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Family Practice Notebook Updates 2016

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101. Drug-Drug Interactions in the Elderly

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 10/2/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

102. CVA Thrombolysis

revised on 5/9/2017 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) similar complication rates to NINDS References Lin and ic in Herbert (2014) EM:Rap 15(1): 8 IV. Protocol: Informed Consent Review risks and benefits of CVA Thrombolysis with patient and family <3 hours for presumed without contraindication is an approved emergency intervention Consent should be obtained but is not required if it cannot be obtained in a timely matter Given 18 patients with moderate to severe stroke ( of 5 or more) No TPA given Good CVA recovery: 6 patients (33% or one third) Poor

2018 FP Notebook

103. Lung Ultrasound for Pneumothorax

. 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 4/7/2017 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Single view (third interspace) for Sliding Lung Sign is equivalent to four view on each side (each 93% ) VIII. Resources - (SonoSite) (Dr. Perera, SonoSite) IX. References Reardon (2016) , Stabroom.com online video, accessed 4/1/2016 Reardon (2013) Emergency Course, 3rd Rock , Minneapolis, MN Alameda County Service Mateer (2012) Introduction to Trauma Video, GulfCoast , VL-95-T HCMC Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term

2018 FP Notebook

104. Suprapubic Ultrasound View

by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) . Mandavia, SonoSite) Fast Exam (Dr. Mandavia, SonoSite) IV. References Reardon (2016) FAST Scan, Online Video Stabroom.com, accessed 4/1/2016 Reardon (2013) Emergency Course, 3rd Rock , Minneapolis, MN Alameda County Service Mateer (2012) Introduction to Trauma Video, GulfCoast , VL-95-T HCMC Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Suprapubic Ultrasound View." Click on the image (or right click) to open the source website

2018 FP Notebook

105. Left Intercostal Oblique Ultrasound View

published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) inferiorly to scan the inferior pole of Tilt transducer, sweeping from anterior to posterior Landmarks Left Left Psoas muscle Conditions Blood superficial to or around splenic margins (most important to visualize) Blood may also collect between and left (but this is not typical) Blood in left Paracolic Gutter (between left and psoas muscle) Images V. Resources LUQ (Dr. Mandavia, Sonosite) VI. References Reardon (2016) FAST Scan, Online Video Stabroom.com, accessed 4/1/2016 Reardon (2013) Emergency Course

2018 FP Notebook

106. Right Intercostal Oblique Ultrasound View

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 4/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) , Sonosite) RUQ -Normal (Dr. Mandavia, Sonosite) RUQ - (Dr. Mandavia, SonoSite) VI. References Reardon (2016) FAST Scan, Online Video Stabroom.com, accessed 4/1/2016 Reardon (2013) Emergency Course, 3rd Rock , Minneapolis, MN Alameda County Service Mateer (2012) Introduction to Trauma Video, GulfCoast , VL-95-T HCMC Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Right Intercostal Oblique Ultrasound View." Click on the image (or right

2018 FP Notebook

107. Suprasternal Echocardiogram View

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

2018 FP Notebook

108. Parasternal Short-Axis Echocardiogram View

, 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 4/1/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

109. Dopamine Agonist

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 1/6/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

110. Enterostomy

medical concerns 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. | | | | (...) Some caution against this, due to acidic solution clumping of proteins Prevent clogging Flush tube with 30 ml water every 8 hours or more Administer medications via tube one at a time Flush tube before and after each medication with 15-30 cc water References (2016) Presc Lett 23(8) Granulation tissue or Granuloma (shiny pink tissue at skin tube entry site) Bleeding Consider for small granulomas Consult surgery for larger bleeding granulomas Non-bleeding No treatment is needed Medium potency s may

2018 FP Notebook

111. Second Impact Syndrome

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

2018 FP Notebook

112. Rocuronium

. 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. | | | | (...) to initiate longer acting sedation immediately following intubation Rocuronium long activity may otherwise outlast sedation, and result in unsedated paralysis VII. Precautions Inadequate sedation and analgesia is common following Rocuronium Err on the side of more aggressive sedation and analgesia while patient paralyzed VIII. Management: Reversal tightly binds Rocuronium and to reverse paralysis (FDA approved in U.S. in 2016) IX. References Strayer in Herbert (2016) EM:Rap 16(8):3-4 Images: Related links

2018 FP Notebook

113. Avascular Necrosis of the Femoral Head

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 11/4/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) . Prognosis Responsible for 12% of all hip replacements in the United States XII. References Shahideh (2013) Crit Dec Emerg Med 27(9):10-18 Welsh and Welsh (2016) Crit Dec Emerg Med 30(11): 15-23 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Avascular Necrosis of the Femoral Head." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Avascular Necrosis

2018 FP Notebook

114. Hip Pain Causes

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 9/1/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

115. Medical Documentation

medical concerns with their physicians. This page was written by , last revised on 3/4/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) serious presentations) Targeted update based on results, changing signs and symptoms, and response to interventions Avoid time delays in documentation Late entries should be time stamped Medical decision making Documenting a coherent is among the most important parts of the medical record Be consistent Always confirm you have opened the correct patient record first (before review, writing orders, medical decision making) Last Line of plan (and do this with every patient) Assessment and plan reviewed

2018 FP Notebook

116. Body Temperature

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 11/5/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) , intensive indications VIII. Precautions Avoid wearable thermometers and color change strips due to unreliability IX. References (2016) Presc Lett 23(11) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Body Temperature." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Body Temperature (C0005903) Definition (ICF) Functions involved in regulating

2018 FP Notebook

117. Emergent Reversal of Anticoagulation

. 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 7/9/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) opinion) ADP Inhibitors (e.g. ) 2 units (12 pack) Consider (DDAVP) 0.3 mcg/kg (expert opinion) Consider Recombinant activated VII (rFVIIa) 30-90 mcg/kg (expert opinion) Resources ACEP: Reversal of s in the Presence of Major Life-Threatening Bleeding References Deloughery and Orman in Majoewsky (2013) EM:Rap 13(9): 1 Lex and Orman in Majoewsky (2013) EM:Rap 13(4): 6 Lemkin (2013) Crit Dec Emerg Med 27(4): 2-9 Sun (2016) Crit Dec Emerg Med 30(8): 28 Images: Related links to external sites (from Bing

2018 FP Notebook

118. SGLT2 Inhibitor

, 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 11/5/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) . References (2018) Presc Lett 25(2) (2016) Presc Lett 23(2): 8-9 (2014) Presc Lett 21(10): 57 (2013) Presc Lett 20(5): 28 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "SGLT2 Inhibitor." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Cost: Medications invokana (on 3/22/2017 at ) INVOKANA 100 MG TABLET $13.70 each INVOKANA 300 MG TABLET $13.70 each farxiga

2018 FP Notebook

119. Heart Healthy Diet

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 6/4/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

120. Pulmonary Arterial Hypertension Crisis

revised on 10/3/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) pulmonary artery pressure) IX. References Meter (2013) Crit Dec Emerg Med 27(5): 2-10 Orman, Greenwood and Swaminathan in Herbert (2016) EM:Rap 16(10): 9-11 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Pulmonary Arterial Hypertension Crisis." 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 Pulmonology About FPnotebook.com is a rapid

2018 FP Notebook

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