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Family Practice Notebook Updates 2016

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301. Immune Reconstitution Inflammatory Syndrome

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 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

302. Pediatric Analgesic

, 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 10/2/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) (1/2 in each nostril) via MAD Atomizer Intranasal (for sedation) s are generally used instead Dose: 0.2 to 0.5 mg/kg intranasal (1/2 in each nostril) using 5 mg/ml up to 10 mg Intranasal (not in mainstream use yet as of 2016) 1 mg.kg (1/2 in each nostril) VIII. Preparations: Intravenous Opioid Analgesics Dose: 1 mcg/kg IV or IM (up to 100 mcg) every 30-60 min ( ) Dose: 0.015 mg/kg (up to 1 mg) every 4-6 hours Dose: 0.1 mg/kg IV or IM (up to 15 mg) every 1-2 hours IX. Preparations: Opioid

2018 FP Notebook

303. Opioid Prescription in Acute Pain

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 2/6/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) , for every 50 ED prescriptions, one patient will become a longterm user High intensity prescribers (24% of patients prescribed s) increase risk of longterm use 1.3, compared with low intensity prescribers (7% of patients prescribed s) Tools exist to predict risk and maladaptive behaviors can result from misuse or overuse of s Drug diversion IV. References Hipskind and Kamboj (2016) Crit Dec Emerg Med 30(10): 15-23 Images: Related links to external sites (from Bing) These images are a random sampling from

2018 FP Notebook

304. Medication Causes of Delirium in the Elderly

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 10/2/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Administration 4 Medication Causes of Delirium in the Elderly Medication Causes of Delirium in the Elderly Aka: Medication Causes of Delirium in the Elderly , Drug-Induced Delirium in Older Adults , Altered Mental Status due to Medications in Geriatric Patients II. Causes See s s (e.g. , ) s (e.g. , , , ) s ( , ) s (e.g. , , meclizine) Medications ( s, ) s (e.g. , ) s (e.g. , , ) Muscle relaxants (e.g. , , carisprodol) s III. References Khoujah and Magidson (2016) Crit Dec Emerg Med 30(10): 3-10 Images

2018 FP Notebook

305. Patient Instructions

/2/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) offer no benefit over written instructions Discharge Instructions should be specific Follow-up within what time frame and with which provider Return instructions for red flag symptoms, worsening or new, concerning symptoms Medication additions, discontinuations and precautions III. References Delaney (2016) EM:Rap 16(10): 5-6 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Patient Instructions." Click on the image (or right click

2018 FP Notebook

306. Theophylline

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 9/16/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ) A drug used to improve breathing in people who are short of breath. It belongs to the family of drugs called bronchodilators or respiratory smooth muscle relaxants. Definition (MSH) A methyl xanthine derivative from tea with diuretic, smooth muscle relaxant, bronchial dilation, cardiac and central nervous system stimulant activities. Theophylline inhibits the 3',5'-CYCLIC NUCLEOTIDE PHOSPHODIESTERASE that degrades CYCLIC AMP thus potentiates the actions of agents that act through ADENYLATE CYCLASE

2018 FP Notebook

307. TNF Inhibitor

/10/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Agent , Tumor Necrosis Factor Inhibitor , TNF-a blockers , Tumor Necrosis Factor Alpha Inhibitor II. Indications: Autoimmune Conditions FDA Approved Rheumatoid Arthriitis Juvenile polyarticular (e.g. ) ( , ) Off-Label Hidradenitis suppuritiva Adamantiades- Noninfectious III. Preparations Older xTNF agents included Thalidomide Modern xTNF agents (in 2016) are primarily monoclonal antibodies Examples include ( ), ( ) and ( ) IV. Complications ( ) Opportunistic Infection or reactivated infections

2018 FP Notebook

308. Asp.Net Entity Framework

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 10/18/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Entity Framework Aka: Asp.Net Entity Framework From Related Chapters II. Approach: Code First Precautions Avoid changing database object class names (breaks the migrations) If this occurs, see corrupted database below Starting with asp.net mvc project with identity Open Package Manager (Alt-"/.") and select correct default project Type "Update-Database" If at non-powershell command prompt, type "dotnet ef database update" Subsequent migrations Open Package Manager (Alt-"/.") and select correct

2018 FP Notebook

309. Computer Security

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 1/15/2017 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Security , Network Security From Related Chapters II. Background Security is always balanced with, and often at risk due to other requirements Ease of use (or convenience) Functionality (or mobility) III. Approach: Practice least privelege See computer firewall Disable Web-based remote management Disable WiFi Protected Setup (WPS) See Modify all router default settings Assign an SSID (unique discoverable name) to router that does not give away its owner (e.g. avoid "Smith Router") Change the DHCP

2018 FP Notebook

310. Postoperative Fever

, 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 9/7/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

311. Sacroiliac Dysfunction

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

2018 FP Notebook

312. Marathon Medical Care

was written by , last revised on 8/5/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) be aware of overhydration and risk s are hypotonic and carry the same risks of overhydration as water References Orman and Anderson in Herbert (2016) EM:Rap 16(9): 13-4 VI. Management: Gastrointestinal symptoms Occurs in up to 80% of marathon runners along the course Cecal True emergency requiring immediate surgical care Presents as acute with , distention and ill appearance Typically occurs in endurance athletes ages 25 to 35 years old Rectal bleeding Occurs in up to 16% of runners within 48 hours

2018 FP Notebook

313. Niacin Deficiency

should address specific medical concerns with their physicians. This page was written by , last revised on 6/6/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Urine metabolites (e.g. N-methylnicotinamide, 2-pyridone) are unreliable IX. Management Precautions Replacement of other B s without B3 replacement may exacerbate pellegra encepholopathy replacement Observe for rapid improvement in symptoms after starting replacement Initial 50 mg orally every 6 hours until major signs and symptoms resolve Next 50 mg orally every 8-12 hours until skin lesions resolve X. Complications XI. References Jhun et al. in Herbert (2016) EM:Rap 16(9): 8-10 Rendon et al. (2017

2018 FP Notebook

314. Vitamin A Deficiency

concerns with their physicians. This page was written by , last revised on 9/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) units IM daily for 3 days Next 50,000 units IM daily for 14 days Next 10,000 to 20,000 units orally daily for 2 months References Jhun et al. in Herbert (2016) EM:Rap 16(9): 8-10 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Vitamin A Deficiency." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Vitamin A Deficiency (C0042842) Definition (NCI

2018 FP Notebook

315. Prosthetic Heart Valve

by , last revised on 9/2/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) symptoms ( 1-2) Emergent Surgery: Large thrombus is critically ill patients (typically associated with ) Valve regurgitation (due to paravalvular leak) (less common with modern mechanical valves) Bioprosthetic valves Structural dysfunction (e.g. valve degeneration, calcification or ) Results ultimately in repeat Valve Replacement Valve regurgitation (due to paravalvular leak or structural degeneration) VI. References Schauer et al. (2016) Crit Dec Emerg Med 30(9):13-9 Images: Related links to external

2018 FP Notebook

316. Heart Valve Disorder

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

2018 FP Notebook

317. Medications that exacerbate Heart Failure

was written by , last revised on 8/1/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) effervescent tablets) Multiple s (e.g. , ) VII. Causes: Toxins that may cause Heart Failure (Cardiomyopathy) Toxins Doxorubicin s Cobalt VIII. References (2016) Presc Lett 23(9) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Medications that Exacerbate Heart Failure." 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

2018 FP Notebook

318. STOP-Bang Questionnaire

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 8/31/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

319. Visual Studio

revised on 9/15/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

320. Antacid

with their physicians. This page was written by , last revised on 8/8/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

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