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Family Practice Notebook Updates 2016

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201. Sublingual Immunotherapy

by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 6/7/2014 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Cost: Medications grastek (on 11/23/2016 at ) GRASTEK 2,800 BAU SL TABLET $8.43 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

2018 FP Notebook

202. Electronic Cigarette

/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Aka: Electronic Cigarette , E-Cigarette , Vaping From Related Chapters II. Epidemiology of abuse among teens using e-cigs: 4 fold increase Of teens, 80% have the misconception that Vaping is harmless (U.S.) High School: 1 in 9 Middle School: 1 in 30 III. Background In U.S., FDA will regulate e-cigs as products as of August 2016 IV. Mechanism Battery powered electronic device vaporizes a concentrated nicotine liquid in a replaceable cartridge User inhales nicotine vapor Various nicotine

2018 FP Notebook

203. Tibial Plateau Fracture

by , last revised on 7/17/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) instability or tibial plateau articular surface defects and irregularity Decreased knee range of motion Related to the prolonged immobilization required for management XII. References Orman and Ramadorai in Herbert (2016) EM:Rap 16(7): 2-3 Eiff (1998) Management for Primary Care, W.B. Saunders, p. 184-7 Fields in Eiff (2012) Proximal Tibia s, UpToDate, accessed 6/5/2014 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Tibial Plateau

2018 FP Notebook

204. NMDA Encephalitis

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 3/9/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

205. Electrical Synchronized Cardioversion of Atrial Fibrillation

Practice Notebook, LLC. | | | | (...) -19 Orman and Berg in Herbert (2016) EM:Rap 16(2): 6-10 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Electrical Synchronized Cardioversion of Atrial Fibrillation." 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 Electrocardiogram About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency

2018 FP Notebook

206. Atrial Fibrillation Cardioversion

. 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 7/5/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) However, many patients feel un-well while in and valvular defect patients may have even less benefit AND risk Theoretical benefit of potentially increased atrial kick may not be beneficial in practice Atrial kick (10-15% of ) does not return for days to weeks after cardioversion (due to atrial stunning) Successful cardioversion rates are significantly worse in significantly increases the risk of Risk factors for stroke after cardioversion Unknown time of onset History of or stroke in the last 6 months

2018 FP Notebook

207. Nail Injury

was written by , last revised on 11/4/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) at the germinal matrix) VI. References Lin and Lin in Herbert (2014) EM:Rap 14(11): 8-10 Lin, Gajendran and Orman in Herbert (2016) EM:Rap 16(11): 7-8 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Nail Injury." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Injury of nail (C0347575) Concepts Injury or Poisoning ( T037 ) SnomedCT 275320004 English Nail

2018 FP Notebook

208. Cardiac Contusion

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 4/21/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Conditions Heart Injury Valve Rupture Dissection Cardiac Chamber Rupture Other XI. Management Manage , and identified complications Indications for observation (24 hour) abnormalities XII. References (2012) , ACOS, p. 105 Killu and Sarani (2016) FCCS, p. 160-1 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Cardiac Contusion." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from

2018 FP Notebook

209. Oxygen Consumption

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 4/18/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) (wedge pressure) reading Normally >65% III. Physiology: Indirect measures of tissue Oxygen Consumption Serum Forms in response to tissue during anaerobic metabolism Many factors affect . See for causes of elevation Organ dysfunction ScvO2 (or SvO2) Difference between SaO2 and ScvO2 represents tissue Oxygen Consumption Normal levels do not exclude hypoperfusion IV. References Killu and Sarani (2016) Fundamental Critical Care Support, p. 93-114 Images: Related links to external sites (from Bing

2018 FP Notebook

210. Sequential Organ Failure Assessment Score

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 10/20/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Sequential Organ Failure Assessment Score Sequential Organ Failure Assessment Score Aka: Sequential Organ Failure Assessment Score , SOFA Score II. Indications diagnosis and severity evaluation in adults Recommended to replace Criteria in 2016 -3 Guidelines prognosis III. Precautions SOFA Score should not be used to drive or assess specific management IV. Criteria (based on worst available values in last 24 hours) Respiratory Function (using SpO2/FIO2 from , or /FIO2 from ABG) Score 0: SpO2/FIO2 >302

2018 FP Notebook

211. Button Battery Ingestion

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 10/4/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Battery Ingestion Aka: Button Battery Ingestion , Button Battery From Related Chapters II. Types Disc batteries (especially batteries) III. Epidemiology Most common in toddlers Screen adolescents Button Battery Ingestions for IV. Precautions Button batteries leak alkaline agents and cause liquifaction necrosis when in contact with tissue Risk of voltage burn or corrosive injury Serious esophageal burns occur within 2 hours (even within 30 min) High risk of in first 6 hours Tomaszewski (2016) Household

2018 FP Notebook

212. Winter Wilderness Survival

and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Warm food before eating (reduces energy expenditure) X. Resources Craighead (2016) How to Survive on Land and Sea, Navy Institute Press Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Winter Wilderness Survival." 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 Environmental Injury About FPnotebook.com is a rapid access, point-of-care

2018 FP Notebook

213. Skin Tear

. 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 9/15/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) tearing through Glue steri-strips perpendicular to wound edge, across the (standard use) through the steri-strips and traverse the wound as would be done normally Precautions Patient must keep the area clean and dry, and not apply antibiotic ointment to prevent the steri-strips from sloughing V. References Gallentine (2017) Care Update, Park Nicollet Conference, St Louis Park, MN (attended 9/15/2017) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing

2018 FP Notebook

214. Antimicrobial Dressing

. 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 9/15/2017 and last published on 3/3/2019 . Contact 2019 Family Practice (...) (2017) Care Update, Park Nicollet Conference, St Louis Park, MN (attended 9/15/2017) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Antimicrobial Dressing." 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 Pharmacology About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians

2018 FP Notebook

215. Chronic Wound

with their physicians. This page was written by , last revised on 9/15/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ( , skin slouging) References Meyer (2017) Care Update, Park Nicollet Conference, St Louis Park, MN (attended 9/15/2017) VII. References Cole (2017) Care Update, Park Nicollet Conference, St Louis Park, MN (attended 9/15/2017) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Chronic Wound." 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

216. Dry Eye

/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) minutes after administration V. 9 VI. Diagnosis See VII. References (2016) Presc Lett 23(9) (2015) Presc Lett 22(1): 5 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Dry Eye." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Dry Eye Syndromes (C0013238) Definition (MSHCZE) Vysychání spojivky a rohovky oka, které může vést k jejich těžkému

2018 FP Notebook

217. Accidental Poisoning Causes

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 9/3/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Lomotil Phenothiazines Phenylpropanolamine Quinine s V. Causes: Non-Medications or Topical Agents with Higher Toxicity s ( , , ) Benzocaine Caustics (e.g. toilet cleaners, drain cleaners) Hydrocarbons (Kerosene, furniture polish, paint thinner, lighter fluid) Laundry Pods (contain and ethoxylated s) Have resulted in deaths and life threatening s Esophageal thermal burns may occur Observe for 3-4 hours while trialing oral liquids Swadron and Nordt in Herbert (2016) EM:Rap 16(11): 16-7 Methyl (oil

2018 FP Notebook

218. Causes of Limp in Children

. 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 5/3/2018 and last published on 3/3/2019 . Contact 2019 Family Practice (...) % unilateral) Infection or Inflammation Examples: , , Septic Hip, Malignancy Examples: and represent 90% of s in children; Also ALL Pain from Consider , ( ) Especially , black or hispanic boys (14-16 yo) more than girls (11-13 yo) with (90% unilateral) Somewhere Else (referred pain) Examples: or psoas abscess, Girls: UTI, , , References Jhun and Raam in Herbert (2016) EM:Rap 16(2):15-6 IV. Causes: Age 1-5 years See Common causes for all ages as above Acute Hip and Leg Toxic or (most common) Septic Hip (esp

2018 FP Notebook

219. Topical Medication Quantity

/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) for primary care and emergency clinicians. 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 4/6/2016 and last published on 3

2018 FP Notebook

220. Lung Nodule

. 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 12/14/2015 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Negative or mild update Follow low probability CT protocol as above Moderate or intense uptake Obtain biopsy via techniques below Biopsy techniques (for moderate or intense uptake on FDG-PET) CT chest with trans-thoracic fine needle aspirate (TTNA) Prior to FDG-PET, was first choice due to high (97%) and high sensitivity (90%) Bronchoscopy with biopsy Video assisted thoracoscopic surgery with frozen sections and resection High probability of cancer (>65% chance of cancer) Perform staging including

2018 FP Notebook

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