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Family Practice Notebook Updates 2016

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281. Computer Hardware

/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) and can be visualized in UEFI, CPU-Z or dedicated utilities (e.g. Core Temp, SpeedFan) V. Parts: BIOS See Motherboard (above) for CPU-Z and other utilities to examine BIOS and UEFI Complimentary-Metal Oxide Semiconductor (CMOS) Electronically Erasable Programmable Read-Only Memory (EPROM) Chip Holds hardware settings and BIOS, and BIOS updates are flashed to this chip CMOS maintains a constant low power (even with system unplugged) via 2 button batteries (2032) When these batteries start to fail

2018 FP Notebook

282. Hypertensive Encephalopathy

specific medical concerns with their physicians. This page was written by , last revised on 12/28/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) as readily VII. Differential Diagnosis Uremic Encephalopathy Anticholingeric Syndrome Cytotoxic reaction (esp. >1.8 mg/dl and ) VIII. Management See for agents to emergently lower Lower by 10-20% within first hour of presentation Further lowering as needed IX. Prognosis Fully reversible in most cases within days to weeks In one study, nearly 25% died and another subset had permanent neurologic dysfunction X. References Elliott and Varon (2016) Evaluation and Treatment of Hypertensive Emergencies

2018 FP Notebook

283. IP Address

by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 1/14/2017 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Requires less traffic over network than IPv4 (no broadcast needed) Stateless Address Autoconfigurations (SLAAC) Link-local addresses Witten as simple addresses (fe80::/64) Loopback address Used for local diagnostics (::1/128) IX. References Jacob (2013) Subnetting, lynda.com, accessed 12/31/2016 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "IP Address." Click on the image (or right click) to open the source website in a new

2018 FP Notebook

284. Four-Person Log Roll

, 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 12/27/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

285. Cervical Spine Immobilization

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. | | | | (...) that they restrict harmful movement in Cervical Collars may have significant adverse effects Interferes with airway management Paradoxically may result in wore outcomes in Increases neck stiffness and pain May reduce venous return and increase References Orman and Colwell in Herbert (2016) EM:Rap 16(2): 17 Resources Sancrit.com Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Cervical Spine Immobilization." Click on the image (or right click

2018 FP Notebook

286. Cerebral Herniation

and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) in (blown pupil) IV. Signs Unilateral, ipsilateral dilated pupil (blown pupil) Contralateral limb weakness or Posturing (arm flexion) (arm and leg extension) V. Management ral measures See Includes head of be elevation, airway and management, mannitol See Management See CNS (acute , ) See VI. References (2012) , ACS p. 152-3 DeBlieux in Herbert (2016) EM:Rap 16(5): 8-10 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Cerebral

2018 FP Notebook

287. Trauma Transfer

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 8/6/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) documentation Patient evaluation including (including use), dosing weight, s, exam, GCS Imaging studies burned to CD or DVD as well as radiologist reports (if available) Diagnostic testing results (EKG, Labs) Interventions (medications, procedures) VII. References (2016) , 14th ed, I-6 Herbert and Inaba in Herbert (2014) EM:Rap 14(3): 5-6 Mell in Herbert (2015) EM:Rap 15(2): 1-2 (2008) Manual, American College of Surgeons (2012) Manual, 9th ed, American College of Surgeons Images: Related links to external

2018 FP Notebook

288. Comprehensive Advanced Life Support

. This page was written by , last revised on 12/27/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) roles Apply applicable protocols Review patient record in EMR if available Step 2: Patient arrival and situation control Everyone quiet while EMS gives report Restrain or immobilize patient as needed (e.g. ) Step 3: (lead by Team Leader) Includes , , and CPR Includes (includes management) (AVPU, GCS) Initial Measures IV-O2-Monitor s EKG Immediate interventions (Dextrose, Oxygen, , ) for Consider (Signs/Symptoms, Allergies, Meds, PMH, Last Meal, Events) Obtained as able from EMS, family or patient

2018 FP Notebook

289. Loperamide Abuse

, 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 6/1/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Abuse , Loperamide Toxicity , Loperamide Misuse , Loperamide Poisoning , Imodium Overdose From Related Chapters II. Background Misuse is increasing in 2016-2018 and associated with arrhythmia and deaths Users refer to as "Poor-man's " Users take more than 64 mg (4 fold higher than the total daily dose) to get high is highly albumin bound High doses saturate available albumin, and unbound may cross the blood brain barrier prevents from crossing blood-brain barrier (and also stimulates GI excretion

2018 FP Notebook

290. HAIR Score

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

291. Fibrosis Probability Score

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

292. Gastroparesis Cardinal Symptom Index

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

293. Turmeric

. 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 12/6/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Turmeric is extracted from plant in the family Yellow-colored spice used to flavor curry powder and mustards III. Mechanism Active ingredient in Turmeric, curcumin is purported to be an antioxidant and antiinflammatory agent IV. Efficacy May be beneficial in (insufficient evidence as of 2016) V. Adverse effects VI. Disadvantages Typical extract dose of 1-2 g/day is equivalent to as much as 18-36 tsp ground Turmeric per day Very expensive (as much as $1 per tablet) VII. References (2016) Presc Lett 23

2018 FP Notebook

294. Pneumonia Accelerated Diagnostic Protocol

. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/6/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Acquired Pneumonia Outpatient OR AND high dose OR High Dose (3 days at 200 mg bid, then 4 days at 100 mg twice daily) VIII. References Orman and Berg in Herbert (2016) EM:Rap 16(12): 15-17 Gilbert (2016) Sanford Guide, accessed on IOS app, 12/6/2016 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Pneumonia Accelerated Diagnostic Protocol." Click on the image (or right click) to open the source website in a new browser window

2018 FP Notebook

295. Tarsal Navicular Fracture

Practice Notebook, LLC. | | | | (...) referral Surgery often required V. References Orman and Ramadorai in Herbert (2016) EM:Rap 16(12): 8-9 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Tarsal Navicular Fracture." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Fracture of navicular (C0435939) Concepts Injury or Poisoning ( T037 ) SnomedCT 263248002 Dutch naviculare fractuur

2018 FP Notebook

296. Foot Fracture

concerns with their physicians. This page was written by , last revised on 11/3/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ) Seen especially with Open Foot Fracture Neurovascular compromise VI. References Feden and Kiel (2017) Crit Dec Emerg Med 31(11): 3-10 Orman and Ramadorai in Herbert (2016) EM:Rap 16(12): 8-9 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Foot Fracture." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Fracture of foot (C0272774) Concepts

2018 FP Notebook

297. Nitrous Induced Subacute Combined Degeneration of the Spinal Cord

for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) extremity weakness or (ultimately involving arms) Lower extremity es diminished or lost Positive Babinski Reflex IV. Differential Diagnosis See V. Labs Decreased Serum VI. Management Replacement with 1000 mcg orally daily VII. References (2016) EM:Rap 16(12): 1 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Nitrous Induced Subacute Combined Degeneration of the Spinal Cord." Click on the image (or right click) to open the source

2018 FP Notebook

298. Nitrous Oxide Abuse

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

2018 FP Notebook

299. Phonetic Alphabet

. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/3/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

300. Opportunistic Infections in HIV

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 11/1/2016 and last published on 3/2/2019 . Contact

2018 FP Notebook

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