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7 Fluid and Electrolyte Management Chapter
7 Fluid and Electrolyte Management Chapter

... Colloid particles are much larger than the electrolyte components in crystalloid solutions, so they tend to provide less free water and stay primarily in the intravascular space. Examples of crystalloids are lactated Ringer’s (LR) and normal saline (NS). These types of fluids may also contain dextro ...
CLINICAL BIOCHEMISTRY
CLINICAL BIOCHEMISTRY

... results it yields. False-positive results may lead to misdiagnosis and unnecessary administration of diagnostic and therapeutic procedures that may worsen the patient's quality of life. Diagnostic sensitivity of a test for a specific disease is only a percentage of the rate of true positive test re ...
Thrombotic Thrombocytopenic Purpura
Thrombotic Thrombocytopenic Purpura

... have similar overlapping clinical presentations is very difficult. The complexity of categorizing these comorbidities or other conditions has not been resolved. Thrombotic microangiopathies have varying causes and pathology but present with clinical manifestations that are TTP-like. These include dr ...
ms. subija.d
ms. subija.d

... trimester of pregnancy. The finding revealed that after days 10 of the 13(77%) subjects receiving ginger had at least a 4-point improvement on the nausea scale only 2 of the 10 (20%) remaining subjects in the placebo group had the same improve conversely, no women in the ginger group but 7(70%) of t ...
Cesarean Delivery
Cesarean Delivery

... although some patients have pelvic pain. Findings on physical examination, ultrasonography, and computed tomography are often negative. Continued fever despite several days of antibiotic therapy suggests septic thrombophlebitis. Traditional treatment includes intravenous heparin in combination with ...
Objectives:
Objectives:

... ug/dl) does not apply in the critically ill population (Figure 2) as baseline cortisol levels are increased in critically ill subjects. 60 min cortisol < 20 ug/dl after a cosyntropin stimulation test is diagnostic of adrenal insufficiency in most settings; although it does not apply in the criticall ...
Breast disorders in adolescents - Stony Brook University School of
Breast disorders in adolescents - Stony Brook University School of

... Physiologic – most common etiology in pubertal males Medications (Spironolactone, H2 blockers, TCAs, reglan, ...
Hearing loss in adults - Legacy Screening Portal
Hearing loss in adults - Legacy Screening Portal

... over 50 years of age identified prevalence ranges from 20 to 40% and in those over 80 years of age, depending on the population evaluated and the criteria used to define hearing loss, over 80%.3 In a prospective study of 3755 adults ages 48 to 92 years without hearing loss at baseline the prevalence ...
Diabetes - Bolton GP Training
Diabetes - Bolton GP Training

... quality controlled and its results can be internationally referenced • And there are no conditions present which preclude its accurate measurement. ...
Blood and Bone Marrow Evaluation for Eosinophilia
Blood and Bone Marrow Evaluation for Eosinophilia

... that the 2 diseases share more genetic similarities than previously understood.27 In addition, a case has been reported that met diagnostic criteria for both MPN with PDGFRA rearrangement and SM because of the presence of multiple dense mast cell aggregates in the bone marrow.28 Cases that fully mee ...
Guidelines for Pre-diabetes Diagnosis and Management
Guidelines for Pre-diabetes Diagnosis and Management

... Advantages of A1c over FPG or OGTT: better indicator of overall glycemic exposure less variability, unaffected by outside factors like stress not a timed test, requires no fasting; more convenient Better at predicting complications ≥ 6.5% seems to be a reasonable cut-point to avoid overdiagnosis. An ...
Guidelines for the use of thyroid function tests
Guidelines for the use of thyroid function tests

... months after treatment of hyperthyroidism, due to delayed recovery of the previously suppressed thyrotroph. At that stage measurement of FT4 is the more sensitive indicator of thyroid failure. If however, the hypothalamic-pituitarythyroid axis has recovered, measurement of TSH is more meaningful in ...
ISCD Official Positions 2005
ISCD Official Positions 2005

... Females Less Than Age 20) (4) • Serial BMD studies should be done on the same machine using the same scanning mode, software and analysis when appropriate. Changes may be required with growth of the child. • Any deviation from standard adult acquisition protocols, such as use of low-density software ...
Rapid Response Team
Rapid Response Team

... Lighthouse Development Team ...
Interruption of nonviable pregnancies of 24–28 weeks
Interruption of nonviable pregnancies of 24–28 weeks

... misoprostol. Interruption of pregnancy at this gestational age is usually due to special circumstances, such as fetal demise or lethal fetal anomalies. In recent years, the use of misoprostol, alone or in combination with mifepristone, for these indications has increased due to the availability, saf ...
Management, prevention and control of tuberculosis
Management, prevention and control of tuberculosis

... extensive lymphatic and haematogenous spread can occur in this period, resulting in widespread seeding of TB, particularly in children and in those who are immunosuppressed for whatever reason. This seeding occurs through lungs, brain, lymph nodes and other organs such as bones and kidneys. Miliary ...
Thrombocytopenia in Infants and Children
Thrombocytopenia in Infants and Children

... –Congenital amegakaryocytic thrombocytopenia –Wiskott-Aldrich syndrome –X-linked thrombocytopenia with thalassemia –Giant platelet disorders –Bernard-Soulier syndrome –May-Hegglin/Fechtner/Epstein and Sebastian syndromes ...
Ultrasound-Guided Fine Needle Aspiration Biopsy of the Thyroid
Ultrasound-Guided Fine Needle Aspiration Biopsy of the Thyroid

... thyroid gland. The thyroid gland is located in front of the neck just above the neckline and is shaped like a butterfly, with two lobes on either side of the neck connected by a narrow band of tissue. Nodules or abnormalities in the body are often detected by imaging examinations. However, it is not ...
Potassium Problems in the Dialysis Patient
Potassium Problems in the Dialysis Patient

... • Monitoring your monthly blood potassium level. • Providing education. One key role of our dietitians is to give you information on foods that are both high and low in potassium. • For hemodialysis patients, verifying the dialysate (bath) concentration attached to your machine is correct (same as o ...
SAN FRANCISCO CITY CLINIC CLINICAL PROTOCOLS SEXUALLY TRANSMITTED DISEASES
SAN FRANCISCO CITY CLINIC CLINICAL PROTOCOLS SEXUALLY TRANSMITTED DISEASES

... Condoms may be helpful to reduce the frequency of recurrence. No clinical counterpart of BV is recognized in the male and treatment of sex partners does not affect likelihood of relapse or recurrence. The male partner can be offered a STD exam and appropriate screening tests and be given relevant in ...
unc fibroid care clinic
unc fibroid care clinic

... the belly button. Three to five incisions are usually required and recovery time is much faster than with laparotomy. An instrument called a morcellator cuts the fibroids into pieces that fit through these small incisions. Laparoscopy carries a decreased risk of complications such as blood clots in ...
PSPT - PRC Optimization Tool
PSPT - PRC Optimization Tool

... contractions and expels and baby and all other pregnancy-related tissues from the uterus. Sustaining Pregnancy after Mifepristone Ingestion Progesterone is a natural hormone made and released by the female ovaries which is essential for sustaining pregnancy. Progesterone therapy has been proven to h ...
Central venous cannulation
Central venous cannulation

... o Work from middle outwards in one spiral motion (using cleansing snap-sponge) o Repeat this with 2nd cleansing snap-sponge o Discard used snap-sponges as they are no longer sterile, but note all equipment used after this (including all needles) can be returned to the sterile field after use o Apply ...
(LDH) in serum and amniotic fluid. When prolonged pregnancy
(LDH) in serum and amniotic fluid. When prolonged pregnancy

...  frequent visits of clinic lead to waste of scarce resources that could be used more efficiently.  During pregnancy, women often lead midwife or tera-pevt, not professional, and it has no effect on perinatal outcome. Prenatal care The goal of prenatal care:  health of a child;  provide support a ...
OBSTETRIC TRAUMA GUIDELINE   1. Key Messages  
OBSTETRIC TRAUMA GUIDELINE   1. Key Messages  

... Pregnancy causes physiological change in many body systems.  As a result, normal models of  trauma care must be modified for the pregnant trauma patient.  The adaptations of  pregnancy which are important in trauma care are:  ...
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Prenatal testing

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