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Primary Care Management of Rheumatoid Arthritis
Primary Care Management of Rheumatoid Arthritis

... therapy, usually provided by rheumatologists, can reduce that potential for disability by more than 60%.1 This monograph will assist PCPs in making a provisional diagnosis of RA, provide guidance regarding the referral of a patient to a rheumatologist, explain how to care for the patient while waiti ...
Guideline on the management of patient treated with oral
Guideline on the management of patient treated with oral

... oral anticoagulation post surgery refer to local hospital guidelines. Baseline FBC, U&Es’, coagulation screen, INR and liver function tests should be conducted. Reminder – Low molecular weight heparin is commenced immediately and should be administered for at least 5 days or until the INR has been i ...
Vertebral Osteomyelitis with Paravertebral Abscess: A Case Report
Vertebral Osteomyelitis with Paravertebral Abscess: A Case Report

... paravertebral abscess complications. The mainstay therapeutic choice when treating VO is conservative treatment. The goal of any surgical treatment is usually to relieve radicular neurological deficit and spinal cord compression(16). ...
Blunt injury to the inferior gluteal artery: case report of a rare "near
Blunt injury to the inferior gluteal artery: case report of a rare "near

... The main arteries to the gluteal region are the IGA and SGA. It was once reported that the SGA supplied blood to the superior half of the gluteus maximus and the IGA supplied blood to the inferior half of the muscle[13]. However, Song et al. demonstrated that the dominant IGA pattern showed higher f ...
2014 MANDATORY ANNUAL TRAINING MANUAL
2014 MANDATORY ANNUAL TRAINING MANUAL

... As a part of the safety program accidents are investigated and corrective actions implemented to prevent future incidents. Report incidents, including any occupational injury or illness, to your supervisor as soon as possible. For a non-emergency workplace injury that requires the attention of a doc ...
transfer policy (adults)
transfer policy (adults)

... 3. The escort personnel will ensure that drainage collection systems (such as colostomies and urine bags) have been emptied and recorded on the fluid balance chart. 4. The escort team will ensure that bed rails (or equivalent) are up and locked in position. If the patient is in a chair, the team wil ...
Physiotherapy treatment of Bell’s Palsy: A case report Case Report
Physiotherapy treatment of Bell’s Palsy: A case report Case Report

... reduce, if not eliminate, the poor mass synkinesis patterns which were initially present. The patient, intrigued by this approach, began his exercises at somewhat of a ‘feverish’ pace and was informed on treatment number 2 to reduce the effort put forth as he was likely only contributing to a faulty ...
Independent review of the circumstances surrounding four serious
Independent review of the circumstances surrounding four serious

... overnight as an established phenomenon. It takes time for the complex sets of individual and collective perceptions to develop and coalesce into a system of commonly shared values.7 Therefore the actions that individuals take within an organisation are determined by the understanding that they have ...
Signs and symptoms of urinary system diseases. The urinary
Signs and symptoms of urinary system diseases. The urinary

... dystrophy and inflammatory myopathy. • It occurs in neuromuscular junction disorders, such as myasthenia ...
Technician Training Manual - Mobile Hyperbaric Centers
Technician Training Manual - Mobile Hyperbaric Centers

... continue to recognize that our ultimate success is based on fulfilling our mission with each individual patient. Each employee of our company plays an integral and critical role in this success. ...
The Economics of Dehydration and Oral Rehydration Therapy
The Economics of Dehydration and Oral Rehydration Therapy

... Additionally, patients often expect and want a prescription for antibiotics even when it is unnecessary and harmful for the general population by increasing antibiotic resistance. Further, patient compliance with a prescribed therapy and the impact on health outcomes is another major issue. On avera ...
Enterococcus faecalis: An Unusual Cause of Thoracic
Enterococcus faecalis: An Unusual Cause of Thoracic

... continued for 12 weeks. A repeat CT scan of the abdomen 8 weeks later showed that the right pararenal mass had resolved, suggesting a non-neoplastic process. DISCUSSION Thoracic empyema is defined as the presence of pus in the pleural cavity. It is usually associated with fever and leukocytosis. The ...
7/1/2016 Brain Injury Medicine
7/1/2016 Brain Injury Medicine

... faculty members who give value, context, and meaning to those interactions. As residents and fellows gain experience and demonstrate growth in their ability to care for patients, they assume roles that permit them to exercise those skills with greater independence. This concept-graded and progressiv ...
What`s Your Line: An Overview of Central Venous Access
What`s Your Line: An Overview of Central Venous Access

... Peripheral intravenous (IV) catheters which are used for medication administration and obtaining blood samples are  short catheters placed in the peripheral veins. They are most commonly used when the IV therapy is only going to be a  week or less in duration. If the IV therapy is longer than a week ...
What is an Automated External Defibrillator?
What is an Automated External Defibrillator?

... › Understanding of how to correctly use the AED and knowledge of BLS is essential • Unlike when using a manual defibrillator, no training in rhythm interpretation is needed prior to using an AED. The user should receive instruction in proper use of the AED, safety precautions that must be followed w ...
DIAGNOSTIC IMAGING: MAGNETIC RESONANCE IMAGING (MRI)
DIAGNOSTIC IMAGING: MAGNETIC RESONANCE IMAGING (MRI)

Ya^g llilIla,
Ya^g llilIla,

... The important aspects of radiation induced health effects that may result from a nuclear or radiological emergency are as follows: 1.2.1 Deterministic effects One of the primary objectives of the response to an emergency is to prevent the occurrence of deterministic effects. A deterministic effect i ...
TOP FIVE MISTAKES TO AVOID IN YOUR POISONED
TOP FIVE MISTAKES TO AVOID IN YOUR POISONED

... orogastric tube). As a result, administration of AC is often delayed for up to an hour or more. As time since ingestion is often unknown (e.g., pet owner coming home from work to find their pet poisoned), decontamination (including emesis and administration of AC) is often a relatively benign course ...
A change in the NICE guidelines on antibiotic prophylaxis: British
A change in the NICE guidelines on antibiotic prophylaxis: British

... with systemic symptoms. Take at least two sets of blood cultures before starting an antibiotic course. ...
The NewsleTTer of The AssociATioN of ANAesTheTisTs of
The NewsleTTer of The AssociATioN of ANAesTheTisTs of

... Many of the local casualties are children who are in the wrong place at the wrong time, or have been targeted deliberately. Tough stuff. Many of our young soldiers who return to UK, often only a few hours after being injured on the battlefield, face long term rehabilitation to cope with their injuri ...
Orthopaedic Insights
Orthopaedic Insights

... mother is troubled that he’s “still not quite right,” so they go to a physician who must piece together conflicting recollections of what happened. The physician puts the athlete through a battery of tests three days after the injury. Without baseline data, it’s difficult to know the extent and focu ...
Reuse Of Pacemakers In Ghana And Nigeria: Medical, Legal
Reuse Of Pacemakers In Ghana And Nigeria: Medical, Legal

... Pacemakers are implanted under the patient’s skin and attached to the heart with insulated wire leads. A pacemaker lead is composed of a metal conductor covered with an insulator.17 The leads, which run between the pulse generator and the heart, allow the device to increase the heart rate by deliver ...
HERBAL INTAKE: UNDIAGNOSED HYPOTHYROIDISM LEADING TO POSTOPERATIVE REFRACTORY CIRCULATORY COLLAPSE
HERBAL INTAKE: UNDIAGNOSED HYPOTHYROIDISM LEADING TO POSTOPERATIVE REFRACTORY CIRCULATORY COLLAPSE

... powder was not communicated to us in the preoperative assessment as the family attributed these to normal old age related problems. Herbal medicines are commonly consumed by the people in India and are not considered out of the ordinary. It is a well-known fact that longstanding hypothyroid patients ...
Problems With Inhaler Use: A Call for Improved
Problems With Inhaler Use: A Call for Improved

... and each has technical limitations that can limit effectiveness. Each specific type of inhaler is different, with device-specific instructions for use. In some cases the steps can be confused between devices, resulting in severe reductions in drug available to the patient. Unfortunately, no single m ...
NYPORTS Clinical Definitions Manual
NYPORTS Clinical Definitions Manual

... An assessment of a patient’s preoperative physical condition that uses the ASA Classification of Physical Status schema from the American Society of Anesthesiologists. This classification may be used in referring to the severity of systemic disease for surgical and medical patients. It is intended t ...
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Medical ethics



Medical ethics is a system of moral principles that apply values and judgments to the practice of medicine.As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, and sociology.
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