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THE INVESTIGATION OF CUSHING`S SYNDROME – ESSENTIALS
THE INVESTIGATION OF CUSHING`S SYNDROME – ESSENTIALS

... patients with CS and in the normal population.13 The same was confirmed for UFC and SC in CS but not in the normal population and obese people.11 A meta-analysis by Carroll et al. showed a pooled sensitivity of 92% and specificity of 96% for diagnosing CS.14 ...
Eliminating Perinatal HIV Transmission
Eliminating Perinatal HIV Transmission

... Nucleoside Reverse Transcriptase Inhibitors (NRTIs) – risk of lactic acidosis/hepatic steatosis; monitor liver enzymes, electrolytes monthly in 3rd trimester; assess often for new symptoms ...
Metabolic Alkalosis
Metabolic Alkalosis

... Therapeutic Alternatives ...
Before you operate, the ovarian mass has something important to
Before you operate, the ovarian mass has something important to

... handling. Periodicals postage paid at Duluth, MN 55806 and additional mailing offices. POSTMASTER: Please send address changes to Contemporary OB/GYN, PO Box 6084, Duluth, MN 55806-6084. Return Undeliverable Canadian Addresses to: Pitney Bowes, PO Box 25542, London, ON N6C 6B2, CANADA. Canadian GST ...
Remarkably efficient inhaled antifungal monotherapy for invasive pulmonary aspergillosis
Remarkably efficient inhaled antifungal monotherapy for invasive pulmonary aspergillosis

... better clinical outcomes, they are also associated with more severe and less common side-effects, including encephalopathy and hallucinations [1]. Inhaled voriconazole reduces histological manifestations of invasive aspergillosis in rodents [3] and it has been proposed that a favourable lung tissue ...
A Scientific Approach to the Assessment of Chronic Diarrhea and
A Scientific Approach to the Assessment of Chronic Diarrhea and

... salts. Fat malabsorption is modest. The malabsorbed bile salts and their metabolites stimulate colonic secretion of electrolytes and water with resultant diarrhea. Diagnosis should be suspected in anyone who develops diarrhea in the post-operative period following ileal resection or bypass. Treatmen ...
clinical and biochemical analysis of patients in Mexico
clinical and biochemical analysis of patients in Mexico

... Twenty three percent of the liver biopsies were not conclusive for HT1. This confirms the robustness of the biochemical analysis, which is currently considered as the gold standard method for HT1 diagnosis.26,27 Excess SA in plasma or urine is the pathognomonic metabolite for the confirmation of HT1 ...
CARDIORESPIRATORY CRISIS AT THE END OF PREGNANCY: A CASE OF PHEOCHROMOCYTOMA
CARDIORESPIRATORY CRISIS AT THE END OF PREGNANCY: A CASE OF PHEOCHROMOCYTOMA

... Pheochromocytoma during pregnancy is extremely rare. Its clinical manifestation includes hypertension with various clinical presentations, possibly resembling those of pregnancy-induced hypertension. The real challenge for clinicians is differentiating pheochromocytoma from other causes of hypertens ...
Preeclampsia
Preeclampsia

... disorders. In the review by Dildy12 and co workers it was found that the highest risk for recurrence are when the initial case was preterm, severe, or complicated by eclampsia, HELLP syndrome or intrauterine growth restriction. The reported rate of recurrent preeclampsia ranges from 11,5 % to 65%, v ...
Hypothyroidism - WordPress.com
Hypothyroidism - WordPress.com

... periodic assessment of thyroid function in older women • American College of Physicians (ACP): office screening of women older than 50 years may be indicated • United States Preventive Services Task Force: not recommended in children or adults • Institute of Medicine: screening is not cost-effective ...
Committee Opinion, Number 496, August 2011 (Reaffirmed
Committee Opinion, Number 496, August 2011 (Reaffirmed

... perhaps before the patient’s recognition of pregnancy, the fetus may be particularly vulnerable to maternal binge or heavy alcohol use. Alcohol-related birth defects are completely preventable (20). Even moderate alcohol consumption during pregnancy may alter psychomotor development, contribute to c ...
Stress Testing and MPI Primer
Stress Testing and MPI Primer

... Monitoring During Exercise Stress Testing The most popular lead system for exercise ECG testing is a simple modification of the standard 12-lead ECG with the arm and leg electrodes moved to the torso. It is important that the arm electrodes be placed at the base of the shoulder just inside the borde ...
Trichothiodystrophy
Trichothiodystrophy

... irradiation (54). The evaluation of the expression of the DNA excision repair mechanism in the chorionic villi is quite suitable for prenatal diagnosis of PIBI(D)S syndrome at the first trimester (55-56). Prenatal diagnosis can be also made by following UV-induced UDS on trophoblast biopsy cells aro ...
classen_2b
classen_2b

...  Physician practices that fulfill this standard will use an EHR with: – Information on age/gender diagnoses, medications, allergies, weight, and laboratory test results – Clinical decision support based on drug reference information that can intercept at least 50 percent of common prescribing error ...
Fundamentals of Tuberculosis
Fundamentals of Tuberculosis

... (TU) of liquid tuberculin between the layers of the skin (intradermally), usually on the forearm. A tuberculin unit is a standard strength of tuberculin. The tuberculin used in the Mantoux skin test is also known as purified protein derivative or PPD. For this reason, the tuberculin skin test is som ...
NBER WORKING PAPER SERIES WHAT DETERMINES HETEROGENEITY IN IMAGING BEHAVIOR?
NBER WORKING PAPER SERIES WHAT DETERMINES HETEROGENEITY IN IMAGING BEHAVIOR?

... critically on the nature of the inefficiency: is the problem that physicians are spending to the “flat of the curve” where marginal returns to treatment are low, or are physicians treating the wrong patients (Garber and Skinner 2008)? And more fundamentally, does heterogeneity in medical spending im ...
Utilization Guidelines for Blood and Blood Components
Utilization Guidelines for Blood and Blood Components

... suspected platelet dysfunction results in major microvascular bleeding in the surgical field, as opposed to bleeding from large open vessels. e. Neurologic or ophthalmologic procedures typically require a platelet count near 100,000 to limit closed space bleeding. f. In cardiovascular surgery when c ...
Guideline: Obesity in pregnancy
Guideline: Obesity in pregnancy

... These guidelines have been prepared to promote and facilitate standardisation and consistency of practice, using a multidisciplinary approach. Information in this guideline is current at time of publication. Queensland Health does not accept liability to any person for loss or damage incurred as a r ...
Abortion
Abortion

... medical and psychological consequences. The medical complications include hemorrhage, infection, embolism and complications of anesthesia, and the psychological consequences include depression and anxiety for the woman and her family. Spontaneous abortion may be complete or incomplete. Missed aborti ...
Marijuana Use During Pregnancy: Short and Long
Marijuana Use During Pregnancy: Short and Long

...  As more states consider legalization and more ...
Hypertension in pregnancy ASH Position Article Marshall D. Lindheimer, MD
Hypertension in pregnancy ASH Position Article Marshall D. Lindheimer, MD

... the disorder most often associated with severe maternal-fetalneonatal complications (including fatalities). Most women in category 2 have essential hypertension, mostly mild (ⱕ105 mm Hg) in intensity, their pregnancies usually (but not invariably) uncomplicated. On occasion, the high BP is secondary ...
The Texas Clinician`s Postpartum Depression Toolkit
The Texas Clinician`s Postpartum Depression Toolkit

... o EPDS: A 10-item tool to screen for postpartum depression available at the link provided above. A score of 10 or more suggests depressive symptoms. A score of 13 or more indicates a high likelihood of major depression. A score of 1 or more on question #10 is an automatic positive screen because it ...
A case of erythema nodosum leprosum reaction treated by pulsed methylprednisolone
A case of erythema nodosum leprosum reaction treated by pulsed methylprednisolone

... clinically considered in the differential diagnosis of other diseases that present with symptoms of tender nodules, such as erythema nodosum, other panniculitides, Sweet syndrome, and nodular vasculitis. However, histological findings are helpful for a definite diagnosis. It is not known whether the ...
Case Report H1N1 Influenza Viral Infection in a
Case Report H1N1 Influenza Viral Infection in a

... Health Organization (WHO) to state that during pregnancy both mother and baby are at increased risk when infected with either pandemic or seasonal influenza and that pregnant women should be vaccinated [1]. A reported systematic literature review found that pregnancy was associated with increased ri ...
Pregnancy and IBD
Pregnancy and IBD

... a caesarean section may be necessary. Occasionally a stoma can move during pregnancy and cause discomfort, especially if you get a lot of morning sickness. It will usually return to normal after the delivery. You may also find there is an increase in output during the third trimester of pregnancy, b ...
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Prenatal testing

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