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Family Practice Notebook Updates 2016

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181. Atrial Fibrillation Rhythm Control

. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 9/15/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) -- an abnormal rapid heartbeat Shortness of breath Weakness or difficulty exercising Chest pain Dizziness or fainting Fatigue Confusion AF can lead to an increased risk of . In many patients, it can also cause chest pain, , or . Doctors diagnose AF using family and medical history, a physical exam, and a test called an electrocardiogram (EKG), which looks at the electrical waves your heart makes. Treatments include medicines and procedures to restore normal rhythm. NIH: National Heart, Lung, and Blood

2018 FP Notebook

182. Episodic Atrial Fibrillation Home Management

for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 2/7/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

183. Restrictive Lung Disease

topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 9/12/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

184. Obstructive Lung Disease

with their physicians. This page was written by , last revised on 9/12/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

185. Seat Belt Sign

is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 3/1/2019 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) and Ruttan (2019) Crit Dec Emerg Med 33(3): 3-11 Spangler and Inaba in Herbert (2016) EM:Rap 16(5): 6-7 Professional's Blog Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Seat Belt Sign." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Seatbelt sign (C2585412) Concepts Finding ( T033 ) SnomedCT 440230003 English Seatbelt sign (finding) , Seatbelt

2018 FP Notebook

186. Pyloric Stenosis

. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 3/10/2016 and last published on 3/3/2019 . Contact 2019 Family Practice (...) appearing infant with benign Palpable swelling ("olive") present in >60% of cases in past when delayed presentation was common In 2016 olive is rare due to early presentations Inferior to xiphoid process and inferior or deep to left liver edge VII. Labs Basic metabolic panel Hypochloremic hypokalemic Rarely seen due to early presentations in U.S. VIII. Imaging: Ultrasound Technique Linear probe in subxiphoid location, horizontal probe Look for gastric rugae, smooth outer serosal surface, slightly

2018 FP Notebook

187. Central Line-Associated Bloodstream Infection

by , last revised on 4/8/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) coverage (e.g. , , ) Burn or AND Cefepime or or Zosyn Long-term alimentation Add Candida coverage (e.g. Voriconazole, Anidulafungin) Consider Malassezia furfur coverage related to ( ) References (2016) Sanford Guide, accessed 4/8/2016 VI. Prevention Only insert a or when absolutely necessary Should not be inserted only for convenience (e.g. frequent blood draws) Reassess the need for access daily and discontinue when no longer needed Insertion should be done under sterile conditions (lowers infection

2018 FP Notebook

188. Electronic Prescription

chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 9/6/2015 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) result in a prescription for a completely different class of medication Similarly named medications are grouped together in a selection list Examples: , XR, , VI. Prevention: Best Practices Overall approach: "Five Rights" of medication ordering Right patient Right medication Right dose Right route Right frequency Confirm the correct patient when entering orders Close EHR "tabs" of other patients Confirm correct record with demographics (patient name, age, gender, date of birth) Avoid multi-tasking

2018 FP Notebook

189. Vorapaxar

was written by , last revised on 9/9/2014 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Trip Database) Cost: Medications zontivity (on 8/17/2016 at ) ZONTIVITY 2.08 MG TABLET $9.24 each FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See for financial assistance information. Related Topics in Pharmacology About

2018 FP Notebook

190. Unified Medical Language System

contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 6/8/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

191. Relational Database

books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 8/15/2015 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ON table1.id = table2.id UPDATE table SET col1=val1, col2=val2 WHERE ... DELETE from table WHERE ... Join operations (between table A and table B) Inner Join Intersection between tables A and B only if A and B match on the specified criteria (and no nulls) Equivalent to using WHERE clause SELECT * from table1, table2 WHERE table1.id = table2.id Equivalent to using subquery SELECT * from table1 WHERE table1.id in (SELECT id from table2 WHERE ...) Left Outer Join All rows from table A and any matching

2018 FP Notebook

192. Rabies Postexposure Prophylaxis

. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/2/2018 and last published on 3/2/2019 . Contact 2019 Family Practice (...) adult V. Protocol: Post-exposure Prophylaxis Wash wound with soap and water Also update Tetanus Unvaccinated against : Administer both Immune globulin and Human immune globulin 20 IU/kg Inject into and around all wound sites Intended to neutralize virus before it enters nerve Remote site injections are less likely to be of benefit (minimal distribution via systemic circulation) May be administered up to 7 days following bite However, administer immune globulin as soon as possible (HDCV, RVA, PCEC

2018 FP Notebook

193. Emergency Psychiatric Evaluation

. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 7/9/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) (housing, neighborhood, safety)? School (tardy, grades, ) or work environment? Friends and family? Counseling? Psychiatric medications? Chemical use ( , , drugs)? ? Homicidality? Mood (depression, anxiety)? ( s, paranoia or s)? IV. Exam See See Full set of s including gait Head to toe skin exam (cutting, , needle tracks) V. Diagnostics See See Head imaging is not required for new onset without focal neurologic deficit (expert opinion) Head imaging is based on clinical judgment Acute psychiatric

2018 FP Notebook

194. Trauma in the Elderly

by , last revised on 11/18/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) periods of time Clinical Score IX. Prevention See See See See X. References Manasco et al (2016) Crit Dec Emerg Med 30(12): 3-10 (2012) Manual, 9th ed, American College of Surgeons Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Trauma in the Elderly." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Geriatric Medicine About FPnotebook.com

2018 FP Notebook

195. Central Venous Pressure

now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/17/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Pressure) correlates poorly with end diastolic volume even in healthy patients Hence CVP and Wedge Pressure are unreliable markers of ventricular filling and volume status CVP is falsely elevated with increased intrathoracic pressure (e.g. PPV, ) VI. References Marino (2014) ICU Book, 4th Ed Wolters-Kluwer p. 157-9 (2012) Manual, 9th ed, American College of Surgeons Killu and Sarani (2016) Fundamental Critical Care Support, p. 93-114 Images: Related links to external sites (from Bing) These images

2018 FP Notebook

196. Cardiac Output

. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/17/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) artery catheter Arterial catheter (arterial waveform analysis) Esophageal doppler (descending aorta flow) V. Resources Wikipedia Stroke Volume VI. References Killu and Sarani (2016) Fundamental Critical Care Support, p. 93-114 Marino (2014) ICU Book, 4th Ed Wolters-Kluwer p. 144-6 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Cardiac Output." Click on the image (or right click) to open the source website in a new browser window

2018 FP Notebook

197. Afterload

with their physicians. This page was written by , last revised on 4/17/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Afterload Mean pulmonary artery pressure or wedge pressure Left Afterload Mean arterial pressure VII. References Killu and Sarani (2016) Fundamental Critical Care Support, p. 93-114 Marino (2014) ICU Book, 4th Ed Wolters-Kluwer p. 159-66 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Afterload." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics

2018 FP Notebook

198. Preload

specific medical concerns with their physicians. This page was written by , last revised on 11/21/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) volume even in healthy patients Hence CVP and Wedge Pressure are unreliable markers of ventricular filling and volume status VI. References Killu and Sarani (2016) Fundamental Critical Care Support, p. 93-114 Marino (2014) ICU Book, 4th Ed Wolters-Kluwer p. 151-7 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Preload." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from

2018 FP Notebook

199. End-Tidal CO2

and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 7/8/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

200. Trauma Team Activation

literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/27/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) long bone s in different extremities Falls Age under 18 years old Fall from height >2x greater than the patient's own height Age 18 years old or older Fall from height 15 feet or more VI. References (2016) Manual, 14th ed, 1:83-5 Fairview Health Services, Guidelines Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Trauma Team Activation." Click on the image (or right click) to open the source website in a new browser window

2018 FP Notebook

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