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Self Skin Exam

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121. 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

122. 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)

123. Citrate salts for preventing kidney stones

Citrate salts for preventing kidney stones RACGP - Citrate salts for preventing kidney stones 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)

124. 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)

125. Pityriasis rosea

Pityriasis rosea Pityriasis rosea - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Pityriasis rosea Last reviewed: February 2019 Last updated: March 2019 Summary An inflammatory skin disease with unclear aetiology, although an infectious cause has been suggested. Can present in patients of any age but most often in people aged 10 to 35 years. Manifests as an acute, self-limiting, inflammatory eruption characterised (...) by a single larger lesion, the herald patch, followed by eruption of smaller papulosquamous oval lesions. Spontaneous resolution, usually over several weeks, but can persist for up to 5 months. Symptoms treated by topical corticosteroids and/or oral antihistamines, or UV therapy. Definition Pityriasis rosea (PR) is an inflammatory skin condition of uncertain aetiology, although an unknown infectious agent has been suggested. PR manifests as an acute, self-limiting, inflammatory eruption characterised

2017 BMJ Best Practice

126. Salicylate poisoning

. http://informahealthcare.com/doi/full/10.1080/15563650600907140 http://www.ncbi.nlm.nih.gov/pubmed/17364628?tool=bestpractice.com Chronic poisoning tends to occur as a result of repeated exposure to high-dose aspirin or equivalent (150 mg/kg/day). History and exam ingestion of 150 mg/kg or more, or 6.5 g or more, of aspirin or aspirin-equivalent oil of wintergreen ingestion unknown toxin ingestion or exposure self-harm or suicide attempt abnormal behaviour children aged 3 years or younger (...) and adults aged 70 years or older nausea, vomiting, haematemesis, epigastric pain fever and diaphoresis shortness of breath tachypnoea, hyperpnoea, Kussmaul's respirations tinnitus and/or deafness malaise and/or dizziness movement disorders, asterixis, stupor confusion and/or delirium (irritability, hallucinations) coma and/or papilloedema seizures rales plus low oxygen saturation volume depletion skin rash ingestion of 150 mg/kg or more, or 6.5 g or more, of aspirin or aspirin-equivalent ingestion

2017 BMJ Best Practice

127. Cutaneous larva migrans

tracks. Lesions occur on unprotected skin (most commonly involving the feet) that has come into contact with sandy, moist soil contaminated by dog or cat faeces containing hookworm eggs. Diagnosis made on clinical grounds. Although usually self-limiting, oral anthelmintic treatment speeds up resolution of symptoms and is considered curative. Definition Cutaneous larva migrans (CLM) is a self-limiting dermatosis caused by the migration of animal hookworm larvae (most commonly the dog hookworm (...) Dis. 2012 Jun;31(6):915-8. http://www.ncbi.nlm.nih.gov/pubmed/21922198?tool=bestpractice.com History and exam recent travel to tropics or subtropics barefoot beachgoer/sunbather creeping, raised, erythematous track intense pruritus vesiculobullous or papular lesions folliculitis recent travel to or residence in an endemic area walking barefoot and/or sunbathing on contaminated beach Diagnostic investigations no test required: diagnosis is clinical skin scrapings/biopsy epiluminescence microscopy

2017 BMJ Best Practice

128. Familial Mediterranean fever

, the diagnosis remains predominantly clinical because mutations cannot always be identified on both alleles, even after complete gene analysis. FMF's major complication is systemic secondary amyloidosis. This can readily be prevented by colchicine prophylaxis, which explains the need for prompt and accurate diagnosis. History and exam presence of risk factors periodic fever abdominal pain altered bowel habit acute joint pain/swelling response to colchicine erysipelas-like skin lesions pleuritic chest pain (...) is recurrent self-limiting attacks of fever, severe abdominal pain, arthralgias or monoarthritis, pleurisy, or an erysipeloid rash on one ankle or foot, typically lasting 24 to 72 hours. FMF mainly affects populations from the Mediterranean basin, especially people of Arabian, Turkish, Sephardic Jewish, and Armenian ancestry, in whom the disease is relatively frequent. For the majority of patients, the first clinical signs appear during childhood. The genetic definition is disease caused by Mendelian

2017 BMJ Best Practice

129. Lichen planus

Lichen planus Lichen planus - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Lichen planus Last reviewed: February 2019 Last updated: December 2017 Summary An idiopathic inflammatory disease affecting the skin, hair, nails, and mucous membranes, usually self-limiting in nature. Characteristic eruption consists of itchy, shiny, flat-topped violaceous papules and plaques favouring the extremities. White net-like patches (...) the skin, mucous membranes, genitalia, scalp (lichen planopilaris), and nails. Pittelkow MR, Daoud MS. Lichen planus. In: Wolff K, Goldsmith LA, Katz SI, et al, eds. Fitzpatrick's dermatology in general medicine. Vol One. 7th ed. New York, NY: McGraw-Hill Companies, Inc.; 2008:244-255. Boyd AS, Neldner KN. Lichen planus. J Am Acad Dermatol. 1991 Oct;25(4):593-619. http://www.ncbi.nlm.nih.gov/pubmed/1791218?tool=bestpractice.com History and exam pruritus violaceous, flat-topped papules or plaques

2017 BMJ Best Practice

130. Granuloma annulare

variants, epidemiology, and genetics. J Am Acad Dermatol. 2016 Sep;75(3):457-65. http://www.ncbi.nlm.nih.gov/pubmed/27543209?tool=bestpractice.com Histology is characteristic. Most cases are self-limiting. Cyr PR. Diagnosis and management of granuloma annulare. Am Fam Physician. 2006 Nov 15;74(10):1729-34. http://www.aafp.org/afp/20061115/1729.html http://www.ncbi.nlm.nih.gov/pubmed/17137003?tool=bestpractice.com History and exam asymptomatic grouped annular pink or flesh-coloured dermal papules flesh (...) Granuloma annulare Granuloma annulare - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Granuloma annulare Last reviewed: February 2019 Last updated: December 2017 Summary Typically asymptomatic, and presents as small grouped papules in an annular configuration. Localised disease is the most common subtype; patients are often women in their 30s. Most cases are self-limiting, with 50% resolving within 2 years. However

2017 BMJ Best Practice

131. Compression for venous leg ulcers

Compression for venous leg ulcers RACGP - Compression for venous leg ulcers 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 Programs

2017 Handbook of Non-Drug interventions (HANDI)

133. Later school start times for supporting the education, health and well-being of high school students

associated with significant health and educational concerns: increased risk for accidents and injuries, impaired learning, aggression, memory loss, poor self-esteem, and changes in metabolism. This review examines the effects of later start times on these outcomes. What is the aim of this review? This Campbell systematic review examines the impact of later school star t times on student academic performance, mental health and family and community outcomes. The review summarises findings from 17 reports (...) A number of school systems worldwide have proposed and implemented later school start times as a means of avoiding the potentially negative impacts that early morning schedules can have on adolescent students. Even mild sleep deprivation has been associated with significant health and educational concerns: increased risk for accidents and injuries, impaired learning, aggression, memory loss, poor self-esteem, and changes in metabolism. Although researchers have begun to explore the effects of delayed

2017 Campbell Collaboration

134. Sexually Transmitted Infections

Epididymo-orchitis – Patient Information 22 Genital Skin Lesions (Non-Ulcerative) – Management Summary 23 Genital Ulcer Disease (GUD) – Management Summary 24 Pelvic Inflammatory Disease (PID) – Management Summary 25 Pelvic Inflammatory Disease (PID) – Patient Information 26 Syphilis – Management Summary 27 Syphilis – Patient Information 28 Trichomoniasis – Management Summary 29 Trichomoniasis – Patient Information 30 Urethritis in Males – Management Summary 31 Urethritis in Males – Patient Information (...) valaciclovir 500mg bd for 3/7. • Alternative: oral aciclovir 800mg 3 times daily for 2 days. Prescribe enough tablets for patients to be able to self-initiate treatment at onset of symptoms. Suppressive therapy Only recommended for people with HSV confirmed on testing. Given daily to prevent recurrences and reduce asymptomatic shedding. Suggest prescribing for 12 months, followed by a break of 3 months to see if recurrences are still frequent and/or bothersome. • Oral valaciclovir 500mg daily (increase

2017 New Zealand Sexual Health Society

135. Outcome Measures Framework: Information Model Report

of the measurement used to define the outcome and the metrics used to define the measurement. As an example, one registry noted only “Altman Self Rated Mania Scale” as the primary outcome, with no information provided on how to evaluate this scale, nor the domain it was intended to measure. In an operational database such as the OMR, these values are critical to the harmonization and standardization of outcomes in the future. Furthermore, 57% of outcomes in the depression registry analysis were found to have

2018 Effective Health Care Program (AHRQ)

136. CRACKCast E147 – General Approach to the Poisoned Patient

collateral information as possible! Aspects of the physical exam not to overlook (clues toward a specific toxin or toxidrome): Airway! Breathing! Circulation… Full vitals, rectal core temperature, glucose LOC, pupillary size, Seizure activity, clonus, reflexes, muscle tone Skin moisture Odour Finally, just because we’re talking Tox, don’t forget about a comprehensive approach to altered mental status! DIMES Lifeinthefastlane has a great mnemonic: R – R – S – I – D – E – A – D – Note: Most tox icologic (...) exposure was self-harm, a psychiatric consultation is warranted. Regional Poison Control Centers or a medical toxicologist can assist with antidotal therapy and may help facilitate patient disposition. A great approach to poisoned patients is from Dr. Ken Heard – EM Professor in the University of Colorado Rosen’s in Perspective We are entering the land of facts, factoids and for many….fear….unless you’re one of those brainiacs with a memory for obscure details. Yes, toxicology…. The big idea with all

2018 CandiEM

137. Erectile Dysfunction

Erectile Dysfunction Erectile Dysfunction (ED) Guideline - American Urological Association advertisement Toggle navigation About Us About the AUA Membership AUA Governance Industry Relations Education AUAUniversity Education Products & Resources Normal Histology and Important Histo-anatomic Structures Urinary Bladder Prostate Kidney Renovascular Diseases Andrenal Gland Testis Paratesticular Tumors Penis Retroperitoneum Cytology Online Learning For Medical Students Exams/LLL/Certifications Exam (...) and treatments is shared by clinicians and patients. Patients are then supported during the decision-making process to express preferences and values that ultimately lead to an informed choice aligned with those preferences and values. 9 SDM rests on the assumption that individual self-determination is desirable and that patient autonomy is best supported by a strong relationship with an informed and committed clinician who respects the patient's competence and capacity to make decisions. 9 To be effective

2018 American Urological Association

139. CRACKCast E171 – Pediatric Cardiac Disorders

of decreased SV: No blood No heart muscle No space to pump No time to fill-up If tachycardia alone is not enough to maintain a normal cardiac output, the next compensatory physiologic mechanism to preserve perfusion is an increase in the SVR . This change in SVR is exhibited as an increase in the diastolic blood pressure, which in turn accounts for a narrowed pulse pressure. The clinical examination findings of the extremities of a child with an increased SVR include pallor, mottling, cool skin, delayed (...) ) ● HR < 180 (children) ● Variable beat-to-beat ● HR changes with activity Mgmt ● See next question! Treat the underlying cause Trial of analgesia, fluids and antiemetics [10] Describe the management of SVT in the infant/child. Unstable (poor perfusion, AMS, long cap refill, pallor, cyanosis, hypotension) CARDIOVERSION! 5 – 1 J/kg; if no success then increase to 2 J/kg Stable Vagal attempts Vagal maneuvers (eg, a bag containing a slurry of crushed ice and water to the face, digital rectal exam

2018 CandiEM

140. Erectile Dysfunction

SDM rests on the assumption that individual self-determination is desirable and that patient autonomy is best supported by a strong relationship with an informed and committed clinician who respects the patient’s competence and capacity to make decisions. 9 To be effective, this process requires commitments by both clinician and patient. The clinician’s commitment includes communicating objectively and clearly regarding the patient’s condition and the available diagnostic and treatment options (...) the topic of sexual concerns with a physician, it is critical that the physician initiate the inquiry. 46, 47 When the man’s presenting concern is ED, a comprehensive evaluation and targeted physical exam should be performed. Detailed assessment of sexual American Urological Association (AUA) Erectile Dysfunction Copyright © 2018 American Urological Association Education and Research, Inc.® 9 concerns may be difficult in a clinical setting when the presenting complaint is not ED; however, basic inquiry

2018 American Urological Association

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