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Family Practice Notebook Updates 2016

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81. Vibrionaceae

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 5/7/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) to the phylum Proteobacteria and the family Aeromonadaceae. Definition (MSH) A genus of gram-negative, facultatively anaerobic, rod-shaped bacteria that occurs singly, in pairs, or in short chains. Its organisms are found in fresh water and sewage and are pathogenic to humans, frogs, and fish. Concepts Bacterium ( T007 ) MSH SnomedCT 88529008 Swedish Aeromonas English Aeromonas (organism) , Genus Aeromonas (organism) , Genus Aeromonas , Aeromonas Stanier 1943 , Aeromonas , aeromonas , aeromona , AEROMONAS

2018 FP Notebook

82. Yersinia pestis

Practice Notebook, LLC. | | | | (...) q12 hours X. Prevention nsed, killed (no longer available) Doses at 0, 1-3 months, and 5-6 months Booster at 6 month intervals x3, then every 1-2 years Effective against bubonic, but not pulmonic Plague (adult dosing below) Continue for 7 days or length of exposure 100 mg PO bid 500 mg PO bid 500 mg PO qid XI. Prognosis Mortality 100% if untreated (or treatment delayed >48 hours) XII. References Gilbert (2016) Sanford Guide, accessed 12/24/2016 on IOS version Seeyave (2015) Crit Dec Emerg Med 29(5

2018 FP Notebook

83. Brucellosis

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 4/14/2016 and last published on 3/2/2019 . Contact 2019 Family (...) Practice Notebook, LLC. | | | |

2018 FP Notebook

84. Aerobic Gram Negative Rod

medical concerns with their physicians. This page was written by , last revised on 4/13/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Gram Negative Rod Aka: Aerobic Gram Negative Rod , Pseudomonadaceae , Legionellaceae , Brucella , Flavobacterium , Alcaligenes , Acetobacteraceae , Acetobacter , Alcaligenaceae , Achromobacter From Related Chapters II. Characteristics Aerobic Gram Negative Rod III. Types: Family - Pseudomonadaceae Pseudomonas aeruginosa Pseudomonas mallei ( ) IV. Types: Family - Legionellaceae V. Types: Genus - Brucella VI. Types: Other Gram Negative aerobic rods Flavobacterium meningosepticum Alcaligenes faecalis

2018 FP Notebook

85. HIV Course

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 2019 Family (...) Practice Notebook, LLC. | | | |

2018 FP Notebook

86. Human Immunodeficiency Virus

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 2019 Family Practice Notebook, LLC. | | | | (...) children (2015) References (2015) WHO Global Summary (accessed 11/01/2016) III. Epidemiology: United States Statistics (CDC) HIV : 44,000 new cases per year (2014) Annual new cases has fallen 19% since 2004 HIV new infection rates growing in specific groups Young persons aged 18 to 24 years Heterosexual patients Rural areas African-American and Latino women HIV Overall in U.S.: 1.2 Million HIV infected persons as of 2014 (1 in 8 are unaware of status) rate in ages 15-49: 0.6% AIDS Mortality Annual

2018 FP Notebook

87. HIV Presentation

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. | | | | (...) : Initial What is the current risk of HIV progression? Based on and Are s indicated at this point? What is the current risk of opportunistic infection? Based on and comorbid conditions Is prophylaxis or screening indicated? See What symptoms are present related to HIV status? Acute Retroviral Syndrome Manifestations suggesting advanced HIV (See and ) Identify comorbid conditions related to s (e.g. , , ) (e.g. , ) Sexual practices (highest risk in ) Identify needs and other serious comorbidities Routine

2018 FP Notebook

88. Bacillary Angiomatosis

specific medical concerns with their physicians. This page was written by , last revised on 4/13/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) (2016) in HIV, UpToDate, ios app accessed 4/13/2016 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Bacillary Angiomatosis." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Angiomatosis, Bacillary (C0085434) Definition (MSH) A reactive vascular proliferation that is characterized by the multiple tumor-like lesions in skin, bone, brain

2018 FP Notebook

89. Thrombotic Thrombocytopenic Purpura

is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 9/15/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) exchange Splenectomy Gammaglobulin Vincristine XIII. Prognosis Untreated: 80% mortality within 3 months Treatment with plasmapheresis: 17% mortality XIV. References Arora and Herbert in Majoewsky (2013) EM:Rap 13(3):1 Marx (2002) Rosen's Emergency Med, p. 1693 Merrill and Gillen (2016) Crit Dec Emerg Med 30(3): 3-8 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Thrombotic Thrombocytopenic Purpura." Click on the image (or right

2018 FP Notebook

90. Drug Induced Platelet Dysfunction

by , last revised on 3/28/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) week See See V. Course Onset within 5 to 7 days of starting the medication Expect recovery in 7-14 days after discontinuation of medication VI. References Merrill and Gillen (2016) Crit Dec Emerg Med 30(3): 3-8 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Drug Induced Platelet Dysfunction." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology

2018 FP Notebook

91. Immune Thrombocytopenic Purpura

published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) cases resolve within weeks Adults More chronic, insidious course than for adults XI. References Merrill and Gillen (2016) Crit Dec Emerg Med 30(3): 3-8 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Immune Thrombocytopenic Purpura." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Immune thrombocytopenic purpura (C0398650) Definition (CHV

2018 FP Notebook

92. Thrombocytopenia

, 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 8/16/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Symptomatic Thrombocytopenia with , , or <50,000 per uL (or persistently below 100,000 per uL on repeat testing) Conditions requiring emergent management (HIT) (TTP) (HUS) with Disposition home Isolated Thrombocytopenia >30,000/mm3 without signs of bleeding in children Isolated Thrombocytopenia >30,000 to 50,000/mm3 without signs of bleeding in adults No serious cause suspected of Thrombocytopenia (i.e. not HUS, TTP, HIT, DIC) Less severe causes include ITP and Reliable patient or family No S Follow

2018 FP Notebook

93. Medication Causes of Lymphadenopathy

providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/1/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

94. Influenza Vaccine

/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ) NNT: 100 References Newman in Herbert (2013) EM:Rap 13(12): 15-6 IV. Indications: High risk groups (but recommended for all patients 6 months and over as of 2012) Age 65 years and older All children ages 6 months to 18 years and Chronic care residents Chronic pulmonary disease Chronic disease (especially those requiring frequent hospitalization) Heart disease Long term use under age 18 years Prevents Vectors Health care workers personnel Family members of high risk patients Families and child care

2018 FP Notebook

95. Human Papilloma Virus Vaccine

by , last revised on 11/28/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) for ages 9-14 years old (those >15 years old should use 3 dose schedules) First 2 doses must be at least 5 months apart (otherwise use 3 dose schedule) (2016) Presc Lett 23(12): 67 Three dose schedule (age of first dose >15 years old or immunocompromised) Schedule: 0, 2, and 6 months If one dose given before age 15 years old, may give a single booster dose age 15-26 years old XI. Cost Three doses: >$1000 for Gardasil-9 (covered by most U.S. insurance plans) Original Gardasil was priced at >$400

2018 FP Notebook

96. Pneumococcal Vaccine

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 5/4/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

97. Cholera Vaccine

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 9/17/2017 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) , Lypholized CVD 103-HgR , Vaxchora , PaxVax From Related Chapters II. Indications Prevention of O1 in adults travelling to -affected areas Travelers visiting friends and relatives Health care personnel outbreak response workers Extended travel to affected areas III. Preparations Lypholized CVD 103-HgR (Vaxchora, PaxVax) Single dose, live attenuated, oral Cholera Vaccine Only FDA approved Cholera Vaccine in U.S. (approved in 2016) Efficacy beyond 3 months is not known as of late 2017 Avoid use

2018 FP Notebook

98. Adult Vaccination

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 5/4/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

99. Immunization in HIV

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

100. Neutropenic Fever

published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) used Antibacterial prophylaxis (e.g. , cipro) if expected ANC <100 mm3 for >7 days Anti-candidal, anti- and antiviral prophylaxis also have specific indications XX. Prognosis Mortality of untreated Febrile Neutropenia in high risk patients: 20-50% XXI. References (2016) Sanford Guide to Antibiotics, IOS app accessed 4/14/2016 Miller (2013) Crit Dec Emerg Med 27(5): 12-17 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term

2018 FP Notebook

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