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Pneumonia Accelerated Diagnostic Protocol

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1. Pneumonia Accelerated Diagnostic Protocol

Pneumonia Accelerated Diagnostic Protocol Pneumonia Accelerated Diagnostic Protocol Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Pneumonia Accelerated Diagnostic Protocol Pneumonia Accelerated Diagnostic Protocol Aka: Pneumonia Accelerated Diagnostic Protocol , Pneumonia ADP From Related Chapters II. Indications Symptoms suggesting III. Imaging: Chest XRay Indications History Known structural lung disease Age > 60 years old Symptoms Abnormal s > 100/min >24 >38 C Signs Rales, asymmetric breath sounds or other signs of lung consolidation Confusion Systemic illness signs IV. Management: Aspiration Pneumonia Option 1 Two drug

2018 FP Notebook

2. Rationale and design of the HIP fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) Trial: a protocol for an international randomised controlled trial evaluating early surgery for hip fracture patients. Full Text available with Trip Pro

Rationale and design of the HIP fracture Accelerated surgical TreaTment And Care tracK (HIP ATTACK) Trial: a protocol for an international randomised controlled trial evaluating early surgery for hip fracture patients. Annually, millions of adults suffer hip fractures. The mortality rate post a hip fracture is 7%-10% at 30 days and 10%-20% at 90 days. Observational data suggest that early surgery can improve these outcomes in hip fracture patients. We designed a clinical trial-HIP fracture (...) Accelerated surgical TreaTment And Care tracK (HIP ATTACK) to determine the effect of accelerated surgery compared with standard care on the 90-day risk of all-cause mortality and major perioperative complications.HIP ATTACK is a multicentre, international, parallel group randomised controlled trial (RCT) that will include patients ≥45 years of age and diagnosed with a hip fracture from a low-energy mechanism requiring surgery. Patients are randomised to accelerated medical assessment and surgical repair

2019 BMJ open Controlled trial quality: predicted high

3. Pneumonia Accelerated Diagnostic Protocol

Pneumonia Accelerated Diagnostic Protocol Pneumonia Accelerated Diagnostic Protocol Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 (...) Pneumonia Accelerated Diagnostic Protocol Pneumonia Accelerated Diagnostic Protocol Aka: Pneumonia Accelerated Diagnostic Protocol , Pneumonia ADP From Related Chapters II. Indications Symptoms suggesting III. Imaging: Chest XRay Indications History Known structural lung disease Age > 60 years old Symptoms Abnormal s > 100/min >24 >38 C Signs Rales, asymmetric breath sounds or other signs of lung consolidation Confusion Systemic illness signs IV. Management: Aspiration Pneumonia Option 1 Two drug

2016 FP Notebook

4. Diagnosis and Management of Acute Pulmonary Embolism Full Text available with Trip Pro

Non-vitamin K antagonist oral anticoagulants 24 6.2.3 Vitamin K antagonists 24 6.3 Reperfusion treatment 24 6.3.1 Systemic thrombolysis 24 6.3.2 Percutaneous catheter-directed treatment 25 6.3.3 Surgical embolectomy 25 6.4 Multidisciplinary pulmonary embolism teams 26 6.5 Vena cava filters 26 7 Integrated risk-adapted diagnosis and management 28 7.1 Diagnostic strategies 28 7.1.1 Suspected pulmonary embolism with haemodynamic instability 29 7.1.2 Suspected pulmonary embolism without haemodynamic (...) weeks post-partum 38 Figure 8 Follow-up strategy and diagnostic workup for long-term sequelae of pulmonary embolism 44 Abbreviations and acronyms AcT Right ventricular outflow Doppler acceleration time AFE Amniotic fluid embolism ALT Alanine aminotransferase AMPLIFY Apixaban for the Initial Management of Pulmonary Embolism and Deep-Vein Thrombosis as First-line Therapy ASPIRE Aspirin to Prevent Recurrent Venous Thromboembolism trial AV Arteriovenous b.i.d Bis in die (twice a day) BNP B-type

2019 European Society of Cardiology

5. A Guide to Utilization of the Microbiology Laboratory for Diagnosis of Infectious Diseases: 2018 Update by the Infectious Diseases Society of America and the American Society for Microbiology Full Text available with Trip Pro

laboratory in infectious disease diagnosis calls for a close, positive working relationship between the physician/advanced practice provider and the microbiologists who provide enormous value to the healthcare team. This document, developed by experts in laboratory and adult and pediatric clinical medicine, provides information on which tests are valuable and in which contexts, and on tests that add little or no value for diagnostic decisions. This document presents a system-based approach rather than (...) protocols for infectious disease diagnosis. However, there are some strategic tenets of specimen management and testing in microbiology that stand as community standards of care and that set microbiology apart from other laboratory departments such as chemistry or hematology. TEN POINTS OF IMPORTANCE Specimens of poor quality must be rejected. Microbiologists act correctly and responsibly when they call physicians to clarify and resolve problems with specimen submissions. Physicians should not demand

2018 Infectious Diseases Society of America

6. Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

pulmonary angiograms with a standard protocol have significant swirling artifact, heterogeneous contrast en- hancement, and a high rate of false-positive results. 233 Nuclear lung perfusion scans are similarly unreliable be- cause of asymmetric pulmonary blood flow patterns. Multidetector CT angiography with simultaneous up- per and lower extremity contrast power injection with early- and late-phase image acquisition can improve diagnostic accuracy. 234 Thrombus in the pulmonary ve- nous atrium (...) Diagnosis and Management of Noncardiac Complications in Adults With Congenital Heart Disease: A Scientific Statement From the American Heart Association November 14, 2017 Circulation. 2017;136:e348–e392. DOI: 10.1161/CIR.0000000000000535 e348 ABSTRACT: Life expectancy and quality of life for those born with congenital heart disease (CHD) have greatly improved over the past 3 decades. While representing a great advance for these patients, who have been able to move from childhood to successful

2017 American Heart Association

7. Accelerated Hypofractionated Radiotherapy in the Treatment of Malignant Pleural Mesothelioma

a retrospective analysis of accelerated hypofractionated Intensity modulated arc therapy (IMAT) using TomoTherapy in MPM following P/D or diagnostic biopsy. In the investigators experience of MPM, treatment of the intact lung with pleural IMAT using helical Tomotherapy is a safe and feasible option with an acceptable lung toxicity profile. The results obtained in terms of toxicity were encouraging. In fact, the investigators only observed one case of G3 pneumonia, and the patient in question is still alive (...) and off oxygen therapy. Patient compliance with this short-course treatment was also very good. Overall, the investigators found that accelerated hypofractionation with IMAT was feasible at the dose delivered and had an acceptable toxicity profile. So the investigators want to propose this protocol for treatment of MPM in intact lung to improve local control. In patients with malignant pleural mesothelioma who underwent pleurectomy / decortications (P/D) or only diagnostic biopsy, it is difficult

2017 Clinical Trials

8. Prognostic factors for acute exacerbation of idiopathic pulmonary fibrosis: protocol for a systematic review and meta-analysis. Full Text available with Trip Pro

Prognostic factors for acute exacerbation of idiopathic pulmonary fibrosis: protocol for a systematic review and meta-analysis. Idiopathic pulmonary fibrosis (IPF) is a form of chronic fibrosing interstitial pneumonia with unknown disease aetiology. Acute exacerbation (AE) of IPF is an accelerated disease progression beyond its expected course. A 30-day mortality of AE of IPF is 40%. While death may occur, there is much variation in the clinical progression of this condition. Previous attempts (...) have been made to investigate various possible prognostic factors for AE of IPF; however, they have yet to be confirmed. The aim of this systematic review is to clarify these prognostic factors.In this review, AE of IPF is the condition of interest, which has been defined according to previously established diagnostic criteria. The primary outcomes of interest include short-term all-cause mortality and pulmonary-cause mortality. The secondary outcomes of interest include long-term mortality

2019 BMJ open

9. The diagnosis and management of primary autoimmune haemolytic anaemia

syphilis, chronic cases are now usually idiopathic or follow infection. Precipitating factors Most cases in children have a clear history of a precipitating upper respiratory infection. Infectious precipitants described include varicella, adenovirus, CMV, EBV, Haemophilus influenzae, E. coli, M. pneumoniae, measles, mumps and measles vaccination. Clinical and laboratory findings Clinical features are described above. Laboratory findings and diagnostic tests are described in the section on investigation (...) The diagnosis and management of primary autoimmune haemolytic anaemia 1 The diagnosis and management of primary autoimmune haemolytic anaemia Quentin A Hill 1 , Robert Stamps 2 , Edwin Massey 3 , John D Grainger 4 , Drew Provan 5 and Anita Hill 1 on behalf of the British Society for Haematology. 1 Department of Haematology, Leeds Teaching Hospitals, 2 NHSBT, Sheffield, 3 NHSBT, Bristol, 4 Royal Manchester Children’s Hospital, University of Manchester, Manchester, 5 Barts and The London School

2016 British Committee for Standards in Haematology

10. Pediatrics, Pneumonia (Diagnosis)

Ultrasonography New data show that point-of-care ultrasonography accurately diagnoses most cases of pneumonia in children and young adults. Ultrasonography may eventually replace x-rays for diagnosis. [ , ] See for more detail. Management Initial priorities in children with pneumonia include the identification and treatment of respiratory distress, hypoxemia, and hypercarbia. Grunting, flaring, severe tachypnea, and retractions should prompt immediate respiratory support. Children who are in severe (...) the . Also, see the patient education articles , , and . Previous References Boggs W. Point-of-Care Ultrasound Diagnoses Pneumonia in Children. Medscape Medical News. December 10, 2012. Available at . Accessed: January 9, 2013. Shah VP, Tunik MG, Tsung JW. Prospective Evaluation of Point-of-Care Ultrasonography for the Diagnosis of Pneumonia in Children and Young Adults. Arch Pediatr Adolesc Med . 2012 Dec 10. 1-7. . Metinko AP. Neonatal pulmonary host defense mechanisms. Polin RA, Fox WW, eds. Fetal

2014 eMedicine Emergency Medicine

11. Pneumonia (Diagnosis)

Ultrasonography New data show that point-of-care ultrasonography accurately diagnoses most cases of pneumonia in children and young adults. Ultrasonography may eventually replace x-rays for diagnosis. [ , ] See for more detail. Management Initial priorities in children with pneumonia include the identification and treatment of respiratory distress, hypoxemia, and hypercarbia. Grunting, flaring, severe tachypnea, and retractions should prompt immediate respiratory support. Children who are in severe (...) the . Also, see the patient education articles , , and . Previous References Boggs W. Point-of-Care Ultrasound Diagnoses Pneumonia in Children. Medscape Medical News. December 10, 2012. Available at . Accessed: January 9, 2013. Shah VP, Tunik MG, Tsung JW. Prospective Evaluation of Point-of-Care Ultrasonography for the Diagnosis of Pneumonia in Children and Young Adults. Arch Pediatr Adolesc Med . 2012 Dec 10. 1-7. . Metinko AP. Neonatal pulmonary host defense mechanisms. Polin RA, Fox WW, eds. Fetal

2014 eMedicine Pediatrics

12. Diagnosis and management of glycogen storage disease type I: a practice guideline of the American College of Medical Genetics and Genomics

, hematologic, cardiovascular, reproductive) involved in GSD I. Conditions to consider in the differential diag- nosis stemming from presenting features and diagnostic algorithms are discussed. Aspects of diagnostic evaluation and nutritional and medical management, including care coordination, genetic counsel- ing, hepatic and renal transplantation, and prenatal diagnosis, are also addressed. Conclusion: A guideline that facilitates accurate diagnosis and optimal management of patients with GSD I (...) in the diagnosis until adulthood when liver adenomas and hyperuricemia are detected. 19 Patients may present with hyperpnea due to lactic acidosis, which may simulate that occurring in pneumonia. The condi- tion may not be recognized until the infant is several months old with an enlarged liver and protuberant abdomen noted on a routine physical examination. Ultrasound imaging of the liver is similar in GSD I, GSD III, and several other liver stor- age disorders. However, the presence of nephromegaly

2014 American College of Medical Genetics and Genomics

13. Diagnosis and management of acquired coagulation factor inhibitor

sections. Recommendations The diagnosis of AHA should be considered if acute or recent onset of bleeding is accompanied by an unexplained prolonged activated partial thromboplastin time (aPTT) (Grade 1C). Acquired inhibitors for other clotting factors may be considered if acute or recent onset of bleeding is accompanied by unexplained prolonged screening tests [prothrombin time (PT), aPTT or thrombin time (TT)] that fail to correct with normal plasma (Grade 2C). Diagnostic and treatment delay Delay (...) Diagnosis and management of acquired coagulation factor inhibitor Diagnosis and management of acquired coagulation inhibitors: a guideline from UKHCDO - - 2013 - British Journal of Haematology - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term The full text of this article hosted at iucr.org is unavailable due to technical difficulties. Guideline Free Access Diagnosis and management of acquired

2013 British Committee for Standards in Haematology

14. Diagnosis and Treatment of Diabetic Foot Infections Full Text available with Trip Pro

imaging (MRI) as the study of choice for patients who require further (ie, more sensitive or specific) imaging, particularly when soft tissue abscess is suspected or the diagnosis of osteomyelitis remains uncertain (strong, moderate). 27. When MRI is unavailable or contraindicated, clinicians might consider the combination of a radionuclide bone scan and a labeled white blood cell scan as the best alternative (weak, low). VIII. How should I diagnose and treat osteomyelitis of the foot in a patient (...) radiographs of the foot, but they have relatively low sensitivity and specificity for confirming or excluding osteomyelitis (weak, moderate). Clinicians might consider using serial plain radiographs to diagnose or monitor suspected DFO (weak, low). 31. For a diagnostic imaging test for DFO, we recommend using MRI (strong, moderate). However, MRI is not always necessary for diagnosing or managing DFO (strong, low). 32. If MRI is unavailable or contraindicated, clinicians might consider a leukocyte

2012 Infectious Diseases Society of America

15. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease Full Text available with Trip Pro

2.2.1. Approach to the Selection of Diagnostic Tests to Diagnose SIHD. . . .e371 2.2.1.1. Assessing Diagnostic Test Characteristics. . . . . . . . . .e372 2.2.1.2. Safety and Other Considerations Potentially Affecting Test Selection. . . . . .e373 2.2.1.3. Exercise Versus Pharmacological Testing. . . . . .e374 2.2.1.4. Concomitant Diagnosis of SIHD and Assessment of Risk. . . . . . . . . . . . . . . . . . .e374 2.2.1.5. Cost-Effectiveness. . . . . . . . . . .e375 2.2.2. Stress Testing and Advanced (...) Imaging for Initial Diagnosis in Patients With Suspected SIHD Who Require Noninvasive Testing: Recommendations. . . . . . . . . . . . . . . . .e375 2.2.2.1. Able to Exercise. . . . . . . . . . . .e375 2.2.2.2. Unable to Exercise. . . . . . . . . .e376 2.2.2.3. Other. . . . . . . . . . . . . . . . . . . . .e377 2.2.3. Diagnostic Accuracy of Nonimaging and Imaging Stress Testing for the Initial Diagnosis of Suspected SIHD. . . . . . . .e377 2.2.3.1. Exercise ECG . . . . . . . . . . . . . .e377 2.2.3.2

2011 American Heart Association

16. Pneumonia (Overview)

show that point-of-care ultrasonography accurately diagnoses most cases of pneumonia in children and young adults. Ultrasonography may eventually replace x-rays for diagnosis. [ , ] See for more detail. Management Initial priorities in children with pneumonia include the identification and treatment of respiratory distress, hypoxemia, and hypercarbia. Grunting, flaring, severe tachypnea, and retractions should prompt immediate respiratory support. Children who are in severe respiratory distress (...) the . Also, see the patient education articles , , and . Previous References Boggs W. Point-of-Care Ultrasound Diagnoses Pneumonia in Children. Medscape Medical News. December 10, 2012. Available at . Accessed: January 9, 2013. Shah VP, Tunik MG, Tsung JW. Prospective Evaluation of Point-of-Care Ultrasonography for the Diagnosis of Pneumonia in Children and Young Adults. Arch Pediatr Adolesc Med . 2012 Dec 10. 1-7. . Metinko AP. Neonatal pulmonary host defense mechanisms. Polin RA, Fox WW, eds. Fetal

2014 eMedicine Pediatrics

17. Pediatrics, Pneumonia (Overview)

Ultrasonography New data show that point-of-care ultrasonography accurately diagnoses most cases of pneumonia in children and young adults. Ultrasonography may eventually replace x-rays for diagnosis. [ , ] See for more detail. Management Initial priorities in children with pneumonia include the identification and treatment of respiratory distress, hypoxemia, and hypercarbia. Grunting, flaring, severe tachypnea, and retractions should prompt immediate respiratory support. Children who are in severe (...) the . Also, see the patient education articles , , and . Previous References Boggs W. Point-of-Care Ultrasound Diagnoses Pneumonia in Children. Medscape Medical News. December 10, 2012. Available at . Accessed: January 9, 2013. Shah VP, Tunik MG, Tsung JW. Prospective Evaluation of Point-of-Care Ultrasonography for the Diagnosis of Pneumonia in Children and Young Adults. Arch Pediatr Adolesc Med . 2012 Dec 10. 1-7. . Metinko AP. Neonatal pulmonary host defense mechanisms. Polin RA, Fox WW, eds. Fetal

2014 eMedicine Emergency Medicine

18. Guidelines on Diagnosis and Treatment of Pulmonary Hypertension

changes in the pulmonary microcir- culationandthe responseof theoverloadedRV,whichmayalso be in?uenced by genetic determinants. 43 7.1 Diagnosis The evaluation process of a patient with suspected PH requires a series of investigations intended to con?rm the diagnosis, clarify the clinical group of PH and the speci?c aetiology within the PAH group, and evaluate the functional and haemodynamic impair- ment. After the description of each examination, an integrated diagnostic algorithm is shown (Figure 1 (...) Guidelines on Diagnosis and Treatment of Pulmonary Hypertension ESC/ERS GUIDELINES Guidelines for the diagnosis and treatment of pulmonary hypertension The Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the International Society of Heart and Lung Transplantation (ISHLT) Authors/Task Force Members: Nazzareno Galie ` (Chairperson) (Italy) * ; Marius M. Hoeper (Germany); Marc

2009 European Society of Cardiology

19. CPG on the Diagnosis, Treatment and Prevention of Tuberculosis

and Collaboration 11 Questions to Be Answered 15 CPG Recommendations 17 1. Introduction 31 1.1. Scale of the Problem Worldwide 31 1.2. The Scale of the Problem in Spain 32 1.3. The Aetiopathogenesis of Tuberculosis Infection 33 1.4. Transmission 33 1.5. Clinical Manifestation 33 1.6. Principles of Diagnosis 34 1.7. Principles of Treatment 34 1.7.1. Treating the Disease 34 1.7.2. Treating the Infection 34 2. Scope and Aims 37 3. Methods 35 4. Diagnosing Tuberculosis 45 4.1. Diagnosing the Infection 45 4.1.1 (...) . The Tuberculin Test 45 4.1.2. The Interferon-Gamma Release Assay (IGRA) 46 4.2. Diagnosing Active Pulmonary Tuberculosis 49 4.2.1. Clinical and Radiological Diagnosis of Pulmonary Tuberculosis 49 4.2.2. Microbiological Diagnosis of Pulmonary Tuberculosis 53 4.3. Diagnosing Extrapulmonary Tuberculosis 60 4.3.1. Assessment of the Methods Used to Diagnose Pleural Tuberculosis 63 4.3.2. Assessment of the Methods Used to Diagnose Meningeal Tuberculosis 64 4.3.3. Assessment of the Methods Used to Diagnose

2010 GuiaSalud

20. Septic Shock (Diagnosis)

Septic Shock (Diagnosis) Septic Shock: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTY4NDAyLW92ZXJ2aWV3 processing > Septic Shock Updated: Jan 11, 2019 Author (...) , ulceration, bullous formation, fluctuance See for more detail. Diagnosis Patients with sepsis may present in a myriad of ways, and a high index of clinical suspicion is necessary to identify subtle presentations. The hallmarks of severe sepsis and septic shock are changes that occur at the microvascular and cellular level and may not be clearly manifested in the vital signs or clinical examination. This process includes diffuse activation of inflammatory and coagulation cascades, vasodilation

2014 eMedicine.com

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