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Family Practice Notebook Updates 2016

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141. Psychoactive Bath Salts

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 7/13/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) release Respiratory distress (higher risk than other stimulants) Arrhythmias, or cardiovascular collapse Hyperthermia (>104.9 F or 40.5 C is associated with 50% mortality) Deaths have been reported X. Resources U.S. DEA Site XI. References Haynes, Meadors and Yuan (2016) Crit Dec Emerg Med 30(2): 3-9 Rosenbaum (2012) J Med Toxicol 8(1): 15–32 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Psychoactive Bath Salts." Click

2018 FP Notebook

142. Endometrial Cancer Staging

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

2018 FP Notebook

143. Endometrial Hyperplasia

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

2018 FP Notebook

144. Pediatric Anemia Causes

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 2/15/2016

2018 FP Notebook

145. Occupational Illness

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 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) in same household with similar illnesses or symptoms Others in same household who work with hazardous materials (e.g heavy metals, lead) Home environment Heating and cooling (central air, wood stove, detectors) Age of home and renovation history Pets in home Nearby industrial plant or toxic waste site Drinking water source Home projects (yard work, home remodeling) Hobbies (hunting, carpentry, painting) Psychosocial factors Excessive stress Family members or friends on insurance Flexibility Weight

2018 FP Notebook

146. Pneumonia IRVS Prediction Tool

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 12/6/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

147. Failure to Thrive Diagnosis

, 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 8/15/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

148. Shock

. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/2/2018 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) bowing limits LV filling) V. Causes (Mnemonic: SHRIMP CAN) Hypovolemic shock (e.g. , severe dehydration) Respiratory Compromise (e.g. , massive ) Ingestion (toxin, ) Metabolic (e.g. DKA, , ) Psychiatric (water ) (MI, CHF, ) Anaphylactic shock (e.g. ) (2016) Manual VI. History Medications and toxins s s Antihypertensives s Poisons ( s, toxic s, exposure) Hypovolemia sources Gastrointestinal losses Severe Decreased oral intake Melana Distributive causes (especially ) , chills, sweats or myalgias

2018 FP Notebook

149. Vascular Anatomy of the Abdomen

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 4/8/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

150. Retinal Anatomy

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

2018 FP Notebook

151. Atrial Flutter

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

2018 FP Notebook

152. Thoracolumbar Trauma

was written by , last revised on 4/1/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) to be evaluated Positive physical exam findings High risk mechanism Age > 65 years old Modalities Plain film xray is inadequate to exclude serious injury (misses 25% of burst s) CT Imaging CT can be reconstructed from CT chest CT can be reconstructed from MRI Consider spine MRI (especially in children and adolescents) VI. References Jhun, Riddell and Inaba in Herbert (2016) EM:Rap 16(12): 13-4 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term

2018 FP Notebook

153. Neuroanatomy of the Leg

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 4/29/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

154. Brain Stem Anatomy

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

2018 FP Notebook

155. Cerebellum Anatomy

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

2018 FP Notebook

156. International Index of Erectile Function Questionnaire

on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) 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 11/15/2016 and last published

2018 FP Notebook

157. Eye Pain without Redness

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 6/14/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

158. Chest Tube

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 2/25/2019 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) tissue away from surgical field via assistant or tape Consider arm abducted to 90 degrees and secured to Mayo stand Consider towel roll under the to reposition axillary fat References Spangler and Inaba in Herbert (2016) EM:Rap 16(9): 7 VI. Technique Image Insertion Site See precautions above Insert anterior to mid-axillary line Level of 5th intercostal space, over 6th rib Men: Nipple line Women: Xiphoid process level or inframammary fold Triangle of safety Apex: Axilla Posterior boundary: Latissimus

2018 FP Notebook

159. Tricyclic Antidepressant Overdose

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 12/28/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ) Indicated in refractory to numerous bicarbonate ampules (e.g. more than 10 ampules) Suggests continued absorption (esp. if decreased GI motility) X. Management: Hypotension s is an alpha blocker and results in Goal: Low to normal and adquate critical end-organ perfusion s 4 mg/500 cc D5W at 0.1 to 0.2 mcg/kg/min (adults - 8-12 mcg/min) is not generally recommended as may exacerbate tricyclic beta mediated effects Other measures Consider intra-aortic balloon pump XI. References (2016) Manual, 14th ed, 1

2018 FP Notebook

160. Salicylate Overdose

, 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 12/28/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

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