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.

425 results for

Yellow Nail Syndrome

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

161. Preserving Patient Dignity (Formerly: Patient Modesty):Volume 106

totally agree with your answers, except there is no mention about what form of atonement they owe society. These are not only ill-gotten gains in their education, but are also crimes against humanity. The other issue that I have is no where have I seen in ANY medical education text or syllabus to owning up to past transgressions. Do you teach this to your students? You can NOT say the profession of medicine is unaware, just look at the history of PEs on anesthetized women without consent. But why (...) a doctor respect us, each and every one ? Why is compassion something doctors always hide? Why has humility never ev’n been tried? Ordering me to take their silly pills. Why don't they try to help me cure my ills? Why can't a doctor behave like a patient? If I was a doctor who'd been offered no hope, Received as a heartbreak to all within my scope. Would I walk casually to the next case? And act as if the prior man didn’t really need an embrace? Would I begin the next exam and really never see? Why

2019 Bioethics Discussion Blog

162. Patient Dignity (Formerly: Patient Modesty): Volume 93

to the unconscious but exposed patient? ..Maurice. AS OF JANUARY 6 2019 VOLUME 93 WILL BE CLOSE FOR FURTHER COMMENTS. GO TO FOR MAKING COMMENTS. posted by Maurice Bernstein, M.D. @ 175 Comments: At , said... Good Afternoon: Patient Modesty in Healthcare There’s an illness that’s moving like wildfire through our medical community. This illness effects everyone from the CEO down through the rank and file workers. We’ve seen illnesses like this before and they are very very strong however, there is a cure (...) for it. We have an antibiotic strong enough to kill it in its tracks but because the virus has spread so quickly throughout the medical community, the only way it will be effectively stopped, is if the entire medical community not just here and there to get inoculated. The illness is bad. Currently, the virus is showing up more everyday within the hallowed walls of our medical institutions. It rears its ugly head more often when dealing with male patients than female patients but it happens to both

2019 Bioethics Discussion Blog

163. Childhood Hematopoietic Cell Transplantation (PDQ®): Health Professional Version

A, von Stackelberg A, Schrappe M, et al.: Allogeneic hematopoietic SCT in children with ALL: current concepts of ongoing prospective SCT trials. Bone Marrow Transplant 41 (Suppl 2): S71-4, 2008. [ ] Bertaina A, Merli P, Rutella S, et al.: HLA-haploidentical stem cell transplantation after removal of αβ+ T and B cells in children with nonmalignant disorders. Blood 124 (5): 822-6, 2014. [ ] Handgretinger R, Chen X, Pfeiffer M, et al.: Feasibility and outcome of reduced-intensity conditioning (...) Risk of graft rejection Low Low–moderate Moderate–high Moderate–high Moderate–high Time to immune reconstitution a Rapid (6–12 mo) Moderate (6–18 mo) Slow (6–24 mo) Slow (6–24 mo) Slow (9–24 mo) b Risk of acute GVHD Moderate Moderate Moderate Low Low Risk of chronic GVHD High Moderate Low Low Low BM = bone marrow; EBV-LPD = Epstein-Barr virus–associated lymphoproliferative disorder; GVHD = graft-versus-host disease; HCT = hematopoietic cell transplantation; PBSCs = peripheral blood stem cells

2016 PDQ - NCI's Comprehensive Cancer Database

164. Family Practice Notebook Updates 2017

males Early disease (Stage Ia) responds well to local resection, but 75% of cases present with distant metastases (Stage IV) (ortho, wrist, neuro) motor deficit suggests severe, longstanding (or alternative condition) Neutral , avoidance of provocative activities and s are beneficial is very effective for more than 10 weeks and >1 year in some cases may be used instead of EMG prior to surgery Spectrum Disorder (peds, neuro, develop) Spectrum Disorder (ASD) has increased significantly over time (1 (...) in early pregnancy Newborn (neonatal abstinence syndrome) if maternal use No evidence of safety (gi, esophagus) Immune mediated esophagitis ( of the esophagus) that does not respond to management May present with solid , food impaction, anterior , and refractory Strongly associated with allergic conditions If management ineffective, try activating steroid MDI (e.g. HFA) and swallowing, not inhaling IV. Updates: October 2017 (geri, prevent) Approach falls as a sentinel event, a predictor of future falls

2018 FP Notebook

165. Onychomadesis

Related Chapters II. Definition Spontaneous separation of nail plate from nail matrix III. Epidemiology Uncommon IV. Pathophysiology Temporary cessation of nail matrix growth Results in and nail loss V. Signs Brittle nails Nail bed region may have white or yellow streaks Transverse nail splitting Spontaneous loss of multiple nails VI. Causes Post-infectious in first 3-12 weeks (esp. Coxsackie virus) Nail VII. References Jhun, Raam and DeClerck in Herbert (2015) EM:Rap 15(12): 3-4 Images: Related links (...) to external sites (from Bing) These images are a random sampling from a Bing search on the term "Onychomadesis." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Onychomadesis (C0263540) Definition (NCI) Loss of all or a portion of a nail. Definition (NCI_CTCAE) A disorder characterized by loss of all or a portion of the nail. Concepts Sign or Symptom ( T184 ) SnomedCT 22743000 English Spont shed nail from matrix

2018 FP Notebook

166. Family Practice Notebook Updates 2017

males Early disease (Stage Ia) responds well to local resection, but 75% of cases present with distant metastases (Stage IV) (ortho, wrist, neuro) motor deficit suggests severe, longstanding (or alternative condition) Neutral , avoidance of provocative activities and s are beneficial is very effective for more than 10 weeks and >1 year in some cases may be used instead of EMG prior to surgery Spectrum Disorder (peds, neuro, develop) Spectrum Disorder (ASD) has increased significantly over time (1 (...) in early pregnancy Newborn (neonatal abstinence syndrome) if maternal use No evidence of safety (gi, esophagus) Immune mediated esophagitis ( of the esophagus) that does not respond to management May present with solid , food impaction, anterior , and refractory Strongly associated with allergic conditions If management ineffective, try activating steroid MDI (e.g. HFA) and swallowing, not inhaling IV. Updates: October 2017 (geri, prevent) Approach falls as a sentinel event, a predictor of future falls

2018 FP Notebook

167. Blast Injury

Blast Injury Blast Injury 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 Blast Injury Blast Injury Aka: Blast Injury , Explosion (...) Fragmentation occurs when projectiles (e.g. nails, bolts, nuts) are housed within the bomb Typically result in most significant secondary injuries Pressure and fragmentation effects fall off exponentially with distance from the blast Doubling the distance from the blast, results in a 9 fold drop in experienced force V. Adverse Effects: Primary Blast Injury Mechanism Injuries result from blast's direct pressure effects (especially high order explosives) Greatest injuries are to gas containing organs (middle

2018 FP Notebook

168. Acute Otitis Externa

Excessive ear canal hair canal Cotton swabs Matchsticks pins Earplugs s Finger nails Ear plugs VII. Symptoms Pain (85%) Skin tightly adherent to cartilage No room for inflammation compresses nerve fibers against cartilage Exacerbated by chewing and other auricle movement (66%) Precedes pain in acute inflammation Predominant symptom in chronic disease Acute Scant white mucus (may be thick) Chronic Bloody discharge with granulation tissue ( ) Fluffy discharge Color: white, black, gray, blue-green (...) EAR including the external EAR CANAL, cartilages of the auricle (EAR CARTILAGE), and the TYMPANIC MEMBRANE. Concepts Disease or Syndrome ( T047 ) MSH ICD10 , , SnomedCT 155215003 , 194224008 , 155209003 , 267667005 , 267751009 , 3135009 English Externa, Otitis , OTITIS EXTERNA , Otitis externa NOS , Otitis externa, unspecified , External Otitis , Otitides, External , Otitis, External , External Otitides , otitis externa (diagnosis) , otitis externa , External Ear Inflammation , Inflammation

2018 FP Notebook

169. Hypothyroidism

, resulting in deficiency of thyroid hormone. Definition (MSH) A condition characterized by a dry, waxy type of swelling (EDEMA) with abnormal deposits of MUCOPOLYSACCHARIDES in the SKIN and other tissues. It is caused by a deficiency of THYROID HORMONES. The skin becomes puffy around the eyes and on the cheeks. The face is dull and expressionless with thickened nose and lips. Concepts Disease or Syndrome ( T047 ) MSH ICD10 SnomedCT 190274003 , 154660000 , 267465007 , 43153006 English Myxedema , Myxedemas (...) , soles, elbows and knees Skin may show yellow-orange discoloration Dry coarse brittle hair (76%) Dry, longitudinally ridged nails Lateral eyebrow thinning Cardiopulmonary Faint cardiac impulse Indistinct heart tones Cardiac enlargement (severe Hypothyroidism) (severe Hypothyroidism) Variable effect on may be present Diastolic Gastrointestinal VII. Pearls: TSH Screening Indications All elderly with depression All elderly entering long term care VIII. Labs: Thyroid Function Tests See ing TSH

2018 FP Notebook

170. Onychomycosis

are Onychomycosis Infection Candida ( ) l ( ) Periungual wart ( ) Local nail (e.g. tight footwear, manicures or pedicures) Skin conditions (especially s) Variant: Twenty- (children) Nail bed tumor Fibroma or (benign) Bowen Disease ( ) Miscellaneous causes References XI. Management: General Measures Keep feet dry Wear cotton socks and change 2-3 times per day Wear shoes that are breathable Reduce fungus exposure Wear foot protection in shared showers (locker room) Treat Consider nail removal in severe Optimize (...) are a random sampling from a Bing search on the term "Onychomycosis." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Onychomycosis (C0040261) Definition (MSH) A fungal infection of the nail, usually caused by DERMATOPHYTES; YEASTS; or nondermatophyte MOLDS. Definition (NCI) Fungal infection of a fingernail or toenail. Concepts Disease or Syndrome ( T047 ) MSH ICD9 110.1 ICD10 SnomedCT 186988000 , 30757001 , 266149008

2018 FP Notebook

171. Jevtana - cabazitaxel

level NOEL: No observable effect level ORR Overall response rate OS Overall survival PD Progressive disease PFS Progression free survival PK Pharmacokinetic PP Per protocol PPI Present pain intensity PSA Prostate specific antigen SAE Serious adverse event SD Standard Deviation SmPC Summary of product characteristics SOP Standard operating procedure TEAE Treatment emergent adverse event TP Tumour progression TT Tumour type TTP Time to tumour progression VLDL Very low-density lipoprotein CHMP (...) based on applicants’ own tests and studies. Information on Paediatric requirements Pursuant to Article 7 of Regulation (EC) No 1901/2006, the application included an EMA Decision P/146/2009 for the following conditions: ? treatment of prostate carcinoma on the granting of a class waiver. Information relating to orphan market exclusivity Similarity Not applicable. Market Exclusivity Not applicable. Scientific Advice: The applicant received Scientific Advice from the CHMP on 19 March 2009

2011 European Medicines Agency - EPARs

172. Ivermectin Lotion 0.5% (Sklice)

Interactions 99 7.5.4 Drug-Disease Interactions 99 7.5.5 Drug-Drug Interactions 99 7.6 Additional Safety Evaluations 99 7.6.1 Human Carcinogenicity 99 7.6.2 Human Reproduction and Pregnancy Data 99 7.6.3 Pediatrics and Assessment of Effects on Growth 102 7.6.4 Overdose, Drug Abuse Potential, Withdrawal and Rebound 105 Reference ID: 3067484Clinical Review {Insert Reviewer Name} {Insert Application Type and Number} {Insert Product Trade and Generic Name} 4 7.7 Additional Submissions / Safety Issues 107 8 (...) erythema and application site irritation (from the approved product labeling). . Pharmaceutical products that are used off-label to treat head lice include oral ivermectin (discussed further in Section 7.2.6) with a potential for neurotoxicity and trimethoprim/ sulfamethoxazole with a risk of allergic rash and of Stevens Johnson syndrome. Physical, non-pharmacologic methods for treating lice include hair removal and occlusion (petroleum jelly, olive oil, mayonnaise, etc.). Another non-pharmacologic

2011 FDA - Drug Approval Package

173. Patient Modesty: Volume 91

a patient enters the procedure (except in critical ER presence) with with the autonomy capacity and opportunity to express in advance their gender requirements. Yet, there are patients who ask about gender attendance in advance or set their anticipated goal as a "cure" of their illness and not any physical modesty issues they bear. Is this an example of the profession's "lack of respect" toward the elements of the patient's fundamental dignity? What I am trying to do here in this posting is to separate (...) physicians that exposed this abhorrent behavior have ever apologized. In fact, just as is happening here, physicians attempt to justify the behavior by referring to lack of training opportunities and other paternalistic fallacies. You also continue to hold the position that it is the patients' faults for NOT speaking up. This is blatant VICTIM BLAMING. Just as with Women are made to feel ashamed for not fighting hard Patients labelled mentally ill Women are threatened into silence and punished

2018 Bioethics Discussion Blog

174. Putting The Apple Watch 4 ECG To The Test In Atrial Fibrillation: An Informal Comparison To Kardia

.” and “Apple Watch never checks for heart attacks.” When finished you will see what I and my patient (who mostly stays in sinus rhythm with the aid of flecainide) saw-a declaration of normality: Later in the day I had a few patients with permanent atrial fibrillation put on my watch. This seventy-something farmer from Bowling Green, Missouri was easily able to make a very good ECG recording with minimal instruction The AW4 nailed the diagnosis as atrial fibrillation. We also recorded a Kardia device ECG (...) some yellow lines on graph. Perhaps a fit 73 year old skiing at 11,000 feet defeated their algorithm. Would recommend Qardioarm despite a few quirks, and am perplexed by Apple’s outrageously stupid claims about AW4 being first ECG. Trust is difficult to build, and easy to damage. I now have doubts about the probity of Apple. Perhaps recent fall in price of Apple stock reflects these doubts. Deja vu all over again when the marketeers run a tech company. Thanks Dr P – your posts much appreciated

2018 The Skeptical Cardiologist

175. Langerhans Cell Histiocytosis Treatment (PDQ®): Patient Version

the organs and body systems where LCH may occur are used to diagnose LCH. The following tests and procedures may be used to detect (find) and LCH or conditions caused by LCH: and health history : An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient's health habits and past illnesses and treatments will also be taken. : A series of questions and tests to check the brain, , and function (...) . Yellowing of the skin and whites of the eyes. Itching. Easy bruising or bleeding. Feeling very tired. Lung Signs or symptoms of LCH that affects the may include: Collapsed lung. This condition can cause chest pain or tightness, trouble breathing, feeling tired, and a bluish color to the skin. Trouble breathing, especially in adults who smoke. Dry cough. Chest pain. Bone marrow Signs or symptoms of LCH that affects the may include: Easy bruising or bleeding. . Frequent infections. Tests that examine

2015 PDQ - NCI's Comprehensive Cancer Database

176. Richard Lehman’s journal review—20 February 2017

useful 50% diminution in hair loss. Sublingual grass Whenever I read an article about sublingual grass pollen for seasonal allergy, I’m reminded of William Blake’s amazing print of Nebuchadnezzar eating grass. Readers versed in the Holy Scriptures will remember that the Assyrian king continued in this state until “seven times” passed over him, by which time his hairs were grown like eagles’ feathers and his nails like birds’ claws ( Daniel 4;33). Adults who use two years of sublingual grass therapy (...) that, you just looked at their middle. This is, in fact, a better indicator of risk, as people have been pointing out for decades. Best of all, you can do both, . And then you can see how much of the risk appears to be genetic, as you have their full genome as well. The conclusion of this study is that “A genetic predisposition to higher waist-to-hip ratio adjusted for body mass index was associated with increased risk of type 2 diabetes and coronary heart disease. These results provide evidence

2017 The BMJ Blog

177. Patient Modesty: Volume 91

a patient enters the procedure (except in critical ER presence) with with the autonomy capacity and opportunity to express in advance their gender requirements. Yet, there are patients who ask about gender attendance in advance or set their anticipated goal as a "cure" of their illness and not any physical modesty issues they bear. Is this an example of the profession's "lack of respect" toward the elements of the patient's fundamental dignity? What I am trying to do here in this posting is to separate (...) physicians that exposed this abhorrent behavior have ever apologized. In fact, just as is happening here, physicians attempt to justify the behavior by referring to lack of training opportunities and other paternalistic fallacies. You also continue to hold the position that it is the patients' faults for NOT speaking up. This is blatant VICTIM BLAMING. Just as with Women are made to feel ashamed for not fighting hard Patients labelled mentally ill Women are threatened into silence and punished

2018 Bioethics Discussion Blog

178. The moment I became a passionate doctor

, and keep searching until you are confident you have the best answer. Her eyes were closed, her face calm. Her lips were dry and cracked, and her teeth yellowed with plaque. Her trach bubbled noisily with saliva. It was then that I noticed her soft blonde hair. Her mother, I presumed, had plaited it into two perfect French braids. Not a single strand was awry. They ended in delicate, lacy, pink ribbons tied into bows. Then her hands — each dainty, tapered finger — ended in a perfectly manicured nail (...) , lovingly painted a shade of girly pink. It dawned on me unexpectedly — this child means something to her mother. Despite her condition, she means the world to someone — her mother, her father, her extended family. Suddenly, I understood. My fears that had gripped me just moments before vanished. I suddenly became aware that I had no frame of reference for this. I was not yet a mother, much less a mother of a medically complex child. In that moment, I clearly saw the reality of truly caring for patients

2017 KevinMD blog

179. Briefs: Butt worms

. So reports estimate only ⅓ of patients have pruritus. There are case reports of patients who had abdominal pain but no itching. The worms may be found at the anal verge or in the vagina as well. The disease is spread amongst humans, usually by fecal-oral contact, and it can take 4 to 8 weeks for the eggs to reach the anus, for the larvae to hatch and for patients to become symptomatic. “although transmission is often attributed to the ingestion of infective eggs by nail biting and inadequate hand (...) (under a microscope – they are tiny and transparent otherwise) and/or the organism itself (see video above). The worms themselves are about 1 centimeter in length and are white/pale-yellow in color. You can “catch” eggs on transparent adhesive tape to aid in the diagnosis. So, in a patient who suspects they have pinworms but doesn’t see them the tape method can aid in identification since you’ll at least get the eggs. You may need to have a few applications of tape though… Instruct patients to apply

2017 PEM Blog

180. Patient Modesty: Volume 81

I'm hospitalized. Will my Medicare payments be given for this? Please consider what Medicare can do to prevent this from happening to me when I'm hospitalized. Will my care and safety be jeopardized because medical staff are viewing my genitals instead of caring for my injury/ illness? Creating new rules which are not respected or enforced obviously does not work. Medicare must insist that same-gender care be provided to anyone upon request. The shortage of male nurses must be addressed (...) state of affairs we are in. What I find most disgusting and distressing about the "Denver 5" episode is most people view it as being funny. What should have been a wake up call to the public is just a joke. Sad. I understand the next of kin was notified of the episode. I hope they sue the pants of the hospital & the 5 degenerates. Regards, NTT At , Anonymous said... Hello again, In my original note to Ms Jackson, I yellow highlighted the "3 weeks" and "return to work". Unfortunately, this site

2017 Bioethics Discussion Blog

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