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bell's palsy guideline

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181. Vaginal Cancer, Childhood

for specific information about supportive care for children and adolescents with cancer.) Guidelines for pediatric cancer centers and their role in the treatment of pediatric patients with cancer have been outlined by the American Academy of Pediatrics.[ ] At these pediatric cancer centers, clinical trials are available for most types of cancer that occur in children and adolescents, and the opportunity to participate in these trials is offered to most patients and their families. Clinical trials (...) al.: Outcomes for children and adolescents with cancer: challenges for the twenty-first century. J Clin Oncol 28 (15): 2625-34, 2010. Corrigan JJ, Feig SA; American Academy of Pediatrics: Guidelines for pediatric cancer centers. Pediatrics 113 (6): 1833-5, 2004. Smith MA, Altekruse SF, Adamson PC, et al.: Declining childhood and adolescent cancer mortality. Cancer 120 (16): 2497-506, 2014. Ward E, DeSantis C, Robbins A, et al.: Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin 64

2012 PDQ - NCI's Comprehensive Cancer Database

182. Heart Tumors, Childhood

for specific information about supportive care for children and adolescents with cancer.) Guidelines for pediatric cancer centers and their role in the treatment of pediatric patients with cancer have been outlined by the American Academy of Pediatrics.[ ] At these pediatric cancer centers, clinical trials are available for most types of cancer that occur in children and adolescents, and the opportunity to participate in these trials is offered to most patients and their families. Clinical trials (...) al.: Outcomes for children and adolescents with cancer: challenges for the twenty-first century. J Clin Oncol 28 (15): 2625-34, 2010. Corrigan JJ, Feig SA; American Academy of Pediatrics: Guidelines for pediatric cancer centers. Pediatrics 113 (6): 1833-5, 2004. Smith MA, Altekruse SF, Adamson PC, et al.: Declining childhood and adolescent cancer mortality. Cancer 120 (16): 2497-506, 2014. Ward E, DeSantis C, Robbins A, et al.: Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin 64

2012 PDQ - NCI's Comprehensive Cancer Database

183. Bronchial Tumors, Childhood

for specific information about supportive care for children and adolescents with cancer.) Guidelines for pediatric cancer centers and their role in the treatment of pediatric patients with cancer have been outlined by the American Academy of Pediatrics.[ ] At these pediatric cancer centers, clinical trials are available for most types of cancer that occur in children and adolescents, and the opportunity to participate in these trials is offered to most patients and their families. Clinical trials (...) al.: Outcomes for children and adolescents with cancer: challenges for the twenty-first century. J Clin Oncol 28 (15): 2625-34, 2010. Corrigan JJ, Feig SA; American Academy of Pediatrics: Guidelines for pediatric cancer centers. Pediatrics 113 (6): 1833-5, 2004. Smith MA, Altekruse SF, Adamson PC, et al.: Declining childhood and adolescent cancer mortality. Cancer 120 (16): 2497-506, 2014. Ward E, DeSantis C, Robbins A, et al.: Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin 64

2012 PDQ - NCI's Comprehensive Cancer Database

184. Breast Cancer, Childhood

for specific information about supportive care for children and adolescents with cancer.) Guidelines for pediatric cancer centers and their role in the treatment of pediatric patients with cancer have been outlined by the American Academy of Pediatrics.[ ] At these pediatric cancer centers, clinical trials are available for most types of cancer that occur in children and adolescents, and the opportunity to participate in these trials is offered to most patients and their families. Clinical trials (...) al.: Outcomes for children and adolescents with cancer: challenges for the twenty-first century. J Clin Oncol 28 (15): 2625-34, 2010. Corrigan JJ, Feig SA; American Academy of Pediatrics: Guidelines for pediatric cancer centers. Pediatrics 113 (6): 1833-5, 2004. Smith MA, Altekruse SF, Adamson PC, et al.: Declining childhood and adolescent cancer mortality. Cancer 120 (16): 2497-506, 2014. Ward E, DeSantis C, Robbins A, et al.: Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin 64

2012 PDQ - NCI's Comprehensive Cancer Database

185. Squamous Cell Carcinoma (Skin Cancer), Childhood

to the PDQ summaries for specific information about supportive care for children and adolescents with cancer.) Guidelines for pediatric cancer centers and their role in the treatment of pediatric patients with cancer have been outlined by the American Academy of Pediatrics.[ ] At these pediatric cancer centers, clinical trials are available for most types of cancer that occur in children and adolescents, and the opportunity to participate in these trials is offered to most patients and their families (...) al.: Outcomes for children and adolescents with cancer: challenges for the twenty-first century. J Clin Oncol 28 (15): 2625-34, 2010. Corrigan JJ, Feig SA; American Academy of Pediatrics: Guidelines for pediatric cancer centers. Pediatrics 113 (6): 1833-5, 2004. Smith MA, Altekruse SF, Adamson PC, et al.: Declining childhood and adolescent cancer mortality. Cancer 120 (16): 2497-506, 2014. Ward E, DeSantis C, Robbins A, et al.: Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin 64

2012 PDQ - NCI's Comprehensive Cancer Database

186. Celvapan - influenza vaccine (H1N1)v

and evaluation of a core pandemic dossier during the inter-pandemic period, followed by a fast track assessment of the data for replacing the mock-up vaccine strain with the recommended pandemic strain as a variation to the MAA. Baxter AG has submitted a Marketing Authorisation Application (core pandemic dossier) for Celvapan in line with the above mentioned guidelines. Celvapan is a whole virion inactivated influenza vaccine, which is produced in Vero cells and employing a wild type virus H5N1strain (...) , monovalent, whole virion, inactivated vaccine containing 7.5 µg/dose of Haemagglutinin (HA). The whole virions of Influenza type A as the active ingredient is inactivated both 1 Guideline on Submission of Marketing Authorisation Applications for Pandemic Influenza Vaccines through the Centralised Procedure (CPMP/VEG/4986/03). Guideline on Dossier Structure and Content for Pandemic Influenza Vaccine Marketing Authorisations Application (CPMP/VEG/4717/03). Medicinal product no longer authorisedCelvapan 6

2009 European Medicines Agency - EPARs

187. Care of the Patient with Ocular Surface Disorders

blinking, which results in excessive tear evaporation and exposure keratopathy, can be caused by Bell's palsy, lagophthalmos, thyroid-related eye disease, foreign body, or lid trauma. Other lid abnormalities that prevent efficient resurfacing of the tear layer include ptosis, trichiasis, and madarosis. Statement of the Problem 11 d. Epitheliopathies Corneal epitheliopathies are characterized by an irregular epithelial surface where microvilli are prevented from allowing mucin to adhere to the cornea (...) Care of the Patient with Ocular Surface Disorders Care of the Patient with Ocular Surface Disorders OPTOMETRIC CLINICAL PRACTICE GUIDELINE OPTOMETRY: THE PRIMARY EYE CARE PROFESSION Doctors of optometry are independent primary health care providers who examine, diagnose, treat, and manage diseases and disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions. Optometrists provide more than two-thirds of the primary eye care services

2010 American Optometric Association

188. Carotid Artery Stenting in Patients with Carotid Artery Stenosis

functional independence. 107 Major strokes have been defined as deficits that persisted beyond 30 days and that caused a change in the patient’s lifestyle. Other outcomes include degree of residual stenosis on immediate post-angioplasty angiography, recurrence of carotid stenosis on follow-up Doppler ultrasonography or angiography and occurrence of procedure-related complications such as myocardial infarction, cranial nerve palsies, arrhythmias and bleeding complications. Complications have been defined (...) ), cranial nerve palsies, long-term cognitive function and quality of life. Randomized Trials High quality, randomized controlled trials provide the most reliable data for evaluating the effectiveness of carotid artery stenting. There are only two small randomized trials comparing stent placement with medical management. 108, 109 Although underpowered, both reported no trend towards a reduction in strokes among patients treated with carotid stenting compared with those treated with medical management

2010 California Technology Assessment Forum

189. An “un-American suppression” of antivaccine views or good reporting?

) on 23 Mar 2015 to post comments By Robert L Bell (not verified) on 23 Mar 2015 to post comments By Robert L Bell (not verified) on 23 Mar 2015 to post comments By J.W.Chaplin (not verified) on 23 Mar 2015 , and in those who cannot be vaccinated for other medical reasons (the clue is in the words). As for the small minority for whom vaccines are not effective, I wasn't suggesting that vaccines are contraindicated for them, but keeping vaccine uptake levels high enough will protect them despite (...) , but now hardly any do. Why did the number of bacterial meningitis cases I saw in the hospitals I have worked in plummet after vaccination was introduced? I could go on. It disgusts me that anyone can deny what an astonishingly effective health intervention vaccination has been - . to post comments By Krebiozen (not verified) on 23 Mar 2015 to post comments By Krebiozen (not verified) on 23 Mar 2015 Now how do you respond to new (2009) NICE guidelines telling doctors not to dish out antipyretics

2015 Respectful Insolence

190. Varicella Zoster (Diagnosis)

impairment, nystagmus, vertigo, or a facial nerve palsy mimicking Bell palsy. [ ] Patients may lose taste sensation in the anterior two thirds of the tongue. [ ] Clinical phases of disease The clinical manifestations can be divided into the following three phases: Preeruptive phase (preherpetic neuralgia) Acute eruptive phase Chronic phase (PHN) The preeruptive phase is characterized by unusual skin sensations or pain within the affected dermatome that heralds the onset of lesions by 48-72 hours. During (...) include hyperesthesia or, more rarely, hypoesthesia or anesthesia in the area of involvement Common features of herpes zoster ophthalmicus are as follows: Classic symptoms and lesions of herpes zoster Ophthalmic manifestations including conjunctivitis, scleritis, episcleritis, keratitis iridocyclitis, Argyll-Robertson pupil, glaucoma, retinitis, choroiditis, optic neuritis, optic atrophy, retrobulbar neuritis, exophthalmos, lid retraction, ptosis, and extraocular muscle palsies Other forms include

2014 eMedicine.com

191. Ramsay Hunt Syndrome (Diagnosis)

% of all causes of unilateral facial palsies in children, and 18% of facial palsies in adults. Ramsay Hunt syndrome is rare in children younger than 6 years. [ ] Ramsay Hunt syndrome is thought to be the cause of as many as 20% of clinically diagnosed cases of Bell palsy. [ ] The incidence of Ramsay Hunt syndrome among patients with is unknown. However, it may occur at a higher rate than in the general population because individuals with HIV infection have a higher risk of VZV infection. [ ] Mortality (...) /Morbidity Ramsay Hunt syndrome is not usually associated with mortality. It is a self-limiting disease; the primary morbidity results from facial weakness. Unlike Bell palsy, this syndrome has a complete recovery rate of less than 50%. Previous References Bhupal HK. Ramsay Hunt syndrome presenting in primary care. Practitioner . 2010 Mar. 254(1727):33-5, 3. . Goldani LZ, Ferreira da Silva LF, Dora JM. Ramsay Hunt syndrome in patients infected with human immunodeficiency virus. Clin Exp Dermatol . 2009

2014 eMedicine.com

192. Herpes Zoster (Diagnosis)

impairment, nystagmus, vertigo, or a facial nerve palsy mimicking Bell palsy. [ ] Patients may lose taste sensation in the anterior two thirds of the tongue. [ ] Clinical phases of disease The clinical manifestations can be divided into the following three phases: Preeruptive phase (preherpetic neuralgia) Acute eruptive phase Chronic phase (PHN) The preeruptive phase is characterized by unusual skin sensations or pain within the affected dermatome that heralds the onset of lesions by 48-72 hours. During (...) include hyperesthesia or, more rarely, hypoesthesia or anesthesia in the area of involvement Common features of herpes zoster ophthalmicus are as follows: Classic symptoms and lesions of herpes zoster Ophthalmic manifestations including conjunctivitis, scleritis, episcleritis, keratitis iridocyclitis, Argyll-Robertson pupil, glaucoma, retinitis, choroiditis, optic neuritis, optic atrophy, retrobulbar neuritis, exophthalmos, lid retraction, ptosis, and extraocular muscle palsies Other forms include

2014 eMedicine.com

193. Herpes Simplex (Diagnosis)

, keratitis, acute retinal necrosis, Bell palsy, and encephalitis. Herpes simplex keratitis is characterized by ocular pain and is a common infectious cause of unilateral vision loss. [ ] Clinical manifestations of HSV-1 encephalitis include fever, headache, nausea, vomiting, seizures, confusion, and focal deficits. [ ] Approximately 15% of hospitalized patients die from HSV encephalitis, and survivors have long-term disability affecting cognitive function. [ ] The most common complication of primary HSV (...) Virol . 2016 Jul. 80:62-7. . Ramaswamy M, McDonald C, Smith M, Thomas D, Maxwell S, Tenant-Flowers M, et al. Diagnosis of genital herpes by real time PCR in routine clinical practice. Sex Transm Infect . 2004 Oct. 80 (5):406-10. . [Guideline] Centers for Disease Control and Prevention. 2015 Sexually Transmitted Diseases Treatment Guidelines. Available at . January 25, 2017; Accessed: December 5, 2017. Kaufman HE, Azcuy AM, Varnell ED, Sloop GD, Thompson HW, Hill JM. HSV-1 DNA in tears and saliva

2014 eMedicine.com

194. HIV-1 Associated Multiple Mononeuropathies (Diagnosis)

Presentation and Diagnosis The multiple mononeuropathies are typically inflammatory in nature and may involve single or multiple cranial or peripheral nerves. They vary with the stage of HIV infection. [ ] The patient describes multifocal asymmetric sensory or motor complaints in the distribution of cranial nerves, [ ] peripheral nerves, or nerve roots. Cranial neuropathies most commonly involve the facial nerve (also known as Bell's palsy) and can be unilateral or bilateral. Facial paralysis in HIV (...) patients does not differ clinically from typical Bell's palsy. Physical findings include asymmetric weakness and reflex and sensory loss. More severe involvement suggests cytomegalovirus (CMV) infection. Progression may change presentation from multifocal mononeuropathies to a more generalized polyneuropathy. Blood for CMV polymerase chain reaction (PCR) analysis should be sent if HIV-associated multiple mononeuropathy is suspected. [ ] Electromyographic (EMG) and nerve conduction studies show

2014 eMedicine.com

195. Herpes Zoster (Diagnosis)

impairment, nystagmus, vertigo, or a facial nerve palsy mimicking Bell palsy. [ ] Patients may lose taste sensation in the anterior two thirds of the tongue. [ ] Clinical phases of disease The clinical manifestations can be divided into the following three phases: Preeruptive phase (preherpetic neuralgia) Acute eruptive phase Chronic phase (PHN) The preeruptive phase is characterized by unusual skin sensations or pain within the affected dermatome that heralds the onset of lesions by 48-72 hours. During (...) include hyperesthesia or, more rarely, hypoesthesia or anesthesia in the area of involvement Common features of herpes zoster ophthalmicus are as follows: Classic symptoms and lesions of herpes zoster Ophthalmic manifestations including conjunctivitis, scleritis, episcleritis, keratitis iridocyclitis, Argyll-Robertson pupil, glaucoma, retinitis, choroiditis, optic neuritis, optic atrophy, retrobulbar neuritis, exophthalmos, lid retraction, ptosis, and extraocular muscle palsies Other forms include

2014 eMedicine.com

196. Herpes Zoster (Diagnosis)

impairment, nystagmus, vertigo, or a facial nerve palsy mimicking Bell palsy. [ ] Patients may lose taste sensation in the anterior two thirds of the tongue. [ ] Clinical phases of disease The clinical manifestations can be divided into the following three phases: Preeruptive phase (preherpetic neuralgia) Acute eruptive phase Chronic phase (PHN) The preeruptive phase is characterized by unusual skin sensations or pain within the affected dermatome that heralds the onset of lesions by 48-72 hours. During (...) include hyperesthesia or, more rarely, hypoesthesia or anesthesia in the area of involvement Common features of herpes zoster ophthalmicus are as follows: Classic symptoms and lesions of herpes zoster Ophthalmic manifestations including conjunctivitis, scleritis, episcleritis, keratitis iridocyclitis, Argyll-Robertson pupil, glaucoma, retinitis, choroiditis, optic neuritis, optic atrophy, retrobulbar neuritis, exophthalmos, lid retraction, ptosis, and extraocular muscle palsies Other forms include

2014 eMedicine.com

197. Head Injury (Diagnosis)

brainstem injuries: Has a relatively benign prognosis [ ] Cranial nerve (CN) VI palsy: May indicate raised intracranial pressure CN VII palsy: May indicate a fracture of the temporal bone, particularly if it occurs in association with decreased hearing Hearing loss: Occurs in 20–30% of patients with head injuries [ ] Dysphagia: Raises the risk of aspiration and inadequate nutrition [ ] Focal motor findings: Include flexor or extensor posturing, tremors and dystonia, impairments in sitting balance (...) , and Deaths--United States, 2001-2010. Centers for Disease Control and Prevention. Available at . Accessed: September 11, 2016. Taylor CA, Bell JM, Breiding MJ, Xu L. Traumatic Brain Injury-Related Emergency Department Visits, Hospitalizations, and Deaths - United States, 2007 and 2013. MMWR Surveill Summ . 2017 Mar 17. 66 (9):1-16. . Wu AP, Davidson T. Posttraumatic anosmia secondary to central nervous system injury. Am J Rhinol . Nov-Dec/2008. 22:606-7. Bhatoe HS. Primary brainstem injury: benign course

2014 eMedicine.com

198. Lyme Disease (Diagnosis)

findings in patients with early disseminated disease are as follows: EM (single or multiple lesions) Headache Fever Tender adenopathy (regional or generalized) Conjunctivitis (uncommon, never prominent) Carditis (usually manifests as heart block) Meningismus as a sign of aseptic meningitis Cranioneuropathy, especially cranial nerve VII and Bell palsy (peripheral seventh nerve palsy with decreased unilateral function, including the forehead) In patients with late disease, the typical physical finding (...) or nursing women with early localized or early disseminated Lyme disease: Amoxicillin or cefuroxime axetil Neurologic Lyme disease: IV penicillin, ceftriaxone, or cefotaxime; oral doxycycline, when not contraindicated, in patients with Lyme-associated meningitis, facial nerve palsy, or radiculitis Treatment of Lyme arthritis is as follows: Oral antibiotics for 28 days Re-treatment with oral antibiotics for mild residual joint swelling Re-treatment with IV antibiotics for refractory cases Oral antibiotics

2014 eMedicine.com

199. Lyme Disease (Diagnosis)

findings in patients with early disseminated disease are as follows: EM (single or multiple lesions) Headache Fever Tender adenopathy (regional or generalized) Conjunctivitis (uncommon, never prominent) Carditis (usually manifests as heart block) Meningismus as a sign of aseptic meningitis Cranioneuropathy, especially cranial nerve VII and Bell palsy (peripheral seventh nerve palsy with decreased unilateral function, including the forehead) In patients with late disease, the typical physical finding (...) or nursing women with early localized or early disseminated Lyme disease: Amoxicillin or cefuroxime axetil Neurologic Lyme disease: IV penicillin, ceftriaxone, or cefotaxime; oral doxycycline, when not contraindicated, in patients with Lyme-associated meningitis, facial nerve palsy, or radiculitis Treatment of Lyme arthritis is as follows: Oral antibiotics for 28 days Re-treatment with oral antibiotics for mild residual joint swelling Re-treatment with IV antibiotics for refractory cases Oral antibiotics

2014 eMedicine.com

200. Lyme Disease (Diagnosis)

findings in patients with early disseminated disease are as follows: EM (single or multiple lesions) Headache Fever Tender adenopathy (regional or generalized) Conjunctivitis (uncommon, never prominent) Carditis (usually manifests as heart block) Meningismus as a sign of aseptic meningitis Cranioneuropathy, especially cranial nerve VII and Bell palsy (peripheral seventh nerve palsy with decreased unilateral function, including the forehead) In patients with late disease, the typical physical finding (...) or nursing women with early localized or early disseminated Lyme disease: Amoxicillin or cefuroxime axetil Neurologic Lyme disease: IV penicillin, ceftriaxone, or cefotaxime; oral doxycycline, when not contraindicated, in patients with Lyme-associated meningitis, facial nerve palsy, or radiculitis Treatment of Lyme arthritis is as follows: Oral antibiotics for 28 days Re-treatment with oral antibiotics for mild residual joint swelling Re-treatment with IV antibiotics for refractory cases Oral antibiotics

2014 eMedicine.com

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