How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,221 results for

Self Skin Exam

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

101. An International Consortium Update: Pathophysiology, Diagnosis, and Treatment of PCOS in Adolescence

. The clinical symptoms, including hyperandrogenism and chronic anovulation, typically develop during adolescence. Further, the early onset of adrenarche may represent the initial clinical feature of PCOS for some girls [ ]. By the time patients present for medical attention, this multisystem disorder often has become a self-perpetuating derangement in which identification of initiating factors are difficult. Recent insights from genetic epidemiology support long-standing clinical investigations indicating (...) and young adulthood, with a significant decrease in follicle count with age [ ]. The ultrasonographic diagnosis of PCOM has been standardized for adults using the transvaginal route. In adolescents, however, most exams are performed by the transabdominal route, where the high physiologic follicle number may render the follicle count an unreliable criterion for the diagnosis of PCOM. The importance of using appropriate diagnostic criteria of PCOM in adolescents is emphasized because application

Full Text available with Trip Pro

2019 Pediatric Endocrine Society

103. Benign Prostatic Hyperplasia: Surgical Management of Benign Prostatic Hyperplasia/Lower Urinary Tract Symptoms

Penis Retroperitoneum Cytology Online Learning For Medical Students Exams/LLL/Certifications Exam Prep Research Research Funding AUA Funding Research Education & Events Online Research Education Courses Research Resources Biorepositories and Other Resources Research Publications Research Career Opportunities Advocacy Scholar & Fellowship Programs Comment Letters & Resources International International Opportunities Annual Meeting Membership Collaborations Academic Exchanges Giving Back Practice (...) ), uroflowmetry, or pressure flow studies. (Clinical Principle) × Discussion A complete medical history should be taken to assess patient symptoms, prior procedures that could explain presence of symptoms, sexual history, use of medications, and overall fitness and health. The AUA-SI, a validated self-administered questionnaire, can provide clinicians with information regarding the symptom burden patients are experiencing. Additionally, while a urinalysis cannot diagnose BPH, it can help clinicians to rule

2019 American Urological Association

104. Paediatric Urology

. Tubularized incised plate hypospadias repair for distal hypospadias. J Pediatr Urol, 2010. 6: 408. 218. Schwentner, C., et al. Interim outcome of the single stage dorsal inlay skin graft for complex hypospadias reoperations. J Urol, 2006. 175: 1872. 219. Ahmed, M., et al. Is combined inner preputial inlay graft with tubularized incised plate in hypospadias repair worth doing? J Pediatr Urol, 2015. 11: 229 e1. 220. Pippi Salle, J.L., et al. Proximal hypospadias: A persistent challenge. Single institution (...) : 31. 234. Lam, P.N., et al. 2-stage repair in infancy for severe hypospadias with chordee: long-term results after puberty. J Urol, 2005. 174: 1567. 235. Mokhless, I.A., et al. The multistage use of buccal mucosa grafts for complex hypospadias: histological changes. J Urol, 2007. 177: 1496. 236. Stanasel, I., et al. Complications following Staged Hypospadias Repair Using Transposed Preputial Skin Flaps. J Urol, 2015. 194: 512. 237. Castagnetti, M., et al. Does Preputial Reconstruction Increase

2019 European Association of Urology

105. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults: an AUA/SUFU Guideline

shifts during periods of postural changes. A rectal/ genitourinary exam to rule out pelvic floor disorders (e.g., pelvic floor muscle spasticity, pain, pelvic organ prolapse) in females and prostatic pathology in males should be performed. In menopausal females, atrophic vaginitis should be assessed as a possible contributing factor to incontinence symptoms. The examiner should assess for perineal skin for rash or breakdown. The examiner also should assess perineal sensation, rectal sphincter tone (...) for this process are a careful history, physical exam, and urinalysis. Clinical Principle 2. In some patients, additional procedures and measures may be necessary to validate an OAB diagnosis, exclude other disorders and fully inform the treatment plan. At the clinician’s discretion, a urine culture and/or post-void residual assessment may be performed and information from bladder diaries and/or symptom questionnaires may be obtained. Clinical Principle 3. Urodynamics, cystoscopy and diagnostic renal

2019 American Urological Association

106. Treatment of Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis

Research and Treatment Network. Dr. Ward’s work was supported by the NIH (Intramural Research Program grant ZIA-AR-041153 from the National Institute of Arthritis and Musculoskeletal and Skin Diseases). 1 Michael M. Ward, MD, MPH, Ann Biehl, MS, PharmD, BCPS: National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland; 2 Atul Deodhar, MD, MRCP: Oregon Health & Science University, Portland; 3 Lianne S. Gensler, MD: University of California, San Francisco; 4 Maureen Dubreuil (...) conditionally recommend against co- treatment with low- dose metho- trexate. Low 64 31. We conditionally recommend advising unsupervised back exercises.† Moderate 20 32. We conditionally recommend fall evaluation and counseling.† Very low 51 33. We conditionally recommend participation in formal group or individual self-management education.† Moderate 48 34. In adults with spinal fusion or advanced spinal osteoporosis, we strongly recommend against treatment with spinal manipulation.† Very low 21 35

2019 American College of Rheumatology

107. Recurrent Uncomplicated Urinary Tract Infections in Women

cystitis and rUTI. For the purposes of this guideline, the Panel considers only recurrent episodes of uncomplicated cystitis in women. This guideline does not apply to pregnant women, patients who are immunocompromised, those with anatomic or functional abnormalities of the urinary tract, women with rUTIs due to self-catheterization or indwelling catheters, or those exhibiting signs or symptoms of systemic bacteremia, such as fever and flank pain. This guideline also excludes those seeking prevention (...) to initiating treatment in patients with rUTIs. (Moderate Recommendation; Evidence Level: Grade C) 6. Clinicians may offer patient-initiated treatment (self-start treatment) to select rUTI patients with acute episodes while awaiting urine cultures. (Moderate Recommendation; Evidence Level: Grade C) Asymptomatic Bacteriuria 7. Clinicians should omit surveillance urine testing, including urine culture, in asymptomatic patients with rUTIs. (Moderate Recommendation; Evidence Level: Grade C) 8. Clinicians should

2019 American Urological Association

108. Incontinence after Prostate Treatment

Recommendation; Evidence Level: Grade C) 8. In patients with bothersome stress urinary incontinence after prostate treatment, despite conservative therapy, surgical treatment should be offered at one year post-prostate treatment. (Strong Recommendation; Evidence Level: Grade B) Evaluation of Incontinence after Prostate Treatment 9. Clinicians should evaluate patients with incontinence after prostate treatment with history, physical exam, and appropriate diagnostic modalities to categorize type and severity (...) of incontinence and degree of bother. (Clinical Principle) 10. Patients with urgency urinary incontinence or urgency predominant mixed urinary incontinence should be offered treatment options per the American Urological Association Overactive Bladder guideline. (Clinical Principle) 11. Prior to surgical intervention for stress urinary incontinence, stress urinary incontinence should be confirmed by history, physical exam, or ancillary testing. (Clinical Principle) 12. Patients with incontinence after prostate

2019 American Urological Association

109. ACC/AHA/SCAI/SIR/SVM 2018 Appropriate Use Criteria for Peripheral Artery Intervention: a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Heart Association, Society for Cardiovascular Angiography and Interventions

, and covered self-expanding stents. Super?cial femoral artery: Terminal branch of the com- mon femoral artery extending from the origin of the profunda femoris branch to the adductor canal in the distal thigh. Surgical treatment: Artery revascularization procedure that requires skin incision and manipulation of the target artery under direct visualization. Such surgery Bailey et al. JACC VOL. 73, NO. 2, 2019 2018 AUC for Peripheral Artery Intervention JANUARY 22, 2019:214–37 222may involve endarterectomy (...) —Ischemiculcerationnotexceeding ulcer of the digits of the foot; and 6—Severe ischemic ulcers or frank gangrene. The Fontaine and Rutherford taxonomies are the 2 most commonly used systems for classifying chronic limb ischemia (Table 1). Stent: A small, narrow metal or plastic tube often in the formofameshthatisinsertedintothelumenofanartery, especially tokeep a previously blocked passageway open. Stents used in the peripheral vascular system include but are not limited to nitinol self-expanding stents, drug- eluting stents

2019 Society of Interventional Radiology

110. Management of Stroke Rehabilitation

- specific goals, values, and preferences. B. Guide patients on self-management during stroke rehabilitation as well as on use of other resources that are available to assist them with their ADLs. C. Assist patients with navigating the complex health system. D. Provide patients and family, and their caregivers with education and health information to improve understanding of stroke, common comorbidities, and stroke rehabilitation management. Materials need to be individualized to preferred learning (...) Impairment/Need Consultants/Referrals ? Cognition ? Driving ? Durable medical equipment recommendations ? Self-management skills, ADLs, IADLs ? Sexual function and intimacy ? Spasticity ? Vision/vision perception ? Occupational therapy ? Cognition ? Communication ? Swallowing and nutrition ? Speech-language pathology ? Community resources ? Emotion and behavior ? Family/caregiver support ? Financial resources ? Case management (social work and/or nursing) ? Return to work or school ? Vocational

2019 VA/DoD Clinical Practice Guidelines

111. Assessment and Management of Patients at Risk for Suicide

. Community-based Interventions for Reducing Risk of Suicide 56 h. Technology-based Modalities 57 Appendix A: Considerations for Suicide Prevention 59 A. Community-level Intervention 59 Gatekeeper Training 59 B. Identification and Monitoring 59 Predictive Analytics 59 Acute Warning Signs 60 C. Intervention 60 Enhanced Care, Care Bridging, and Case Management 60 D. Postvention 61 E. Additional Steps for Management of Military Service Members 62 Command Consultation (DoD) 62 Appendix B: Self-Directed (...) of life • Minimize preventable complications and morbidity • Emphasize the use of patient-centered care (PCC) Throughout this document, efforts were made to adhere to the nomenclature adopted by VA, the Self- Directed Violence Classification System (SDVCS) 1 , a taxonomy of terms and associated definitions for thoughts and behaviors related to suicidal and non-suicidal self-directed violence (SDV).[2,3] Terms and associated definitions are also presented in Appendix B. Whereas the outcome of interest

2019 VA/DoD Clinical Practice Guidelines

112. Chronic Asthma

and preventing exacerbation and ongoing follow-up. TARGET POPULATION Adults and children >6 years old, with important considerations for preschool aged children. EXCLUSIONS Asthma in acute care settings; asthma-COPD overlap; detailed management for preschool ages. RECOMMENDATIONS HISTORY AND EXAM ? Patients with asthma present with a range of clinical findings, arising from a shared core of intermittent inflammation and bronchoconstriction (Table 1). ? It is important to determine the appropriate diagnosis (...) or allergic conjunctivitis among first-degree relatives. Possible exam findings Wheezing, tachypnea, decreased breath sound intensity, accessory muscle use, intercostal or supraclavicular in-drawing, and nasal flaring (mainly in children) in the absence of an apparent respiratory infection. Chronic Asthma | April 2018 Clinical Practice Guideline Page 2 of 23 Recommendations DIAGNOSIS PRACTICE POINT Any symptoms and signs of variable lower airway obstruction and response to therapy may suggest an asthma

2018 Toward Optimized Practice

113. HTA of C-reactive protein point-of-care testing to guide antibiotic prescribing

for approximately 23% of general practice consultations in Ireland. RTIs are seasonal in nature, with the peak occurring in the winter months. Most RTIs are viral and self-limiting, but a small number are caused by bacteria and respond to antibiotic treatment. In the majority of cases, a strategy of no antibiotic or delayed antibiotic prescribing is generally recommended. Use of antibiotics is recommended in patients with a diagnosis of pneumonia and in those with lower RTI with risk factors for complications (...) , but not for those with acute bronchitis. ? Overprescribing of antibiotics for RTIs in primary care is common in most industrialised countries, with high levels of inappropriate prescribing documented. Antibiotic treatment of RTIs can expose patients to an increased risk of an adverse event, with one out of five patients experiencing mostly minor and self-limiting adverse events. Antimicrobial resistance (AMR) is a growing and significant threat to public health, and it is widely recognised that antibiotic

2019 Health Information and Quality Authority

114. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults

Learning For Medical Students Exams/LLL/Certifications Exam Prep Research Research Funding AUA Funding Research Education & Events Online Research Education Courses Research Resources Biorepositories and Other Resources Research Publications Research Career Opportunities Advocacy Scholar & Fellowship Programs Comment Letters & Resources International International Opportunities Annual Meeting Membership Collaborations Academic Exchanges Giving Back Practice Resources Coding and Reimbursement Practice (...) . Guideline Statements Diagnosis 1. The clinician should engage in a diagnostic process to document symptoms and signs that characterize OAB and exclude other disorders that could be the cause of the patient's symptoms; the minimum requirements for this process are a careful history, physical exam, and urinalysis. Clinical Principle 2. In some patients, additional procedures and measures may be necessary to validate an OAB diagnosis, exclude other disorders and fully inform the treatment plan

2019 American Urological Association

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

inhibitor, tofacitinib, therapeutic drug monitoring, anti-drug antibodies, nutrition, diet, vitamin D, anaemia, antibiotics, tuberculosis, TB, cytomegalovirus, CMV, clostridium difficile, cancer, chemoprevention, surveillance, pregnancy, fetus, breastfeeding, probiotic, antibiotic, faecal microbial transplant, vaccine, vaccination, multidisciplinary team, MDT, adherence, self-management, telephone clinic, virtual clinic, primary stress, care, shared care, fatigue, stress, psychology, psychotherapy (...) 6.3 Electronic patient data collection for clinical management and audit 181 6.4 IBD specialist nurses 182 6.5 Telephone advice lines / telephone and virtual clinics 182 6.6 Alternatives to clinic attendance for follow-up 183 6.7 Self-management 184 6.8 Primary care 186 7 Future research priorities 188 8 Concluding remarks 192 9 Figure titles and legends 193 10 Figures 194 11 References 201 12 BSG guidelines 2019: Supplementary tables and appendices 311 Accepted manuscript 15 Version accepted

2019 British Society of Gastroenterology

116. Incontinence after Prostate Treatment: AUA/SUFU Guideline (2019)

For Medical Students Exams/LLL/Certifications Exam Prep Membership Research Research Funding AUA Funding Research Education & Events Online Research Education Courses Research Resources Biorepositories and Other Resources Research Publications Research Career Opportunities Advocacy Scholar & Fellowship Programs Comment Letters & Resources International International Opportunities Annual Meeting Membership Collaborations Academic Exchanges Giving Back Practice Resources Coding and Reimbursement Practice (...) incontinence after prostate treatment, despite conservative therapy, surgical treatment should be offered at one year post-prostate treatment. (Strong Recommendation; Evidence Level: Grade B) Evaluation of Incontinence after Prostate Treatment 9. Clinicians should evaluate patients with incontinence after prostate treatment with history, physical exam, and appropriate diagnostic modalities to categorize type and severity of incontinence and degree of bother. (Clinical Principle) 10. Patients with urgency

2019 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

117. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

. This guidance describes how to: • set person-centred goals (Chapter 2); • support self-management (Chapter 2); • develop a care plan that includes multiple interventions to manage conditions associated with losses in intrinsic capacity (Chapter 3); • screen for loss in intrinsic capacity and assess health and social care needs (Chapters 4–10); • support caregivers (Chapter 11); and • develop a personalied care plan (Chapter 12). THE ICOPE APPROACH IN CONTEXT Universal health coverage is the foundation (...) CAPACITY IN THE COMMUNITY STEP 1 STEP 2 ASSESS IN GREATER DEPTH UNDERLYING DISEASES ASSESS & MANAGE SOCIAL AND PHYSICAL ENVIRONMENTS ASSESS & MANAGE ASSESS NEEDS FOR SOCIAL CARE SERVICES (home, institution) 3 Person-centered assessment and pathways in primary care Person-centred goal setting Multidisciplinary team Design a care plan including multi-component interventions, management of underlying diseases, self-care and self-management, and social care and support DEVELOP PERSONALIZED CARE PLAN STEP 3

2019 World Health Organisation Guidelines

118. Screening and Management of the Hyperandrogenic Adolescent

symptoms are hirsutism and acne. Reports of hirsutism and acne should be taken seriously because of their possible association with medical disorders, their substantial effect on self-esteem and quality of life, and the potential for psychosocial morbidity. In patients with symptoms of androgen excess, the differential diagnosis should include physiologic hyperandrogenism of puberty, idiopathic hyperandrogenism, and polycystic ovary syndrome (PCOS). There is a great deal of overlap between the symptoms (...) . c Monitoring serum androgens is not recommended. Introduction Although androgen excess can manifest in many ways, the most common and recognizable symptoms are hirsutism and acne. (Alopecia also may be a symptom.) Hirsutism affects 5–10% of reproductive-aged females and is defined as excessive terminal hair growth in a distribution typically seen in adult men (face, sternum, lower abdomen, back, and thighs) (1). Acne vulgaris is a multifactorial skin con

2019 American College of Obstetricians and Gynecologists

119. Neratinib (Nerlynx) - Breast cancer, breast neoplasms

the intravenous route for up to 28 days utilising twice weekly dosing. Treatment with neratinib has drawn up a number of toxicological findings ranging featuring increased mortality associated with hepatotoxicity and gastrointestinal changes, to findings of weight loss, skin toxicity, faecal changes, reproductive organ atrophy and changes in haematology and biochemical chemistry parameters. Other drugs known to inhibit EGFR and/ or ERBB2 have shown signs of toxicity to liver and lungs, as well as the skin (...) . In the earlier 14 days study, rats treated with 100 mg/kg/day neratinib in addition to the above effects suffered bile duct hyperplasia reproductive organ and skin atrophy. Male rats experienced decreased motor activity, ataxia, and pale appearance shortly after receiving 25 mg/kg neratinib IV before death. Assessment report EMA/CHMP/525204/2018 Page 26/169 Dogs treated orally with up to 9 mg/kg/day showed increased toxicity, however there were no cases of neratinib-related death. 1 male dog in the 39-week

2018 European Medicines Agency - EPARs

120. Dilute apple juice for children rehydration

Dilute apple juice for children rehydration RACGP - Dilute apple juice for children rehydration Search Become a student member today for free and be part of the RACGP community A career in general practice Starting the GP journey Enrolments for the 2019.1 OSCE FRACGP exams closing 29 March 2019 Fellowship FRACGP exams Research Practice Experience Program is a self-directed education program designed to support non vocationally registered doctors on their pathway to RACGP Fellowship Fellowship (...) International graduates FRACGP exams RACGP offer courses and events to further develop the knowledge you need to develop your GP career Re-entry to general practice Supervisors and examiners Mental Health (GPMHSC) Research Discover a world of educational opportunities to support your lifelong learning Courses and events QI&CPD Online learning Conferences Become a provider with the QI&CPD Program and be recognised for the quality education and training you offer GPs Curriculum for Australian General Practice

2017 Handbook of Non-Drug interventions (HANDI)

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>