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Title page Atypical presentation of Juvenile Rheumatoid Arthritis in a
Title page Atypical presentation of Juvenile Rheumatoid Arthritis in a

... congenital spinal stenosis, congenital fiber type disproportion myopathy, redundant skin of the nape of the neck, intestinal malrotation, annular pancreas, liver steatosis, hypertrophic pyloric stenosis, anteriorly placed imperforate anus, neuroblastoma, and pemphigus vulgaris [4]. Arthritis is yet ...
Bilateral Femoral Neck Fracture due to Electric Shock
Bilateral Femoral Neck Fracture due to Electric Shock

... Initial sequelae of electric shock include thermal myonecrosis that leads to acute renal failure which complicates to cardiac arrest or cardiac arrhythmias. Hence, in the emergency room (ER), the patient must be critically screened for cardiac and renal anomalies. Electrocardiogram with renal functi ...
Diagnosis and management of dysmenorrhoea
Diagnosis and management of dysmenorrhoea

Welcome to the Surgical Clerkship
Welcome to the Surgical Clerkship

Clinical Overview, Medication Overuse and Treatment
Clinical Overview, Medication Overuse and Treatment

... • Also used in other primary headaches (Cluster) • No more than three blocks each side per year • Very little side effects • Suitable for pregnant/breast feeding patients • May need several blocks for prolonged benefit ...
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Pruritus vulvae

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Aspiration Pneumonia

... Aspiration pneumonia results from inhalation of stomach contents or secretions of the oropharynx, leading to lower respiratory tract infection. In many healthy adults, very small quantities of aspiration occur frequently but the normal defence mechanisms (cough, lung cilia) remove the material with ...
Prospective, Multicenter Evaluation of Trabecular
Prospective, Multicenter Evaluation of Trabecular

... partially edentulous patients in accordance with the implant’s instructions for use and the investigators’ professional judgments. Oversight was provided by the local institutional review boards. Subjects were treated with 1 to 2 TM dental implants in maxillary or mandibular location(s). Results: To ...
Osteoporosis - Geriatrics Care Online
Osteoporosis - Geriatrics Care Online

... • Increases bone formation and resorption • Reduces vertebral and nonvertebral fractures in postmenopausal women • Increases BMD at all sites • Typically reserved for those with severe osteoporosis and fracture history • Teriparatide dose 20 mcg/d SC for patients who cannot tolerate other treatment ...
Wound Care-- Part 1
Wound Care-- Part 1

... (products that help to reduce pressure on bony prominences by redistributing the patient’s weight over a larger surface area), and psychosocial-economic elements associated with the care of the patient.  In the case of chronic wounds, previous treatments must be evaluated to determine the rate of s ...
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1._Miscarriage_&_Early_Pregnancy_Loss

... * Surgical removal of it→ miscarriage within 4- 7 days * Parenteral progesterone may prevent miscarriage but the evidence of progesterone deficiency as a cause of miscarriage is unsatisfactory. * In the past, progesterone have been used among women with recurrent miscarriage with good results. It is ...
Microvascular Decompression for Trigeminal Neuralgia
Microvascular Decompression for Trigeminal Neuralgia

... becomes refractory and they seek more durable surgical treatment. Acute facial pain is not amenable to MVD, and, in my opinion, the patient’s symptoms should at least last 1 year with aggressive medical intervention before surgery is considered. This philosophy is justified since the pain may be sho ...
Bulacan State University
Bulacan State University

... Refer to lactation consultant if needed. Consider referral for a feeding evaluation to a speech therapist, or to an occupational therapist who has experience working with children and families. ...
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Consensus Document on the Management of Cellulitis in

... others are milder, with minimal or no fever. Increased swelling of the affected area may occur. Inflammatory markers (CRP, ESR) may be raised. It is difficult to predict response to treatment. Cellulitis can be difficult to diagnose and to distinguish from other causes of inflammation particularly i ...
What is a caudal epidural steroid injection?
What is a caudal epidural steroid injection?

... to walk safely and to pass urine. You should not drive until the next day or until 24 hours later, if you have had sedation. Please ensure you have a responsible person accompanying you on leaving the hospital and at home for the first night. ...
Neonatal Sepsis
Neonatal Sepsis

... the trachea, bronchi, and bronchioles  usually occurs in association with viral respiratory tract infection  Characteristic symptoms include productive cough, shortness of breath and wheezing.  clinical course of acute bronchitis is selflimited, with complete healing and full return to function t ...
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IVAccessAprilMay09.p

... stage, you will know if you have successfully entered the vein (Figures 10 and 11). Advance the catheter slowly, 3mm into the vein. At this stage, hold the cannula between your thumb and index finger. With your middle finger, hold the inducer needle steady while sliding the cannula off the inducer n ...
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... 32. Shih, J, Lee, H. Functional results post-triangular fibrocartilage complex reconstruction with extensor carpi ulnaris with or without ulnar ...
canine spay 4-09-5 copy - Oaklawn Animal Hospital
canine spay 4-09-5 copy - Oaklawn Animal Hospital

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... not effective in improving fertility side effects: abnormal uterine bleeding, nausea, breast tenderness, fluid retention, depression side effects resolve after medication is stopped most common progestin is medroxyprogesterone other progestins used include megestrol acetate and norethindrone acetate ...
Case Of the Week - Stanley Radiology
Case Of the Week - Stanley Radiology

... Separation of media of sinus Aortic root- valve leaflets,attachments,sinuses of from media of adjacent hinge valsalva,interleaflet trigone,sinotubular junction and line of AV valve cusp. ...
Septic shock - mcstmf
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Oral lichenoid contact lesion to amalgam restoration: a case report
Oral lichenoid contact lesion to amalgam restoration: a case report

... Despite the common use of amalgam as a posterior restorative material, there have been a few reported cases of hypersensitivity to amalgam, and the most common type reported is delayed oral lichenoid reaction [10,22]. OLRs caused by amalgam restorations can be found in the literature, with symptoms ...
Acute, subacute, and chronic cervical lymphadenitis in children
Acute, subacute, and chronic cervical lymphadenitis in children

... potential etiologies. In practice, surgeons seldom are involved in the care of patients with acute lymphadenitis unless the lymph nodes become suppurative. Most of these patients improve during a course of antibiotic therapy prescribed by their primary care physician. Other important clinical inform ...
The Oral Management of Oncology Patients Requiring Radiotherapy
The Oral Management of Oncology Patients Requiring Radiotherapy

... for everyday clinical practice with adults and children, as well as a useful research tool.31 Often, there is insufficient time before cancer treatment commencement for complex dental treatments. The likelihood that a tooth will require extraction within the next few years has to be assessed. It sho ...
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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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