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Recognizing and communicating CAUTI
Recognizing and communicating CAUTI

... Asymptomatic bacteriuria (ASB) = Presence of bacteria detected in the urine culture when the resident doesn’t have any localizing signs/symptoms of a CAUTI ...
Surgical Site Infection: New Solutions to a Continuing Problem
Surgical Site Infection: New Solutions to a Continuing Problem

... • Data collected from records by two professional clinical data abstraction centers • Abstraction tool for hospitals is available….Is JCAHO compatible ...
Infect Control Hosp Epidemiol
Infect Control Hosp Epidemiol

... • Data collected from records by two professional clinical data abstraction centers • Abstraction tool for hospitals is available….Is JCAHO compatible ...
Strep Throat - Pediatric Associates of NYC, PC
Strep Throat - Pediatric Associates of NYC, PC

... How You Get Strep Throat Strep throat is an infection in the throat and tonsils caused by group A Streptococcus bacteria (called "group A strep"). Group A strep bacteria can live in a person's nose and throat. The bacteria are spread through contact with droplets from an infected person's sneeze or ...
If You Google Auto-Immune Disease, You`ll Find
If You Google Auto-Immune Disease, You`ll Find

... I believe we serve a sovereign God and he has ordained everyone for distinct purposes. One of mine is to share hope to those who are at the ‘end of their rope’. Those suffering from autoimmune disorders seem to be the outcast of the medical community since they have no real answers to offer them. If ...
Hypophyseal fossa aspergillosis mimicking a pituitary
Hypophyseal fossa aspergillosis mimicking a pituitary

... Out the 25 patients who were diagnosed to have fungal sinusitis on CT in a study done by Zinreich et al, 19 had focal areas of increased density in soft tissue masses on CT [5]. Of these 19, 3 patients yet actually having bacterial sinusitis were falsely diagnosed as fungal sinusitis due to presence ...
Hedonic hunger is increased in severely obese patients and is
Hedonic hunger is increased in severely obese patients and is

... operation (9). Also, circulating concentrations of the hungerpromoting hormone ghrelin have been found to be reduced after the operation in some (10–12) but not in all (13, 14) studies. Overeating as a crucial factor in the pathogenesis of obesity may not only result from increased hunger per se. Th ...
Para Otic Part1
Para Otic Part1

... recurrent URT infections • It is also called “glue ear” as long-standing fluid may become more and more viscous. • The most common symptom is sudden onset of impaired hearing (without acute symptoms) • Diagnosis: visual inspection of tympanic membrane which appear to be yellow or orange & less flexi ...
Inflammation Aggravates Disease Severity in Marfan Syndrome Patients
Inflammation Aggravates Disease Severity in Marfan Syndrome Patients

... numbers of CD4+ T-cells were found in the media (p = 0.02) and increased number of CD8+ T-cells (p = 0.003) in the adventitia of the MFS patients. Conclusion/Significance: In conclusion, our results imply a modifying role of inflammation in MFS. Inflammation might be a novel therapeutic target in th ...


... ABSTRACT: The aetiology of sarcoidosis is still unknown. An infectious microorganism as causal agent for this disease could not be identified, but high titres of antibodies against Borrelia burgdorferi were detected in Chinese studies implying a causality with this disease. These findings, however, ...
“Best o Best o f DDW” f DDW
“Best o Best o f DDW” f DDW

... Certolizumab pegol was detected in the e fetal circuit of 2 placentas placentas, certolizumab pegol in these samples (0.15% and 0.009%) was lower than the amount of anti-D IgG (0.60% and 0.39%, respectively) ...
Guidelines Abstracted from the American Geriatrics Society
Guidelines Abstracted from the American Geriatrics Society

... 1. For older adults with DM and dyslipidemia, efforts should be made to correct the lipid abnormalities if feasible after overall health status is considered. (IA) Evidence supports the use of lipid-lowering agents, particularly statins, in older adults with DM who are younger than 75, but there are ...
ASH 2008 Advances in ITP Research both Basic and Clinical
ASH 2008 Advances in ITP Research both Basic and Clinical

... • Plt counts returned to near baseline 2 weeks after stopping eltrombopag. • Pts responded to eltrombopag regardless of previous therapy. • Fewer pts treated with eltrombopag had any bleeding or clinically significant bleeding throughout the trial. • AEs: overall incidence of AEs was similar. ...
MRI Ordering Guide: MRA/MRV - Saint Francis Hospital and Medical
MRI Ordering Guide: MRA/MRV - Saint Francis Hospital and Medical

... MRI Ordering Guide: Body TO SCHEDULE AN APPOINTMENT: CALL (860) 714-XRAY (714-9729) or FAX REQUISITION TO (860) 714-8002 This is for reference only. Referring provider responsible for insurance pre-authorization. Any patient, who will be receiving contrast, with hypertension, diabetes, kidney or liv ...
Prevention of Infections During Primary
Prevention of Infections During Primary

... Most Frequent Infections According to Primary Immunodeficiencies ...
Case 2 from Bouncebacks Medical and Legal
Case 2 from Bouncebacks Medical and Legal

... A . (triage nurse): “Complains of left shoulder pain, chills, fever.” Not reading the nurses’/triage notes is a common theme in medical malpractice cases. ✔ Teaching point: ALWAYS read the nurses’ notes. If not able to be understood, speak with them personally. Risk management/patient safety issue # ...
ICP management - Boston Medical Center
ICP management - Boston Medical Center

... increase in osmolality from the breakdown of cellular structures within the brain.1 The MonroKellie principle states that the cranial vault is a fixed space (closed box) comprised of brain tissue, cerebrospinal fluid (CSF), extracellular fluid, and blood.2 Several mechanisms exist to compensate for ...
Cutaneous Signs of Systemic Disease (1)
Cutaneous Signs of Systemic Disease (1)

...  The nodules appear SYMETRICALLY and BILATERALLY mainly on the anterior shins  Scattered lesions can also be found on the upper legs, extensor arms, neck, and rarely face  Lesions resolve only with a bruise and DO NOT ulcerate or drain Additionally, patients may present with malaise, leg edema, a ...
Immuno-oncology: a policy action framework
Immuno-oncology: a policy action framework

... Obtaining evidence of long-term survival may take several years, therefore it is important to identify validated intermediary endpoints that are predictive of long-term survival with immuno-oncology therapies.17 These endpoints may help facilitate expedited review or accelerated approval for immuno- ...
Emergency Management of Increased Intracranial Pressure
Emergency Management of Increased Intracranial Pressure

... diagnosis and aggressive treatment of increased ICP is vital in preventing or limiting secondary brain injury in children with a neurological insult. Present management strategies to improve survival and neurological outcome focus on reducing ICP while optimizing cerebral perfusion and meeting cereb ...
The Lymphatic System - Lincolnshire Community Health Services
The Lymphatic System - Lincolnshire Community Health Services

... within the tissues. Lymph carries away the waste products of the circulation. These waste products are then filtered through the two layers of the lymphatic network towards the neck where it drains back into the bloodstream, and then eventually passed out into the urine. There are two parts to the l ...
Seborrheic dermatitis: Etiology, risk factors, and treatments: Facts and controversies ⁎
Seborrheic dermatitis: Etiology, risk factors, and treatments: Facts and controversies ⁎

... nasolabial folds, eyebrows, postauricular areas, and the sternum. The distribution of lesions is generally symmetrical. Absence of a standardized definition of SD has been an obstacle to scientific investigation and its differentiation from dandruff.11 Dandruff can be considered a mild form of SD, w ...
Myasthenia gravis: A comprehensive review of immune
Myasthenia gravis: A comprehensive review of immune

... The MuSK protein plays a major role in the development of the neuromuscular junction [21] and is essential for the clustering of the AChR, as no aggregates of AChRs were observed in its absence [22]. Approximately 40% of patients with generalized symptoms and without anti-AChR antibodies have anti-M ...
Seroprevalence of Mycoplasma pneumoniae in HIV
Seroprevalence of Mycoplasma pneumoniae in HIV

... AIDS is clinically defined as the stage when an HIV-infected person’s CD4+ lymphocyte count falls below 200 per microlitre or the HIV-infected person has any of the AIDSdefining clinical illnesses. Mycoplasmal infection is highly significant clinically in AIDS, even if it is only one example of an o ...
A Review of Zoonotic Tuberculosis at the Human-Livestock
A Review of Zoonotic Tuberculosis at the Human-Livestock

... estimates reported for M. bovis infection among human TB patients (range 0-45%). • Key study characteristics differ considerably, which can have an effect on the risk estimates reported by different studies. • Rural communities are underrepresented in the current literature. • A considerable amount ...
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Multiple sclerosis signs and symptoms



Multiple sclerosis can cause a variety of symptoms: changes in sensation (hypoesthesia), muscle weakness, abnormal muscle spasms, or difficulty moving; difficulties with coordination and balance; problems in speech (dysarthria) or swallowing (dysphagia), visual problems (nystagmus, optic neuritis, phosphenes or diplopia), fatigue and acute or chronic pain syndromes, bladder and bowel difficulties, cognitive impairment, or emotional symptomatology (mainly major depression). The main clinical measure in progression of the disability and severity of the symptoms is the Expanded Disability Status Scale or EDSS.The initial attacks are often transient, mild (or asymptomatic), and self-limited. They often do not prompt a health care visit and sometimes are only identified in retrospect once the diagnosis has been made after further attacks. The most common initial symptoms reported are: changes in sensation in the arms, legs or face (33%), complete or partial vision loss (optic neuritis) (20%), weakness (13%), double vision (7%), unsteadiness when walking (5%), and balance problems (3%); but many rare initial symptoms have been reported such as aphasia or psychosis. Fifteen percent of individuals have multiple symptoms when they first seek medical attention.
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