 18(2):210-8. . Crocetti M, Sabath B, Cranmer L, Gubser S, Dooley D. Knowledge and management of fever among Latino parents. Clin Pediatr (Phila) . 2009 Mar. 48(2):183-9. . Tessler H, Gorodischer R, Press J, Bilenko N. Unrealistic concerns about fever in children: the influence of cultural-ethnic and sociodemographic factors. Isr Med Assoc J . 2008 May (...) Pediatrics, Fever (Overview) Emergent Management of Pediatric Patients with Fever: Overview, Patient History, The Physical Exam Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODAxNTk4LW92ZXJ2aWV3 processing

2014 eMedicine Emergency Medicine

2991. Should I Have Meniscus Surgery?

visit here. With that in mind, you may benefit in reviewing these related posts on this site: Disclaimer: this information is for your education and should not be considered medical advice regarding diagnosis or treatment recommendations. Some links on this page may be affiliate links. Related Posts Post navigation About the author: Howard J. Luks, MD A Board Certified Orthopedic Surgeon in Hawthorne, NY. Dr. Howard Luks specializes in the treatment of the shoulder, knee, elbow, and ankle. He has (...) that the results don’t show any significant problem. is there any way that i can be in this much pain, but have no reason for it? (btw-no arthritis showed on x-ray taken at doc’s office either). i am totally baffled. thk u. says: Two choices… at least. I’ve blogged and written about this before. Many outpatient MRIs (especially open 0.3T scans with large “slices”) are difficult to read or are possibly improperly read… so you can always consider obtaining a second opinion on your MRI interpretation. Second

2016 Howard J. Luks, MD blog

2992. Patient Modesty: Volume 74

BLOG”. WITH WELL OVER 900 TOPICS, MOST ABOUT GENERAL OR SPECIFIC ETHICAL ISSUES BUT NOT NECESSARILY RELATED TO ANY SPECIFIC DATE OR EVENT, YOU SHOULD BE ABLE TO FIND WHAT YOU WANT. IF YOU DON’T PLEASE WRITE TO ME ON THE OR BY E-MAIL DoktorMo@aol.com IMPORTANT REQUEST TO ALL WHO COMMENT ON THIS BLOG: ALL COMMENTERS WHO WISH TO SIGN ON AS ANONYMOUS NEVERTHELESS PLEASE SIGN OFF AT THE END OF YOUR COMMENTS WITH A CONSISTENT PSEUDONYM NAME OR SOME INITIALS TO HELP MAINTAIN CONTINUITY AND NOT REQUIRE (...) , using it more or less broadly than it is usually used, directing it at people who use the concept “needs” when they mean something else (e.g., desire), etc. Before I can respond to your questions, I need to know why you are housing the concept between quotation marks. Human beings (including physicians) have a need for good health. I assume that most U.S. citizens who visit physicians (including physicians) do so because they believe that physicians control the resources that help us satisfy

2016 Bioethics Discussion Blog

2993. Patient Modesty: Volume 77

BLOG”. WITH WELL OVER 900 TOPICS, MOST ABOUT GENERAL OR SPECIFIC ETHICAL ISSUES BUT NOT NECESSARILY RELATED TO ANY SPECIFIC DATE OR EVENT, YOU SHOULD BE ABLE TO FIND WHAT YOU WANT. IF YOU DON’T PLEASE WRITE TO ME ON THE OR BY E-MAIL DoktorMo@aol.com IMPORTANT REQUEST TO ALL WHO COMMENT ON THIS BLOG: ALL COMMENTERS WHO WISH TO SIGN ON AS ANONYMOUS NEVERTHELESS PLEASE SIGN OFF AT THE END OF YOUR COMMENTS WITH A CONSISTENT PSEUDONYM NAME OR SOME INITIALS TO HELP MAINTAIN CONTINUITY AND NOT REQUIRE (...) , to advocate for patient beliefs and preferences? If they are not expected to assimilate this concept in med school, when are they? It is more than just asking the patient if they can be examined. Do you ever see med students documenting the patients personal preference information say if the patient is about to have an intimate outpatient procedure? I’ve worked almost exclusively with MDs, but I do know DOs receive some holistic medicine training (that MD schools don’t teach). So I also wonder

2016 Bioethics Discussion Blog

2994. Guidelines for the management of community-acquired pneumonia in adults

) Images Editors J M FitzGerald (Canada) J R Mayo (Canada) J C Hogg (Canada) Letters Editor J R Hurst (UK) Lung Alert Editors A Bhowmik (UK) J Quint (UK) President, British Thoracic Society P Ormerod Editorial Office BMJ Publishing Group Ltd, BMA House, Tavistock Square, London WC1H 9JR, UK T: +44 (0)20 7383 6147 F: +44 (0)20 7383 6668 E: thorax@bmjgroup.com ISSN: 0040-6376 (print) ISSN: 1468-3296 (online) Disclaimer: Thorax is owned and published by the British Thoracic Society and BMJ Publishing (...) covering many disciplines, including pathology, immunology and surgery International Advisory Board N Ambrosino (Italy) J N Baraniuk (USA) P J Barnes (UK) C R W Beasley (New Zealand) J R Britton (UK) A S Buist (USA) E R Chilvers (UK) S-H Cho (Korea) S-E Dahlen (Sweden) G C Donaldson (UK) M W Elliott (UK) Y Fukuchi (Japan) D M Geddes (UK) P Goldstraw (UK) R Goldstein (Canada) C Griffiths (UK) J C Hogg (Canada) S T Holgate (UK) P Hopewell (USA) M Ichinose (Japan) A Kendrick (UK) T King (USA) A J Knox (UK

2009 British Infection Association

2995. Management of Pregnancy

Weeks) 51 I- 22. Establishing the Gestational Age: Weeks 10-12 51 I- 23. Auscultation Fetal Heart Tones: Weeks 10-12, All following visits 53 I- 24. Screening Fundal Height: Weeks 10-12; All following visits 54 I- 25. Assessing (Inappropriate) Weight Gain: Weeks 10-12; All following visits 55 I- 26. Nutritional Supplements: Weeks 10-12 56 I- 27. Obesity: Weeks 10-12 58 I- 28. History of Gastric Bypass/Bariatric Surgery: Weeks 10-12 59 I- 29. Screening for Gonorrhea: Weeks 10-12 60 I- 30. Screening (...) for Chlamydia: Weeks 10-12 61 I- 31. Screening for and Prevention of Cervical Cancer: Weeks 10-12 62 I- 32. Screening for HSV: Weeks 10-12 or onset of symptoms 63 I- 33. Counseling for Cystic Fibrosis Screening: Weeks 10-12 64 I- 34. Management of Depression during Pregnancy: When diagnosed 65 I- 35. Periodontal Disease and Dental Care: Weeks 10-12 67 I- 36. Prenatal Screening for Fetal Chromosomal Abnormalities: W e e ks 1 0- 12; 16-20 68 Visits During Weeks: 16-27 76 I- 37. Obstetric Ultrasound: Week 16

2009 VA/DoD Clinical Practice Guidelines

2996. A review of the evidence for the use of telemedicine within stroke systems of care (Full text)

, Brett C. Meyer , Philip M. Meyers , Elaine Skalabrin , Lawrence R. Wechsler and on behalf of the American Heart Association Stroke Council and the Interdisciplinary Council on Peripheral Vascular Disease Originally published 7 May 2009 Stroke. 2009;40:2616–2634 You are viewing the most recent version of this article. Previous versions: Abstract The aim of this new statement is to provide a comprehensive and evidence-based review of the scientific data evaluating the use of telemedicine for stroke (...) for the use of telemedicine in general neurological assessment and primary prevention of stroke; notification and response of emergency medical services; acute stroke treatment, including the hyperacute and emergency department phases; hospital-based subacute stroke treatment and secondary prevention; and rehabilitation. The field of acute stroke care is evolving rapidly, and many states and communities are establishing designated stroke centers as a means to improve acute stroke care delivery

2009 American Academy of Neurology PubMed abstract

2997. Evaluation and Management of Adult Hypoglycemic Disorders (Full text)

2008 Citation Philip E. Cryer, Lloyd Axelrod, Ashley B. Grossman, Simon R. Heller, Victor M. Montori, Elizabeth R. Seaquist, F. John Service, Evaluation and Management of Adult Hypoglycemic Disorders: An Endocrine Society Clinical Practice Guideline, The Journal of Clinical Endocrinology & Metabolism , Volume 94, Issue 3, 1 March 2009, Pages 709–728, Download citation file: © 2019 Oxford University Press Navbar Search Filter Mobile Microsite Search Term Close search filter search input Abstract (...) search filter search input Article Navigation Close mobile search navigation Article navigation 1 March 2009 Article Contents Article Navigation Evaluation and Management of Adult Hypoglycemic Disorders: An Endocrine Society Clinical Practice Guideline Philip E. Cryer 1Washington University School of Medicine (P.E.C.), St. Louis, Missouri 63110 Search for other works by this author on: Lloyd Axelrod 2Massachusetts General Hospital and Harvard Medical School (L.A.), Boston, Massachusetts 02114 Search

2009 The Endocrine Society PubMed abstract

2998. Definition and evaluation of transient ischemic attack (Full text)

on an outpatient basis. Recent scientific studies have revised our understanding of 3 key aspects of transient ischemic attack (TIA): how it is best defined, what the early risk of stroke and other vascular outcomes is, and how it is best evaluated. This statement reviews and synthesizes recent scientific advances regarding the definition, urgency, and evaluation of TIA and is designed to aid the clinician in the short- and long-term management of patients with TIA. Definition TIAs are brief episodes (...) of opinion about the usefulness/efficacy of a procedure or treatment Class IIa The weight of evidence or opinion is in favor of the procedure or treatment Class IIb Usefulness/efficacy is less well established by evidence or opinion Class III Conditions for which there is evidence and/or general agreement that the procedure or treatment is not useful/effective and in some cases may be harmful Level of Evidence A Data derived from multiple randomized clinical trials Level of Evidence B Data derived from

2009 American Academy of Neurology PubMed abstract

2999. In defense of single-payer: How it would reduce administrative waste

of health care.” To be fair, Dr. Accad makes a good point ridiculing the extraordinarily complex and “byzantine scheme of codification” used by Medicare (and followed by private insurers) for billing purposes. “[A] CPT code 99204-21 (new patient visit, E/M coding level 4, prolonged service) associated with ICD-9 code 786.50 (chest pain, unspecified),” he notes, “hardly conveys any real knowledge and cannot possibly be a basis on which relevant decisions can be made or value established.” No, it can’t (...) and profits of privatized Medicare Advantage, which is run by private insurers. I could quote my favored political philosophers here to counter Accad’s quotes from Hayek, but it’s really all beside the point. As the Princeton health care economist Uwe E. Reinhardt wrote in the : “The question is how long American health policy makers, and particularly the leaders of our private health insurance, can justify this enormous and costly administrative burden to the American people and to the harried providers

2015 KevinMD blog

3000. Supporting Clients on Methadone Maintenance Treatment

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Interpretation of E vidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Development Panel Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Stakeholder Acknowledgement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 (...) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 Organization & Policy Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 Research Gaps and F uture Implications 65 E valuation/Monitoring of Guideline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Implementation Strategies 70 Process for Update/Review of the Guideline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71Supporting Clients on Methadone

2009 Registered Nurses' Association of Ontario

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