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Fetal Abdominal Circumference

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221. Disorders of the Hepatic and Mesenteric Circulation Full Text available with Trip Pro

and presents with acute abdominal pain, often located in the upper abdomen. Fever is also a common symptom and raises suspicion for an acute intraabdominal process such as diverticulitis, or pyelphlebitis (septic thrombosis of the portal vein), which may be associated with septic shock, bacteremia, and tender hepatomegaly. Other associated features of PVT include abdominal distention from ascites as well as nausea and splenomegaly ( ). PVT in patients with cirrhosis may also be due to the development (...) , abdominal pain is the most common presentation of acute MVT. Other common associated symptoms include nausea, vomiting, fever, anorexia, and jaundice ( ). The development of fever, abdominal tenderness, ascites, absence of bowel sounds, and laboratory abnormalities such as leukocytosis or increasing lactate levels should raise the suspicion for compromise of intestinal circulation with development of intestinal infarction or gangrene ( ). Patients with chronic MVT may present with complications of PH

2020 American College of Gastroenterology

223. Macrosomia

, 23). Newborns who are macrosomic because of maternal glucose intolerance tend to have more total body fat, larger shoulder and upper- extremity circumferences, higher upper-extremity skin-fold measurements, and smaller head-to- abdominal-circumference ratios compared with macro- somic newborns of women without diabetes. It has been suggested that this altered fetal body shape is responsible for the higher incidence of shoulder dys- tocia seen among newborns of women with diabetes (23). Regardless (...) published formulae for estimating fetal weight with ultrasonography, and none was superior to the others in a clinically meaningful way (98). Another large study that evaluated 21 formulae found considerable variation in sensitivity (14–99%) and specificity (64–99.8%), but estimates based on three or four biometric parameters performed better than esti- mates based on the abdominal circumference alone (99). In addition to inaccuracy, ultrasonographic determi

2020 American College of Obstetricians and Gynecologists

224. European Society of Endocrinology Clinical Practice Guideline: Endocrine work-up in obesity

to calculate BMI, as obesity is an important condition that often remains undiagnosed. For routine care defining obesity as BMI >30 kg/m 2 is sufficient as first diagnostic measure. Measuring waist- circumference can provide additional information especially if BMI 30.0 kg/m 2 ) throughout this guideline. The main reason is that BMI is easily calculated in clinical practice and also because there are currently no data showing that more sophisticated methods are more useful to guide the endocrine work-up (...) 182:1 G7 Clinical Practice Guideline R Pasquali and others ESE Guidelines on Endocrine work-up in obesity https://eje.bioscientifica.com 3.6. Description of search and selection of literature A literature search of electronic medical databases was performed. We only considered papers with >10 patients included, as obesity is not a rare condition and studies with 30 kg/m 2 is sufficient as first diagnostic measure. Measuring waist-circumference can provide additional information especially if BMI

2020 European Society of Endocrinology

227. Prenatal Care

> 10 days 22 weeks 0 days – 27 weeks 6 days 2 > 14 days = 28 weeks 2, 3 > 21 days 1 Measurement method: crown-rump length. 2 Measurement method: biparietal diameter, head circumference, abdominal circumference, or femur length. 3 Because of the risk of redating a small fetus that may be growth restricted, management decisions based on third-trimester US alone are especially problematic and need to be guided by careful consideration of the entire clinical picture and close surveillance. Logistical (...) defects 15–22 weeks • Alpha-fetoprotein (AFP) • Unconjugated estriol (UE) • Human chorionic gonadotropin (hCG) • Inhibin-A All pregnant women 1 Some women might elect not to do this screening. Aneuploidy and neural tube defect screening: women at HIGH RISK of aneuploidy Patients at increased risk of aneuploidy (see Table 7) can be offered testing with cell-free DNA (also called cell-free fetal DNA, or non-invasive prenatal testing [NIPT]). This technology can be expected to identify approximately 99

2018 Kaiser Permanente Clinical Guidelines

228. ESC/ESH Management of Arterial Hypertension Full Text available with Trip Pro

= transient ischaemic attack; PAD = peripheral artery disease; SCORE = Systematic COronary Risk Evaluation. Table 6 Risk modifiers increasing cardiovascular risk estimated by the Systemic COronary Risk Evaluation (SCORE) system Social deprivation, the origin of many causes of CVD Obesity (measured by BMI) and central obesity (measured by waist circumference) Physical inactivity Psychosocial stress, including vital exhaustion Family history of premature CVD (occurring at age <55 years in men and <60 years (...) in women) Autoimmune and other inflammatory disorders Major psychiatric disorders Treatment for infection with human immunodeficiency virus Atrial fibrillation LV hypertrophy CKD Obstructive sleep apnoea syndrome Social deprivation, the origin of many causes of CVD Obesity (measured by BMI) and central obesity (measured by waist circumference) Physical inactivity Psychosocial stress, including vital exhaustion Family history of premature CVD (occurring at age <55 years in men and <60 years in women

2018 European Society of Cardiology

229. Neonatal seizures

of a toxic product may present late o May also vary with severity and timing (e.g. hypoxia, infection) • Usually seen after baby starts feeding 22 • Rare inborn errors of metabolism including pyridoxine responsive seizures 8,10,30 and other vitamin dependency • Baby may be in poor condition at birth • Seizure activity may be accompanied by: o Metabolic acidosis, electrolyte disturbance, abdominal distension, feed intolerance o Misdiagnosis if HIE or sepsis are incorrectly diagnosed 30 • May have maternal (...) including microcephaly 28 o Use of prescription and illicit drugs o Clotting or bleeding tendencies o Pre-eclampsia o Hiccoughing or fluttering in-utero as a clue to seizure activity usually when metabolic disorder is present 30 • Family history of epilepsy especially maternal in infancy or other family members (consanguinity) • Perinatal history including type of birth and resuscitation and any: o Fetal distress o Birth trauma o Perinatal asphyxia Examination 10,13 • Physical examination: o Congenital

2019 Queensland Health

230. BSG consensus guidelines on the management of inflammatory bowel disease in adults

, cognitive behavioural therapy, CBT, smoking Abbreviations 5-ASA: 5-aminosalicylate; AIDS: acquired immunodeficiency syndrome; ASUC: acute severe ulcerative colitis; AXR: abdominal x-ray; BCG: Bacillus Calmette-Guérin (TB vaccination); BMI: Body Mass Index; BSG: British Society of Gastroenterology; CBD: cannabinoid; CDAI: Crohn’s Disease Activity Index; CAMs: complementary and alternative medicines; CDEIS: Crohn’s Disease Endoscopic Index of Severity; CDI: Clostridium difficile infection; CI: Confidence (...) have provided valuable review and comment during the guideline development process; British Society of Gastroenterology, Crohn’s and Colitis UK, Association of Coloproctology of Great Britain and Ireland, Royal College of Nursing, British Society of Paediatric Gastroenterology, Hepatology and Nutrition, British Dietetic Association, British Society of Gastrointestinal and Abdominal Radiology, Primary Care Society for Gastroenterology and IBD UK. We are grateful to Sophie Bassil, Mitesh Gandhi

2019 British Society of Gastroenterology

231. Evaluation and Management of the Child and Adult With Fontan Circulation: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

stiffness. , The Lungs Throughout the first years of life for the child with a single ventricle, the pulmonary vasculature is subjected to multiple alterations likely to affect growth and function. During fetal life, pulmonary flow is altered from normal, and pulmonary vascular development can be affected. Neonatal palliation will frequently result in further alterations (usually an increase) in pulmonary blood flow, whereas the staged cavopulmonary connections will decrease pulmonary blood flow. Flow

2019 American Heart Association

232. Clinical Practice Guidelines for the Perioperative Nutrition, Metabolic, and Nonsurgical Support of Patients Undergoing Bariatric Procedures

/files/lipid-guidelines.pdf and www.lipid.org/recommendations) (Grade D). R17. (2013*). Candidates for bariatric procedures should avoid pregnancy pre- procedure and for 12 to 18 months post-procedure (Grade D). Women who become pregnant after bariatric procedures should be counseled and monitored for appropriate weight gain, nutritional supplementation, and fetal health (Grade C; BEL 3). All women DOI:10.4158/GL-2019-0406 © 2019 AACE. 30 of reproductive age should be counseled on contraceptive (...) , and copper (Grade D). Patients who become pregnant post-laparoscopic adjustable gastric band should have band adjustments as necessary for appropriate weight gain for fetal health (Grade B; BEL 2). R18. (2008*). Estrogen therapy should be discontinued before a bariatric procedure (1 cycle of oral contraceptives in premenopausal women; 3 weeks of hormone replacement therapy in postmenopausal women) to reduce the risks for post-procedure thromboembolic phenomena (Grade D). R19. (2008*). Women should

2019 American Association of Clinical Endocrinologists

233. Male Hypogonadism

., et al. The androgen receptor of the urogenital tract of the fetal rat is regulated by androgen. Mol Cell Endocrinol, 1994. 105: 21. 17. Singh, J., et al. Induction of spermatogenesis by androgens in gonadotropin-deficient (hpg) mice. Endocrinology, 1995. 136: 5311. 18. Sun, Y.T., et al. The effects of exogenously administered testosterone on spermatogenesis in intact and hypophysectomized rats. Endocrinology, 1989. 125: 1000. 19. McLachlan, R.I., et al. Hormonal regulation of spermatogenesis

2019 European Association of Urology

234. Paediatric Urology

, 2011. 52: 637. 82. Parsons, J.K., et al. The low scrotal approach to the ectopic or ascended testicle: prevalence of a patent processus vaginalis. J Urol, 2003. 169: 1832. 83. Wayne, C., et al. What is the ideal surgical approach for intra-abdominal testes? A systematic review. Pediatr Surg Int, 2015. 31: 327. 84. Cortesi, N., et al. Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy, 1976. 8: 33. 85. Jordan, G.H., et al. Laparoscopic single stage and staged orchiopexy. J (...) . Nyirady, P., et al. Management of congenital penile curvature. J Urol, 2008. 179: 1495. 266. Baskin, L.S., et al. Neuroanatomical ontogeny of the human fetal penis. Br J Urol, 1997. 79: 628. 267. Ebbehoj, J., et al. Congenital penile angulation. Br J Urol, 1987. 60: 264. 268. Kelami, A. Congenital penile deviation and its treatment with the Nesbit-Kelami technique. Br J Urol, 1987. 60: 261. 269. Yachia, D., et al. The incidence of congenital penile curvature. J Urol, 1993. 150: 1478. 270. Hsieh, J.T

2019 European Association of Urology

235. Heart Disease and Stroke Statistics Full Text available with Trip Pro

and have less improvement with radiofrequency ablation. Peripheral Artery Disease and Aortic Diseases (Chapter 23) A recent Danish trial in men aged 65 to 74 years reported that screening of peripheral artery disease (with ankle-brachial index), abdominal aortic aneurysm (with abdominal ultrasound), and hypertension followed by optimal care resulted in a 7% lower risk of 5-year mortality compared with no screening. African Americans have a 37% higher amputation risk than white individuals. In adjusted

2019 American Heart Association

236. Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada

& Endocrinology Brampton, ON, Research Associate, Leadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, ON Richard Bebb MD ABIM FRCPC Clinical Associate Professor Division of Endocrinology, Department of Medicine, University of British Columbia, Vancouver, BC Lori Berard RN CDE Diabetes Educator Clinical Research Consultant, Winnipeg, MB Howard Berger MD Associate Professor Obstetrics and Gynecology, University of Toronto, Head, Maternal Fetal Medicine, St. Michael’s Hospital, Toronto

2018 Diabetes Canada

238. Paediatric Urology

, 2011. 52: 637. 82. Parsons, J.K., et al. The low scrotal approach to the ectopic or ascended testicle: prevalence of a patent processus vaginalis. J Urol, 2003. 169: 1832. 83. Wayne, C., et al. What is the ideal surgical approach for intra-abdominal testes? A systematic review. Pediatr Surg Int, 2015. 31: 327. 84. Cortesi, N., et al. Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy, 1976. 8: 33. 85. Jordan, G.H., et al. Laparoscopic single stage and staged orchiopexy. J (...) . Nyirady, P., et al. Management of congenital penile curvature. J Urol, 2008. 179: 1495. 266. Baskin, L.S., et al. Neuroanatomical ontogeny of the human fetal penis. Br J Urol, 1997. 79: 628. 267. Ebbehoj, J., et al. Congenital penile angulation. Br J Urol, 1987. 60: 264. 268. Kelami, A. Congenital penile deviation and its treatment with the Nesbit-Kelami technique. Br J Urol, 1987. 60: 261. 269. Yachia, D., et al. The incidence of congenital penile curvature. J Urol, 1993. 150: 1478. 270. Hsieh, J.T

2018 European Association of Urology

239. Male Hypogonadism

., et al. The androgen receptor of the urogenital tract of the fetal rat is regulated by androgen. Mol Cell Endocrinol, 1994. 105: 21. 17. Singh, J., et al. Induction of spermatogenesis by androgens in gonadotropin-deficient (hpg) mice. Endocrinology, 1995. 136: 5311. 18. Sun, Y.T., et al. The effects of exogenously administered testosterone on spermatogenesis in intact and hypophysectomized rats. Endocrinology, 1989. 125: 1000. 19. McLachlan, R.I., et al. Hormonal regulation of spermatogenesis

2018 European Association of Urology

240. Management of Pregnancy

may be planned for breech presentation, prior uterine surgery, or as a response to unexpected maternal or fetal complications such as abnormal labor or a concerning fetal heart rate.[ ] Cesarean delivery is a major surgery with associated risks (e.g., risk of infection, hemorrhage). Cesarean delivery requires a longer period for maternal recovery than vaginal birth and has also been associated with neonatal complications, primarily respiratory.[ ] There has been a downward trend in cesarean births (...) to make informed decisions. Clinicians must be adept at presenting information to their patients regarding individual treatments, expected outcomes, and levels and/or locations of care. During pregnancy, this includes presenting the mother, and her support system as appropriate, information about maternal and fetal risks of untreated symptoms and maternal and fetal benefits and risks of proposed care. Clinicians are encouraged to use SDM to individualize treatment goals and plans based on patient

2018 VA/DoD Clinical Practice Guidelines

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