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Family Practice Notebook Updates 2016

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161. AVPU Scale

/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ) Verbal Stimulus Response (GCS 12-13) Painful Stimulus Response (GCS 8) Unresponsive (GCS 3-4) III. References (2016) , 14th ed, 1:52 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "AVPU Scale." 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 Examination About FPnotebook.com is a rapid access, point-of-care medical reference for primary

2018 FP Notebook

162. Headache Red Flag

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

2018 FP Notebook

163. Radiation-Induced Thyroiditis

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 2/29/2016 and last published on 3/3/2019 . Contact 2019 Family (...) Practice Notebook, LLC. | | | |

2018 FP Notebook

164. Radioiodine

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 2/29/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

165. Antithyroid Drug

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 2/29/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

166. Orlistat

was written by , last revised on 8/31/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

167. Glucophage

/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) $0.09 each glumetza (on 5/18/2016 at ) GLUMETZA ER 1,000 MG TABLET Generic $86.48 each GLUMETZA ER 500 MG TABLET Generic $30.25 each FPNotebook does not benefit financially from showing this medication data or their pharmacy links. This information is provided only to help medical providers and their patients see relative costs. Insurance plans negotiate lower medication prices with suppliers. Prices shown here are out of pocket, non-negotiated rates. See for financial assistance information

2018 FP Notebook

168. Anologue Basal Insulin

and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Insulin Aka: Anologue Basal Insulin , Insulin Glargine , Glargine , Lantus , Levemir , Detemir , Toujeo , Insulin Degludec , Tresiba , Basaglar From Related Chapters II. Precautions in the U.S. has become unconscionably expensive Consider (still $25 per vial at Walmart as of 2016) for basal control instead Basal does not cover meal times Use in combination with agents to cover meals Rapid acting (e.g. ) Oral agents ( s, , ) or Switch to basal/bolus when Glargine >0.5 units/kg III. Preparations Insulin

2018 FP Notebook

169. Insulin

, 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 3/30/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Insulins (i.e. basal Insulins) Specific U-500 syringes are available as of 2016 to reduce dosing errors Analogue Insulins (Rapid, consistent absorption) Glulisine (Apidra) Onset: 5 to 15 minutes Peak: 1 to 2 hours Duration: 3 to 5 hours Similar to other bolus analogues FDA approved to take after meal Other analogues expected with same effect Lispro (Humalog, Admelog) Onset: 5 to 15 minutes Peak: 1 to 2 hours Duration: 3 to 5 hours Concentrations Humalog U-100 (100 units/ml) vial or KwikPen Humalog U

2018 FP Notebook

170. Incretin Mimetic

by , last revised on 2/15/2019 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) are a random sampling from a Bing search on the term "Incretin Mimetic." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Cost: Medications byetta (on 2/22/2017 at ) BYETTA 10 MCG DOSE PEN INJ $267.39 per ml BYETTA 5 MCG DOSE PEN INJ $533.58 per ml bydureon (on 2/22/2017 at ) BYDUREON 2 MG PEN INJECT $149.65 each BYDUREON 2 MG VIAL $149.42 each victoza (on 9/2/2016 at ) VICTOZA 2-PAK 18 MG/3 ML PEN $80.25 per ml VICTOZA 3-PAK 18 MG

2018 FP Notebook

171. Glucometer

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 2/8/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) lancets every 30 days if on and every 90 days otherwise References (2016) Presc Lett 23(2): 8-9 IV. Resources FDA devices Diabetes Forecast Meter and Test Strip market summary (costs of meters and test strips, droplet size, features) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Glucometer." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Blood

2018 FP Notebook

172. Obesity in Children

is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 11/12/2013 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) : Obesity in Children , Childhood Obesity II. Epidemiology between age 2 to 19 in 2004: 17.1% (was 12% in 1994) Number of obese children and adolescents in U.S. trippled between 1980 and 2000 III. Causes: Secondary Causes of Childhood Obesity (<10% of cases) (Hypercortisolism) Primary Hyperinsulinism Pseudohypoparathyroidism Hypothalamic abnormality s with Laurence-Moon or Bardet-Biedl Syndrome Borjeson-Forssman-Lehmann Syndrome Cohen Syndrome Ruvalcaba Syndrome Familial s without Alstrom Syndrome

2018 FP Notebook

173. Failure to Thrive Management

revised on 8/15/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) : Behavioral Consider home nurse Consider WIC referral Involve parents actively in evaluation and management Helps with frustration and guilt of adequate caretaking Establish scheduled regular, balanced meals with adequate nutrition Modify maladaptive learned feeding responses Behavioral and Family Treatment Address interactional difficulties with parents Consider Psychiatric and Social Services Developmental Stimulation Community infant-stimulation programs Correct underlying conditions Treat V

2018 FP Notebook

174. Failure to Thrive Evaluation

, 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. | | | | (...) and consistency) Consider dietary or nutrition history Nursing or history Infequent brief feedings Maternal ingestion of milk suppressant s Inadequate milk supply Nipple problems Inadequate milk let down Poor suck Maternal Maternal exhaustion or V. History: Social Interference with adequate caretaking Risk factors Economic stress Disorganized family Social isolation Parental depression History of parent loss Overworked parent Parental or or other abuse Consider physical, psychological or marital problems

2018 FP Notebook

175. Failure to Thrive Causes

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

176. Failure to Thrive

was written by , last revised on 8/15/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) to Thrive , Failure to Thrive in Children , Pediatric Failure to Thrive , Weight Faltering , FTT II. Definition Inadequate weight gain (or Weight Faltering) over time due to inadequate or absorption or excessive caloric expendature III. Epidemiology Hospitalized children <2 years: 1-5% Families with Medical, Psychosocial problems: 10% IV. Causes V. Signs Weight is affected first by Length and affected in severe cases Cognition and failure to meet s may occur in very severe cases VI. Diagnosis: Failure

2018 FP Notebook

177. Obesity Risk

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 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

178. Bilateral Peripheral Polyneuropathy in Diabetes

is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 8/2/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

179. Mononeuropathy in Diabetes

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

2018 FP Notebook

180. Diabetic Autonomic Neuropathy

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

2018 FP Notebook

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