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Family Practice Notebook Updates 2016

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161. Eye Anatomy

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

2018 FP Notebook

162. Central Retinal Vein Occlusion

address specific medical concerns with their physicians. This page was written by , last revised on 6/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) VI. Signs l veins dilated tortuous Blood streaked (esp. in ischemic type) Diffuse l s radiating from optic disc ("Blood and thunder ") VII. Management Urgent Ophthalmology No specific management to alter s Management is focused on reducing longerterm complications of retinopathy including Non-urgent laser photocoagulation may be needed in some cases VIII. Complications IX. References Hartmann (2016) Crit Dec Emerg Med 30(6): 3-11 Images: Related links to external sites (from Bing) These images

2018 FP Notebook

163. Preventing Adverse Events in Hospitalized Elderly

providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 9/2/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Pharmacy medication reconciliation and review adverse medication risks ( , , ) Social workers and case managers Physical therapists IX. References AA Borrud (Fall, 2005) Mayo Geriatric Update Lecture Cimino-Fiallos and Khoujas (2018) Crit Dec Emerg Med 12(9): 3-11 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Preventing Adverse Events in Hospitalized Elderly." Click on the image (or right click) to open the source website in a new

2018 FP Notebook

164. Provider's Orders for Life Sustaining Treatment

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 4/26/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) care, antibiotics, nutrition) Form travels with patient and copies sent to EMR, EMS, facilities and family IV. References Olson (2010) Park Nicollet Primary Care Update CME, Minneapolis, MN Orman and Abbott in Herbert (2018) EM:Rap 18(2): 13-4 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Providers Orders for Life Sustaining Treatment." Click on the image (or right click) to open the source website in a new browser window

2018 FP Notebook

165. Advance Care Planning

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 2/4/2014 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) Planning Aka: Advance Care Planning From Related Chapters II. Types: Concepts in Advance Care Planning ( ) Do-Not-Resuscitate (DNR) III. Protocol: Process for Advance Care Planning Document patient's values and cultural beliefs Determine health care preferences when patient healthy Patient selects Ongoing dialog with patient and their family IV. Approach: Gradual introduction for patients regarding Advanced Directives Routine patient visits at ages 50 to 65 years old Provide forms Consider mailing

2018 FP Notebook

166. Infections in Older Adults

published on 3/3/2019 . 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 10/2/2016 and last

2018 FP Notebook

167. Health Concerns in the Elderly

by , last revised on 9/2/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) cognition by friends, family See See Exam In the past year, have you ever lost your urine and gotten wet? Have you lost your urine on at least 6 separate days Falls in the last year? Associated with 2.8 fold increased risk of falls in the next year See Consider Home Safety Self-Assessment Tool See See V. Screening: Psychosocial Concerns Nutrition See Have you lost weight in the previous 6 months? (e.g. dressing, toileting, bathing, eating, walking) (e.g. shopping, managing medications, finances) Driving

2018 FP Notebook

168. Acute Vision Loss

. This page was written by , last revised on 6/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) swelling VIII. Management Rapid assessment and management if acute CNS event is suspected See Indications for emergent referral to ophthalmology l or Occipital infarction Acute angle closure Conditions with specific immediate temporizing measures by emergency provider Acute angle closure IX. References Hartmann (2016) Crit Dec Emerg Med 30(6): 3-11 Trobe (2012) Physician Guide to Eye Care, p. 31-35 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2018 FP Notebook

169. Contact Lens

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

170. Chemical Eye Injury

medical concerns with their physicians. This page was written by , last revised on 12/26/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

171. Eye Pain

. 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

172. Vitreous Hemorrhage

with their physicians. This page was written by , last revised on 6/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) to 30 degrees Hold s if possible (including and s) VI. Management Hartmann (2016) Crit Dec Emerg Med 30(6): 3-11 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Vitreous Hemorrhage." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Vitreous Hemorrhage (C0042909) Definition (NCI_CTCAE) A disorder characterized by blood extravasation

2018 FP Notebook

173. Esophageal Cancer

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 1/2/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) : Esophageal Cancer , Esophageal Carcinoma , Squamous Cell Carcinoma of the Esophagus , Esophageal Adenocarcinoma From Related Chapters II. Epidemiology in U.S. (2016): 16,910 diagnosed (15,910 deaths) Worldwide, 8th most common cancer 80% of cases occur in non-industrialized countries (esp. Asia, Africa) III. Types Squamous Cell Carcinoma of the Esophagus Accounts for 90% of cases worldwide, but much less common in the U.S. : 3 per 100,000 person-years in U.S, Most common in China, Central Asia, East

2018 FP Notebook

174. Age-Related Macular Degeneration

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 7/31/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

175. Irritable Bowel Syndrome

, 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 5/9/2017 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) by psychosocial risk factors Prior physical or sexual abuse significantly increases risk Severe episode may be associated ( 5.9) Antibiotics (Rifamaxin, Neomycin) have reduced symptoms in some cases Familial association Risk increases 3 fold with of Irritable Bowel Syndrome IV. Associated Conditions Disease Non-cardiac Urologic dysfunction Gynecologic disease (e.g. ) Temperomandibular joint syndrome Low-fiber diet V. Risk Factors: Psychosocial Sexual abuse or physical abuse Stressful life events VI. Types

2018 FP Notebook

176. Posterior Vitreous Detachment

medical concerns with their physicians. This page was written by , last revised on 6/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) from tear X. References Hartmann (2016) Crit Dec Emerg Med 30(6): 3-11 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Posterior Vitreous Detachment." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Vitreous Detachment (C0042907) Definition (MSH) Detachment of the corpus vitreum (VITREOUS BODY) from its normal attachments, especially

2018 FP Notebook

177. Retinal Detachment

revised on 9/4/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) history XIV. References Hartmann (2016) Crit Dec Emerg Med 30(6): 3-11 Trobe (2012) Physicians Guide to Eye, p. 151-3 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Retinal Detachment." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Retinal Detachment (C0035305) Definition (MEDLINEPLUS) The retina is a layer of tissue in the back of your eye

2018 FP Notebook

178. Auricular Hematoma

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. | | | | (...) the first bolster, auricle, and second bolster and tie Repeat suturing at a second location along the bolster Apply additional compressive dressing over the top of the ear and wrapped around the head Resources Brown EM Residency Video VII. Management Other measures Many ENTs will start while treating Auricular Hematoma Update status Follow-up Re-evaluation in 18-24 hours to exclude reaccumulation (and need for repeat hematoma drainage) VIII. References Claudius, LoTempio, Behar and Swaminathan

2018 FP Notebook

179. Angioedema

with their physicians. This page was written by , last revised on 3/1/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) hereditary Angioedema (and off label for Angioedema) (e.g. ) Dose: 20 IU/kg IV for 1 dose ($3000 per dose) ( or ecallantide) Effective in one RCT for Angioedema (symptoms resolved 19 hours faster) Dose: 30 mg SQ (and may repeat in 6 hours if inadequate effect, $10,000/dose) did not show benefit in Angioedema subsequent Phase III trial Swaminathan and Wilkerson in Herbert (2016) EM:Rap 16(3): 3-4 (FFP) Indicated if the above agents (C1 and B2) are unavailable in a severe reaction Theoretical risk

2018 FP Notebook

180. Hives

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 2/5/2019 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) of cardiotoxicity and Step 4: Week 11 Consider referral to allergy or dermatology for third-line therapies Xolair (omalizumba) or ( ) have been used in refractory cases XVII. Prognosis Chronic Urticaria tends remits over the first 1 year (35%) and 3 years (48%) XVIII. Resources Wanderer (2003) Hives: Road to Diagnosis and Treatment XIX. References Claudius, Behar, Kelso in Herbert (2016) EM:Rap 16(12): 2-3 Frank in Goldman (2000) Cecil Medicine, p. 1440-5 Kaplan in Middleton (1998) Allergy, p. 1104-18 Habif

2018 FP Notebook

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