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Family Practice Notebook Updates 2016

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61. Cranial Nerve 7

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 4/11/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

62. Multiple Drug Resistant Tuberculosis Treatment

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 3/2/2019 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) may increase rate of cure resection with medications may increase cure rate IV. Precautions This protocol is from 2003 without available new guidance to use for update as of 2016 review Multi-drug resistance requires expert local opinion for guidance Avoid use of fluouroquinolones for routine (non-Tb) to help prevent resistant Tb V. Management Standard Main Drugs (INH) Secondary additional drugs or Capreomycin or Cycloserine, Ethionamide, or para-aminosalicylic acid Images: Related links

2018 FP Notebook

63. Possibly Resistant Tuberculosis Treatment

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. | | | | (...) Possibly Resistant Tuberculosis Treatment Possibly Resistant Tuberculosis Treatment Aka: Possibly Resistant Tuberculosis Treatment , Possibly Resistant Tb Treatment From Related Chapters II. Indications Resistance >4% in patient's community (HIV) Prior exposure III. Precautions This protocol is from 2003 without available new guidance to use for update as of 2016 review Multi-drug resistance requires expert local opinion for guidance IV. Management Initial: Four drug therapy for 2 months or Subsequent

2018 FP Notebook

64. Susceptible Tuberculosis Treatment

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

2018 FP Notebook

65. Active Tuberculosis Treatment

, 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 11/2/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) XI. References (2016) Presc Lett 23(10) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Active Tuberculosis Treatment." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Active tuberculosis (C0151332) Concepts Disease or Syndrome ( T047 ) SnomedCT 427099000 English Active tuberculosis , Active tuberculosis (disorder) , active tuberculosis

2018 FP Notebook

66. Latent Tuberculosis Treatment

. 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 11/2/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) to hepatotoxicity Details listed for historical purposes only 600 mg qd for 2 months 25mg/kg qd for 2 months Higher risk of hepatotoxicity than with 6 months INH Observe serial s closely X. Monitoring See for toxicity related to and Hepatotoxicity See regarding s XI. References Orman, Moran and Swaminathan in Herbert (2016) EM:Rap 16(11): 2-3 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Latent Tuberculosis Treatment." Click on the image

2018 FP Notebook

67. Tuberculosis

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 3/2/2019 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) in the United States (in 2014) Asians: 17.8 cases per 100,000 Native hawaiians and others from the pacific islands: 16.9 per 100,000 American indians or alaskan natives: 5.0 per 100,000 Blacks: 5.1 per 100,000 Hispanics: 5.0 per 100,000 Whites: 0.6 per 100,000 Other factors related to resurgence of Tuberculosis in the United States HIV epidemic Multidrug-Resistant Tuberculosis References (2014) CDC - Trends in Tuberculosis, accessed online 11/2/2016 IV. History George Orwell died of Tuberculosis in 1950

2018 FP Notebook

68. Dyspnea History

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 12/20/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

69. Dyspnea Causes

concerns with their physicians. This page was written by , last revised on 12/20/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

70. Acute Dyspnea

with their physicians. This page was written by , last revised on 12/20/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

71. Reactive Airway Dysfunction Syndrome

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 6/16/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

72. Allergic Occupational Asthma

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 6/16/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

73. Work-Related Asthma

concerns with their physicians. This page was written by , last revised on 6/16/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

74. Mechanical Ventilation

. 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 4/26/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) for dependent pulmonary blood flow to best ventilated lung segments Children (under age 8 years) Precaution: Reduce rate and for (allow for permissive hypercapnia) : 20-25 breaths per minute : 5-7 cc/kg Set peak inspiratory pressure to 12-20 cm H2O in infants References Weingart and Orman in Herbert (2016) EM:Rap 16(6):14-5 VIII. Precautions Avoid (results in lung hyperexpansion and decreases venous return) Start with low and low (and gradually advance as needed) Limit peak pressures and are very high risk

2018 FP Notebook

75. Needle Cricothyrotomy

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 8/16/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ventilation through a 14 gauge angiocatheter Some case reports of 25 minutes of use to transition to Jet use has poor outcomes High risk if needle perforates posterior trachea Insufflation with a single breath into paratracheal space results in massive and death Jet Vent use resulted in only a 25% survival Albeit a last ditch effort to temporize in CICO when other measures has failed VI. References Levitan (2013) Practical Airway Management Course, Baltimore Warrington (2016) Crit Dec Emerg Med 30(8): 14

2018 FP Notebook

76. Hemiplegia

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

77. Pinworm

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 5/4/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) : 11 mg/kg up to 1 gram PO for 1 dose Repeat dose in 2 weeks Avoid in pregnancy or age under 2 years old Available as over-the-counter medication, and only $20 per 2 dose course Mebendazole (Vermox, Emverm) Dose: 100 mg chewable for 1 dose Repeat dose in 2 weeks (per CDC and despite package insert) Avoid in first trimester of pregnancy or age under 1 year old Was not available as of 2012, and available as of 2016 at $740/course Albendazole (Valbazen, Albendazole) Dose: 400 mg PO for 1 dose Repeat

2018 FP Notebook

78. Candidiasis

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

2018 FP Notebook

79. Actinomycosis

and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) granules VI. Lab of sulfur granules fungi Anaerobic VII. Management First-Line FIRST: 16.5 mg/kg IV tid (or penicllin G 2.5 to 5 MU IV qid) for 4-6 weeks THEN: VK 2-4g/day divided qid for 3-6 months Alternative agents 100 mg oral or IV twice daily 600-900 mg IV every 8 hours VIII. Resources EMedicine: Actinomycosis IX. References (2015) Sanford Guide to Antibiotics, IOS App accessed 4/21/2016 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2018 FP Notebook

80. Sepsis

, 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 3/2/2019 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) reactions References Lin and Spaulding in Herbert (2016) EM:Rap 16(3): 6-7 Avoid delay in subsequent antibiotic doses Antibiotic second dose delays are common in transition from the Emergency Department to admission XIV. Management: Antibiotics - Empiric by Site of Infection and Risk Factors Unknown source See empiric therapy described above Community acquired See Empiric Antibiotic Regimen -Tazobactam 4.5 g IV q6-8h or Aztreonam 2 g IV q8h (or ) AND or 750 IV q24h, 400 IV q24h

2018 FP Notebook

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