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Family Practice Notebook Updates 2016

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221. 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

222. Osteoporosis Self-Assessment Tool

with their physicians. This page was written by , last revised on 5/29/2009 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) risks such as low- related s or long-term s take precedence See Where other risks exist, use FRAX Score or VI. References Schousboe (2008) Park Nicollet Primary Care Update Lecture, St Louis Park, MN Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Osteoporosis Self-Assessment Tool." 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

223. Gliptin

should address specific medical concerns with their physicians. This page was written by , last revised on 2/15/2019 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) <30 ml/min: 25 mg once daily Saxagliptin (Onglyza) Significant CYP3A4 s Adjust for renal CHF risk Linagliptin (Tradjenta) Significant inducer and No required Alogliptin (Nesina) Fewer s than Saxagliptin (Onglyza) and Linagliptin (Tradjenta) Adjust for renal CHF risk First Gliptin to be generic as of 2016 VIII. Preparations: Combination Kanzano (Alogliptin and ) Oseni (Alogliptin and ) IX. Efficacy No longterm cardiovascular benefit Lowers 0.6% Contrast with , s, s, lower A1C 1.0 to 1.5% at generic

2018 FP Notebook

224. Sudden Sensorineural Hearing Loss

/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) not recovering spotaneously or after initial treatment Hyperbaric oxygen May be beneficial in first 3 months Other measures used s Plasma expanders Measures without evidence of benefit Antiviral agents Consider only if suspected underlying viral etiology (e.g. HSV, VZV) Previously 10 days of , , or was considered s Vasodilators Vasoactive substances Antioxidants XI. Prognosis Spontaneous recovery in up to 70% of idiopathic cases XII. References Browning (2008) Park Nicollet Primary Care Update, Lecture, St

2018 FP Notebook

225. Pediatric Heath Maintenance

should address specific medical concerns with their physicians. This page was written by , last revised on 9/15/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Pediatric Heath Maintenance Aka: Pediatric Heath Maintenance , Health Maintenance in Children , Well Child Visit II. History Consider questionnaire All ages Living situation (split families, step-siblings... ) Home safety Dietary intake See Food security (for children living in poverty) Safe drinking water Consider introducing highly allergic foods (peanuts, eggs) age <1 to prevent food allergies prevention Avoid solid food introduction age <6 months Avoid juice <1 year old Limit 100% juice to 4 oz/day

2018 FP Notebook

226. Guidelines for Emergency Cardiovascular Care

should address specific medical concerns with their physicians. This page was written by , last revised on 6/4/2014 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Administration 4 Guidelines for Emergency Cardiovascular Care Guidelines for Emergency Cardiovascular Care Aka: Guidelines for Emergency Cardiovascular Care From Related Chapters II. Background Emergency has been significantly updated in 2000, 2005, 2010 Broad evidence based changes Guidelines applied Internationally Applied across all courses Basic Life Support: Advanced Cardiac Life Support Pediatric Advanced Life Support ACLS guidelines 2010 focuses on as the first line intervention New Mnemonic is 'C-A-B

2018 FP Notebook

227. Mycobacterium Tuberculosis Antigen-Specific Interferon-Gamma Release Assay

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 11/2/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

228. Skeletal Muscle Relaxant

was written by , last revised on 2/3/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) at ) CARISOPRODOL 250 MG TABLET Generic $1.84 each CARISOPRODOL 350 MG TABLET Generic $0.07 each soma (on 10/19/2016 at ) SOMA 350 MG TABLET Generic $0.07 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

2018 FP Notebook

229. Ziprasidone

. 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 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Effects Lower s compared with other s (esp. ) Weakness (more than with other s) IX. Monitoring See s X. References Glauser and Peters (2016) Crit Dec Emerg Med 30(4): 17-27 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Ziprasidone." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Cost: Medications ziprasidone (on 5/17/2017 at ) ZIPRASIDONE HCL 20 MG

2018 FP Notebook

230. Spontaneous Vaginal Delivery

, 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 5/1/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

231. Diabetes Related Intestinal Enteropathy

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 12/15/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

232. Gastrointestinal Manifestations of Diabetes Mellitus

2019 Family Practice Notebook, LLC. | | | | (...) 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 12/15/2016 and last published on 3/3/2019 . Contact

2018 FP Notebook

233. Medications that Delay Gastric Emptying

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 12/15/2016 and last published on 3/3/2019 . Contact 2019 Family (...) Practice Notebook, LLC. | | | |

2018 FP Notebook

234. Blast Injury

. 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 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Society (ATS) ACEP XXII. References (2016) Manual, 14th edition 1: 42-3 Jagminas (2015) Crit Dec Emerg Med 29(5): 2-11 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Blast Injury." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Struck by explosion (C0337252) Concepts Injury or Poisoning ( T037 ) SnomedCT 39826003 Spanish golpe por explosión

2018 FP Notebook

235. Advanced Airway in Children

. 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 3/8/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Pediatric Intubation is uncommon and experience is difficult to maintain is associated with better survival outcomes Esophageal intubation or tube displacement occurs in up to 8% of cases (nearly always fatal) References Gausche-Hill (2016) ACEP-PEM Conference, Difficult Airway Lecture, attended 3/8/2016 Braude and Moore in Herbert (2015) EM:Rap 15(5):3-4 III. Anatomy: Head and neck differences in children (make intubation more challenging) Prominent occiput Large Small jaw is cephalad to adult position

2018 FP Notebook

236. AngularJs

. 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 9/13/2016 and last published on 3/2/2019 . Contact 2019 Family Practice (...) Notebook, LLC. | | | |

2018 FP Notebook

237. Thalamus

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

2018 FP Notebook

238. Unintended Pregnancy

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 4/20/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

239. Toxic Shock Syndrome

2019 Family Practice Notebook, LLC. | | | | (...) 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 4/20/2016 and last published on 3/2/2019 . Contact

2018 FP Notebook

240. Asymptomatic Bacteriuria

. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 3/2/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Simple cystitis (typical cystitis, positive UA) without antibiotics resolves in 25-50% within 1 week Progression cystitis to pylenophritis Progression to occurs in 1 in 38 cases (2.6%) VII. References (2015) Presc Lett 22(4) Orman and Glaser in Herbert (2016) EM:Rap 16(1): 8-9 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Asymptomatic Bacteriuria." Click on the image (or right click) to open the source website in a new browser

2018 FP Notebook

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