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Phenotypic variability of a distinct deletion in
Phenotypic variability of a distinct deletion in

... McLeod family of German descent with predominant psychiatric manifestations at disease onset. They harbored a distinct disease-causing mutation already known from patients differing in clinical presentation as well as in geographical and ethnical background. PATIENTS AND METHODS The two brothers rep ...
Neurology for Neuropsychologists
Neurology for Neuropsychologists

... ● Less invasive option ● Some patients cannot participate in fMRI (agitation, cognitive issues) ● At times fMRI does not provide conclusive information Dym RJ, Burns J, Freeman K, Lipton ML. Is functional MR imaging assessment of hemispheric language dominance as good as the Wada test?: a meta-analy ...
Preterm labor and PROM
Preterm labor and PROM

...  serial assessment of maternal symptoms and fetal movement (daily by the woman)  serial measurements of BP (twice weekly)  assessment of platelet counts and liver enzymes (weekly) is suggested  US to assess fetal growth and antenatal testing to assess fetal status  If evidence of fetal growth r ...
Endocrine Function Tests Collection Protocols
Endocrine Function Tests Collection Protocols

... disease) show no change in serum cortisol levels after ACTH administration. Patients with atrophy of the adrenal cortex due to exogenous glucocorticoid treatment or dysfunction of the pituitary gland or hypothalamus may show a slight rise in serum cortisol levels, but not one of normal magnitude. Pr ...
Writing Examination Questions to Meet ACGME Scholarly Activity
Writing Examination Questions to Meet ACGME Scholarly Activity

... B IgG core antibody positive; Hepatitis B surface antigen negative; Hepatitis B surface antibody negative; Hepatitis A IgG positive; Hepatitis C antibody positive; Hepatitis C PCR undetectable; ANA titre 1:20. An ultrasound of his liver reveals hepatomegaly and fatty changes. What is the most likely ...
Anticoagulation in pregnancy
Anticoagulation in pregnancy

... Discontinue LMWH 24 hours before induction of labor or LSCS or starting of neuraxial anesthesia Switch to IV UFH for patient with high risk of recurrent DVT of PE and discontinue 4 – 6 hours prior to delivery or epidural insertion ...
5-JOSEPHINE-DETERMINANTS OF UNINTENDED PREGNANCY
5-JOSEPHINE-DETERMINANTS OF UNINTENDED PREGNANCY

... one of the greatest contributors of maternal mortality currently estimated at 488 deaths per 100 000 live births. Most of these deaths results from unsafe abortion. In Kenya, the determinants of unintended pregnancies regionally are poorly understood. This study therefore sought to establish determi ...
Contrast Media Administration to Pregnant or Potentially Pregnant
Contrast Media Administration to Pregnant or Potentially Pregnant

... o the information needed cannot be acquired through other means (e.g. ultrasound) or without the use of intravenous contrast media. o the information needed affects the care of the patient and fetus during the pregnancy. o the referring physician thinks it is not prudent to wait until the patient is ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... was 700ml. Blood pressure range was between 140/90 to 150/100 mm of Hg. A diagnosis of primigravida with 34 weeks of gestation with severe pre eclampsia with IUGR was made & since the urine output was good we decided to wait to give the benefit of steroids to the foetus. 6 hours later urine output d ...
The Application of First‑Trimester Volumetry in Predicting Pregnancy
The Application of First‑Trimester Volumetry in Predicting Pregnancy

... last menstrual period in a woman during her reproductive life. This period is fraught with a lot of complications associated with human formation, development and growth. First trimester ultrasonography therefore aims to establish viability, pregnancy dating, detect multiple pregnancy, observe uteri ...
[635] Amniocentesis in Women Infected with Hepatitis C Virus
[635] Amniocentesis in Women Infected with Hepatitis C Virus

... [635] Amniocentesis in Women Infected with Hepatitis C Virus. Valeria Savasi, Bina Parrilla, Simona Fiore, Martina Ratti, Irene Cetin Obstetrics and Gynecology, DSC L. Sacco, University of Milan, Milan, Italy Introduction: Mothers infected with HCV viruses with detectable viraemia can pass on the in ...
Delivery Record
Delivery Record

... Medications: Check all that apply. Steriods - indicate the date and time of first dose and total number of doses, including doses given prior to hospital admission. Antibiotics - indicate the date and time of first dose in space provided. Obstetrical Comments: Document any relevant information relat ...


... tinued. During the same year, a second spontaneous abortion occurred in the second month of pregnancy. In November 1967 postoperative right heart catheterization showed an increase in cardiac output and reduction in pulmonary capillary and pulmonary artery pressures from the preoperative levels (Tab ...
Maternal- Fetal Respiratory Physiology and Pathophysiology
Maternal- Fetal Respiratory Physiology and Pathophysiology

... • The Pneumonia Severity Index (PSI) is the most widely used tool in the U.S. to determine if the patient needs inpatient care and the need for the ICU. • The PSI uses demographics (whether someone is older, and is male or female), the coexistence of co-morbid illnesses, findings on physical examina ...
Assisting with Highly Specialized Examinations
Assisting with Highly Specialized Examinations

... injection of contrast medium to evaluated function and structure of arteries. Echocardiography tests- uses sound waves to detect structural defects or fluid accumulations. Cardiac catheterization – catheter is inserted into a vein or artery of the arm or leg to the blood vessels of the heart to meas ...
2015 Final Question Paper and Key 1.
2015 Final Question Paper and Key 1.

... 102. A 12 year old boy with learning disability was seen in the child development centre with a 12 month history of increasingly awkward gait and difficulty getting footwear. On examination he has a scoliosis, marked pes cavus, absent lower limb reflexes and extensor plantar responses. What is the m ...
Full Article
Full Article

... and a radiotherapist, in order to best advice the patient about the treatment regimens available, the potential risks for both, mother and the foetus, the prognosis, and the necessity of long-term follow-up. This study presents the use of CMT in a series of pregnant and postpartum patients receiving ...
Fever and Severe Headache in a Young Man
Fever and Severe Headache in a Young Man

... pleocytosis (up to 500/µ L, mainly lymphocytes). Red blood cells are found in some patients; this finding reflects the hemorrhagic nature of the CNS lesions. The protein level is increased in most patients. The CSF glucose level may be normal or decreased; tuberculosis and fungal meningitis are also ...
Analgesia and Anasthesia During Labor
Analgesia and Anasthesia During Labor

... - Relieves pain associated with 2nd (pushing) stage of labor. Lidocaine 1% used. - through vaginal wall and into pudendal nerve in pelvis, numbs area between vagina & anus - 22 gauge needle [bilateral] – Does not relieve pain of contractions. – Works quickly; does not affect baby. – Given shortly be ...
Follow_up_rounds-Yoon-8_12_11
Follow_up_rounds-Yoon-8_12_11

... Ceydeli A, Lavotshkin S, Yu J, Wise L. When should we order a CT scan and when should we rely on the results to diagnose an acute appendicitis? Curr Surg. 2006;63(6):464. Gaitini D, Beck-Razi N, Mor-Yosef D, et al. Diagnosing acute appendicitis in adults: accuracy of color Doppler sonography and MDC ...
Global Significance of TB and its Impact on HIV
Global Significance of TB and its Impact on HIV

... • If first test negative, give second test 1-3 weeks later • If second test positive, consider person infected • If second test negative, consider person uninfected ...
Complex regional pain syndrome
Complex regional pain syndrome

... Complex regional pain syndrome (CRPS) is a neurologic disorder that often results in debilitating chronic pain, but the diagnosis may elude providers as it is one of exclusion. A history of trauma may be elucidated. We report a case of CRPS and review the clinical findings, appropriate workup, and t ...
The APIC Model of Transition Planning for Persons With SMI
The APIC Model of Transition Planning for Persons With SMI

... •Females •72% correctly identified •61% sensitivity •75% specificity •14% false negatives ...
Lee Reichman: Good afternoon, everybody, and welcome to our
Lee Reichman: Good afternoon, everybody, and welcome to our

... published in the “American Journal of Perinatology” in 2009, the authors found that this is, indeed, true, that there’s a high PPD read compliance of over 90 percent and treatment compliance as well. And the women who are at highest risk of noncompliance are those who are Hispanic and U.S.-born wome ...
A Man with Muscle Pain, Weakness, and Weight Loss
A Man with Muscle Pain, Weakness, and Weight Loss

... beats per minute, with nonspecific ST-segment and Twave changes. ...
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Prenatal testing

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