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Part 5: Acute Coronary Syndromes
Part 5: Acute Coronary Syndromes

... UA/NSTEMI. In the ED giving LMWH instead of UFH in addition to aspirin to patients with UA/NSTEMI may be helpful. There is insufficient evidence to identify the optimal time for administration after onset of symptoms. In-hospital administration of UFH is recommended if reperfusion is planned within ...
THE PSYCHOLOGICAL PROFILES OF FIBROMYALGIA PATIENTS: TOWARDS A MODEL OF
THE PSYCHOLOGICAL PROFILES OF FIBROMYALGIA PATIENTS: TOWARDS A MODEL OF

... widespread pain and stiffness of the soft tissues of the body (Fibromyalgia Network, 2003). Although FMS has been the subject of nearly 1000 peer reviewed articles, its aetiology remains largely unclear (Littlejohn, 2001). Implicated in the possible mechanisms underlying the disorder are theories of ...
1 Rheumatoid Arthritis Elizabeth Bolden, RN, MSN Elizabeth Boldon
1 Rheumatoid Arthritis Elizabeth Bolden, RN, MSN Elizabeth Boldon

... the sight of inflammation as well as more generalized feelings of fatigue, loss of appetite and low-grade fever. Therapies for rheumatoid arthritis may be individualized but typically focus on the suppression of synovial inflammation and joint damage. While this study focuses on the more common appr ...
NCLEX-RN Exam Prep
NCLEX-RN Exam Prep

... – If so, do you have adequate assessment information to intervene? – If all appropriate interventions – use Maslow to select which is most appropriate to do first. – Note that if the situation described is an emergency an intervention will most likely be the correct response. ...
Scapular dyskinesis: Diagnosis and treatment
Scapular dyskinesis: Diagnosis and treatment

... the upper extremity since it affects shoulder stability, the integrity of the superior labrum, the dimension of the acromiohumeral space and the function of the rotator cuff, as well as the motion of the acromioclavicular (AC) and sternoclavicular (SC) joints. In overhead movements, the function of ...
Acne Vulgaris - Patient.co.uk
Acne Vulgaris - Patient.co.uk

... mild-to-moderate papulopustular acne. However, the evidence base supporting this belief is equivocal. Topical benzoyl peroxide and benzoyl peroxide/erythromycin combinations are similar in efficacy to oral oxytetracycline and are not affected by propionibacterial antibiotic resistance. Oral antibiot ...
Alternative Management Approach of Dislocation and Hemarthroses
Alternative Management Approach of Dislocation and Hemarthroses

... Condyle dislocation is defined as displacement of the condyle out of the glenoid fossa while it still remains within the joint capsule [1]. The condyle can be dislocated in many directions, with antero-medial and anterior dislocation being the most common [2-4]. On the contrary, dislocation of an in ...
MAT - Janssen
MAT - Janssen

... Use of DURAGESIC® MAT in combination with CNS depressants, including alcohol, can result in increased risk to the patient (see DRUG INTERACTIONS). DURAGESIC® MAT should be used with caution in individuals who have a history of drug or alcohol abuse, especially those outside a medically controlled en ...
Dental Implant: Patient Selection Factors
Dental Implant: Patient Selection Factors

... Effect of radiotherapy........................................................................................................... 45 Effect of chemotherapy ........................................................................................................ 46 Effect of coagulation problems ..... ...
Hard-to-heal wounds - Wounds International
Hard-to-heal wounds - Wounds International

... patient assessment when issues such as ischaemia, associated comorbidities and infection, amongst others, may be identified and a broad idea of healing potential derived. Such assessments must, however, be accurate and reproducible if treatment is to be delivered effectively10. Recognition of non-he ...
National Antibiotic Guideline 2014
National Antibiotic Guideline 2014

... A thorough clinical assessment of the patient is imperative to ascertain the underlying disease process, and if it is an infection, to predict the pathogens associated with the infection and select an antibiotic that will target the likely organisms. Where appropriate and clinically indicated, the i ...
Osteochondral Injury of the Knee - Peninsula Orthopaedic Associates
Osteochondral Injury of the Knee - Peninsula Orthopaedic Associates

... and typically affect a young, athletic population. In a retrospective review of more than 31,000 knee arthroscopies, Curl et al1 reported articular cartilage damage in 63% of patients, with more than 60% having a grade III or grade IV lesion. Failure to recognize these injuries can result in long-te ...
Management of Pleural Effusion, Empyema, and Lung Abscess
Management of Pleural Effusion, Empyema, and Lung Abscess

... the pleural space; it is associated with significant morbidity and mortality in adults and children.28 Along with antibiotic therapy and treatment of underlying disease, early and complete drainage of infected fluid is essential in the successful management of empyema. Traditionally, empyema has bee ...
Clinical Practice Guidelines
Clinical Practice Guidelines

... advance and patterns of care evolve. These parameters of practice should be considered guidelines only. Adherence to them will not ensure a successful outcome in every patient, nor should they be construed as including all proper methods of care or excluding other acceptable methods of care aimed at ...
Rhodotorula infection. A systematic review of 128 cases from literature
Rhodotorula infection. A systematic review of 128 cases from literature

... Candida or Trichosporon, Rhodotorula must be considered a potential pathogen in patients with immunosuppression and CVC [25,62]. Patients with hematological neoplasms who are both neutropenic and have long term CVC use are at risk for Rhodotorula infections. Solid neoplasms, AIDS, corticosteroid the ...
Canker sores are among the most common of oral conditions and
Canker sores are among the most common of oral conditions and

... blood studies should include CBC and differential, fasting glucose, iron, ferritin, folic acid and vitamin B12, and a ...
Infection and healing 1
Infection and healing 1

... compared to 24.4% for non sprayed controls. Bacterial contamination (established by cultures) at the time of surgery was associated with 52% infection rates in controls groups; the infection rate was reduced to 11% in the PI treated group. Irrigation with (1%) PI does not appear to effect tensile st ...
What are the Symptoms of Vasculitis
What are the Symptoms of Vasculitis

... Thus, patients with vasculitis feel sick. They often have fevers, weight loss, fatigue, a rapid pulse, and diffuse aches and pains that are ...
Superficial venous disorders of the lower limb
Superficial venous disorders of the lower limb

... may be progressive damage from chronic lower-limb venous hypertension, even in the absence of pain. A minority will seek help solely because of their concern for potential complications such as leg ulcers, based on their observation of affected relatives. Physical examination should focus on the vei ...
AusPAR: Buprenorphine - Therapeutic Goods Administration
AusPAR: Buprenorphine - Therapeutic Goods Administration

... delivery system for the indication: Management of moderate to severe cancer pain and severe pain that does not respond to non-opioids.2 Buprenorphine is a potent opioid analgesic. It was first registered in Australia in 1991 in a parenteral formulation (Temgesic) indicated: for short term use (not m ...
Saliva and Oral Health - British Society of Dental Hygiene and Therapy
Saliva and Oral Health - British Society of Dental Hygiene and Therapy

... Pain-free onset. Initially in dental enamel. Leads to exposed dentine. Hypersensitivities. Erosive wear, abfraction. Opacity to incisal edges. Image Courtesy Dr F Goulbourn ©Goulbourn 2012 ...
References: Musculoskeletal - NHS Walsall Community Health
References: Musculoskeletal - NHS Walsall Community Health

... There is a risk of the patient fitting whilst the needles are in the skin, or acupuncture may induce fitting. Epilepsy should be well controlled with medication. ...
Eckert and Davis Grade 3 Superior Peroneal Retinaculum Injury
Eckert and Davis Grade 3 Superior Peroneal Retinaculum Injury

... This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly ci ...
Respiratory Noises
Respiratory Noises

Evidence-based clinical guidelines
Evidence-based clinical guidelines

... and which runs a prolonged course. In some cases, it does not resolve completely (Bunker 2009). Its prevalence appears to vary by setting. For example, Walker-Bone et al (2004) conducted a large, UK-based primary care1 study, comprising a questionnaire survey and subsequent physical examination of r ...
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Dental emergency

Dental emergency is a broad, umbrella term used to describe an issue involving the teeth and supporting tissues that is of high importance to be fixed/treated by the relevant professional. Dental emergencies do not always involve pain, although this is a common signal that something needs to be looked at. Pain can originate from the tooth, surrounding tissues or can have the sensation of originating in the teeth but be caused by an independent source (orofacial pain and toothache). Depending on the type of pain experienced an experienced clinician can determine the likely cause and can treat the issue as each tissue type gives different messages in a dental emergency. Many emergencies exist and can range from bacterial/fungal/viral infections to a fractured tooth or dental restoration, each requiring an individual response and treatment that is unique to the situation. Fractures (dental trauma) can occur anywhere on the tooth or to the surrounding bone, depending on the site and extent of fracture the treatment options will vary. Dental restoration falling out or fracturing can also be considered a dental emergency as these can impact on function in regards to aesthetics, eating and pronunciation and as such should be tended to with the same haste as loss of tooth tissue. All dental emergencies should be treated under the supervision or guidance of a dental health professional in order to preserve the teeth for as long as possible.
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