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Tuberculosis and Diabetes Mellitus Control and Care
Tuberculosis and Diabetes Mellitus Control and Care

... Tuberculosis (TB) remains one of the leading killers among bacterial diseases worldwide. In the Philippines, the prevalence of culture-positive TB is estimated to be 5 per 1000 and that for sputum smear-positive pulmonary TB is 2 per 1000 based on the 2007 National Prevalence Survey. In addition, th ...
Factor V - The American Society of Pediatric Hematology/Oncology
Factor V - The American Society of Pediatric Hematology/Oncology

... 10. A 22 year old woman with a history of 2 spontaneous abortions is referred by her obstetrician back to her primary care provider for evaluation of mild thrombocytopenia that was noted at the time of the second pregnancy loss, and has been persistent now for 6 months. The patient has never had any ...
Rady Children`s Hospital San Diego/University of C
Rady Children`s Hospital San Diego/University of C

... and no incidence of clinical refeeding syndrome [8–15]. While rate of calorie advancement varied among groups, increasing 250 kcals on day 2 and 3, and then by 250 kcals every other day until day 7, was not associated with increased risk of electrolyte abnormalities and resulted in faster weight gai ...
The Management of Hypertensive Disorders of Pregnancy 2014
The Management of Hypertensive Disorders of Pregnancy 2014

... The classification of severe preeclampsia would ideally allow the identification of those women and babies at increased risk of adverse maternal/fetal outcomes and/or requiring more intensive monitoring and/or treatment. A number of classification systems and surveys have attempted to identify whic ...
Spontaneous rupture of the oesophagus
Spontaneous rupture of the oesophagus

... pleural spaces, retroperitoneum or lesser sac) (2,14,16,23). Endoscopy is not commonly used for diagnosis. Furthermore, it may be associated with additional risks as both the endoscope and insufflation of air can extend the perforation and introduce air into the mediastinum (13). However, endoscopy ...
Sample pages 1 PDF
Sample pages 1 PDF

... the acromion and slightly inferiorly, one reaches the greater tuberosity of the humerus. The bicipital grove is located just medial and anterior to the greater tuberosity and is best felt when the arm is externally rotated, when the tendon of the long head of the biceps can be rolled. Palpating post ...
Serotonin Syndrome: Fentanyl and Selective Serotonin Reuptake
Serotonin Syndrome: Fentanyl and Selective Serotonin Reuptake

... cardiorespiratory and thermal abnormalities corrected and may benefit from 5-HT2A antagonist administration.10 Patients with moderate to severe cases are typically treated with cyproheptadine.7 Additionally, olanzapine or chlorpromazine are other drug options, but are not routinely used due to their ...
USMLE Step 2 Clinical Knowledge (CK) Sample Test Questions
USMLE Step 2 Clinical Knowledge (CK) Sample Test Questions

... This is the traditional, most frequently used multiple-choice format. It consists of a vignette and question followed by three to twenty-six options that are in alphabetical or logical order. The response options in this format are lettered (eg, A, B, C, D, E). You are required to select the one bes ...
Benign Joint Hypermobility Syndrome
Benign Joint Hypermobility Syndrome

... Brighton are the ones most frequently cited in the literature.3 Generalized joint laxity is commonly seen in healthy individuals who do not have complaints. Hypermobility that is not associated with systemic disease occurs in 4% to 13% of the population.4,5 Hypermobility diminishes as one ages, and ...
Sydney Children’s Hospital, Randwick  Mother-to-child-transmission (MTCT)
Sydney Children’s Hospital, Randwick Mother-to-child-transmission (MTCT)

... Women who are HIV positive and pregnant require an integrated multidisciplinary approach to care. This includes HIV physicians, obstetricians, midwives and paediatric HIV specialists. The Paediatric HIV Team at Sydney Children’s Hospital is a multi-disciplinary team of medical staff, a Clinical Nurs ...
Allergic Fungal Sinusitis
Allergic Fungal Sinusitis

... requires increasing the dose of prednisone or surgical intervention.10 Recently, immunotherapy has been proposed as a treatment for AFS. Patients usually have elevated total and fungal-specific IgE levels as well as hypersensitivity to multiple fungal and nonfungal antigens as demonstrated by allerg ...
Screening for obstructive sleep apnea before surgery
Screening for obstructive sleep apnea before surgery

... are theories that sleep disturbances, including sleep deprivation and fragmentation as well as rebound increases in rapid eye movement sleep during the later postoperative period, may have additional adverse effects on the cardiorespiratory system [30]. In clinical studies of patients with OSA, the ...
Pregnancy - American College of Gastroenterology
Pregnancy - American College of Gastroenterology

... Treatment for incontinence may include dietary modification, fiber supplementation, and pharmacologic intervention with agents such as loperamide. Biofeedback and surgical techniques such as creating a neosphincter have also been shown to be effective. Newer therapies such as sacral nerve stimulatio ...
Preventive Services
Preventive Services

... exception of groups maintaining "grandfathered" status, all Tufts Health Plan plans are required to provide 100% coverage for preventive care services. Grandfathered groups are not subject to this requirement, but many of these groups have opted to cover preventive services with no cost sharing. Thi ...
Rhinitis - Quest Diagnostics
Rhinitis - Quest Diagnostics

... • Has a high risk of anaphylaxis (a severe, systemic reaction to the allergen challenge) from skin testing • Is receiving medications (eg, beta-blockers, angiotensin-converting enzyme inhibitors, and some antihistamines and tricyclic antidepressants) that interfere with skin testing • Is uncooper ...
Case Presentations
Case Presentations

... Screening for CV Disease • ACC/AHA – persons with multiple risk factors (including patients with T2DM) =IIb indication (usefulness/efficacy not well established by evidence/opinion). • ADA –Stress testing in abnormal ECG (ST-T abnormalities, ischemia, or infarction), and ≥2 risk factors. • Before e ...
metabolic syndrome
metabolic syndrome

... individual’s risk of developing atherosclerosis and coronary heart disease between 1.5 and threefold.18 The risk of developing sub-clinical atherosclerosis is also increased by the presence of the metabolic syndrome, and the greater the number of diagnostic criteria present, the greater the risk.19 ...
Manual of Laboratory Techniques
Manual of Laboratory Techniques

... Disease surveillance has long been recognized as an important tool for measuring the disease burden, studying morbidity and mortality trends and early detection of outbreaks for instituting effective control measures in a timely manner. Though, the health care infrastructure in our country has grown ...
Pregnancy outcomes in pulmonary arterial hypertension in the modern management era
Pregnancy outcomes in pulmonary arterial hypertension in the modern management era

... In addition, the females having a worse outcome in our study delivered by emergency caesarean section under general anaesthesia, and worsened and/or died during the early postpartum period. BÉDARD et al. [13] made the same observations, and showed that general anaesthesia was associated with a four ...
miscarriage - Lenus, The Irish Health Repository
miscarriage - Lenus, The Irish Health Repository

... and look to the future. It is not suggested that you will forget that you have had a miscarriage, it is a part of your life. Most women feel particular sadness around the date their baby would have been due. For women who have suffered recurrent miscarriage it can be difficult to face the future pos ...
Amoebic liver abscess: an unusual cause for a right iliac fossa mass
Amoebic liver abscess: an unusual cause for a right iliac fossa mass

... fecally contaminated food or water. Malnutrition, poor sanitation, alcoholism, immunosuppression, recent travel to endemic area, and poor socio- economic status have been identified as potential risk factors [4]. Studies have reported that the ultrasound scan has a sensitivity of more than 90% for d ...
Anemia
Anemia

... c. Blind loop syndrome d. Nontropical sprue a. b. ...
Update multiple endocrine neoplasia type 2
Update multiple endocrine neoplasia type 2

... germline activating mutations of the RET proto-oncogene on chromosome 10. It is clinically characterized by the presence of medullary thyroid carcinoma (MTC), bilateral pheochromocytoma and primary hyperparathyroidism (MEN2A) within a single patient. Three distinct clinical forms have been described ...
The Newest Findings in the Use of Laboratory
The Newest Findings in the Use of Laboratory

... Inflammation • Inflammation (Latin, inflammatio, to set on fire) is the complex biological response of vascular tissues to harmful stimuli, such as pathogens, damaged cells, or irritants like toxins. It is a protective attempt by the organism to remove the injurious stimuli as well as initiate the ...
METABOLIC ALKALOSIS
METABOLIC ALKALOSIS

... ✓ Hydrochloric acid is indicated when sodium or potassium chloride cannot be administered because of volume overload or advanced renal failure, or in states where prompt correction is needed and other acidifying agents are contraindicated (eg, cardiac arrhythmias, hepatic encephalopathy). Due to the ...
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Prenatal testing

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