Management of respiratory tract infections in children
... 10 GUIDELINES FOR MANAGEMENT OF RESPIRATORY TRACT INFECTIONS ...
... 10 GUIDELINES FOR MANAGEMENT OF RESPIRATORY TRACT INFECTIONS ...
Acute appendicitis
... The child’s restlessness should be attributed to intensification of pain. The continuous pain disturbs sleep. Vomiting is a rather constant sign. It is characteristically repeated (3 to 5 times), which is one of the specific features of appendicitis at this age. Body temperature is almost always inc ...
... The child’s restlessness should be attributed to intensification of pain. The continuous pain disturbs sleep. Vomiting is a rather constant sign. It is characteristically repeated (3 to 5 times), which is one of the specific features of appendicitis at this age. Body temperature is almost always inc ...
Respiratory tract infections: Full guideline - Apendices (Draft)
... GPs, nurse practitioners and pharmacists) on: which RTIs do not require immediate antibiotic treatment which antibiotic management strategies could be offered once a decision has been made that the patient does not need immediate antibiotic treatment the clinical and cost-effectiveness of dela ...
... GPs, nurse practitioners and pharmacists) on: which RTIs do not require immediate antibiotic treatment which antibiotic management strategies could be offered once a decision has been made that the patient does not need immediate antibiotic treatment the clinical and cost-effectiveness of dela ...
ABC of Ear, Nose, and Throat
... emphasised their economic importance. He said that the work was ‘‘collected together to provide the busy clinician with a practical, reliable source for these common problems’’. Since that time the specialty of ENT has expanded, diagnostics have improved and treatment of many of diseases and disorde ...
... emphasised their economic importance. He said that the work was ‘‘collected together to provide the busy clinician with a practical, reliable source for these common problems’’. Since that time the specialty of ENT has expanded, diagnostics have improved and treatment of many of diseases and disorde ...
Dizziness And Vertigo
... changes in the vestibular system. The therapy can also help train your eyes and other senses to "learn" how to compensate. This therapy is most helpful when it is started as soon as possible after you develop vertigo. ...
... changes in the vestibular system. The therapy can also help train your eyes and other senses to "learn" how to compensate. This therapy is most helpful when it is started as soon as possible after you develop vertigo. ...
Acute Renal Failure
... Definition of Acute Renal Failure • An abrupt increase in the BUN and Creatinine with corresponding problems in handling of fluids, Potassium, Phosphorus, and acid-base balance. This is usually a greater than 50% decline in the GFR. ...
... Definition of Acute Renal Failure • An abrupt increase in the BUN and Creatinine with corresponding problems in handling of fluids, Potassium, Phosphorus, and acid-base balance. This is usually a greater than 50% decline in the GFR. ...
Chapter 19: Diseases of the Eyes, Ears, Nose, and Throat
... ii. Check for paralysis of gaze or discoordination between the movements of the two eyes (dysconjugate gaze) Obtain a full set of baseline vital signs. a. Reassess every 5-15 minutes depending upon the patient’s condition. The patient may experience side effects if: a. He or she uses more than one e ...
... ii. Check for paralysis of gaze or discoordination between the movements of the two eyes (dysconjugate gaze) Obtain a full set of baseline vital signs. a. Reassess every 5-15 minutes depending upon the patient’s condition. The patient may experience side effects if: a. He or she uses more than one e ...
CME Otoplasty
... ods that excise, bend, suture, scratch, or reposition the auricular cartilage. The multitude of different approaches indicates that there is not one clearly definitive technique with which to correct these problems. Although this discussion will center on the prominent ear and its correction, the fu ...
... ods that excise, bend, suture, scratch, or reposition the auricular cartilage. The multitude of different approaches indicates that there is not one clearly definitive technique with which to correct these problems. Although this discussion will center on the prominent ear and its correction, the fu ...
September, 2013 - Clarkson University
... be removed or treated. Chronic pain is the number one cause of adult disability in the United States. Chronic pain can touch nearly every part of a person’s daily life. It also has an impact on the family and, because of its economic and social consequences, it affects us all. Chronic pain can be a ...
... be removed or treated. Chronic pain is the number one cause of adult disability in the United States. Chronic pain can touch nearly every part of a person’s daily life. It also has an impact on the family and, because of its economic and social consequences, it affects us all. Chronic pain can be a ...
1 Chapter 160: Trauma to the Middle Ear and Temporal Bone Sam E
... causing a tear in the tympanic membrane, and active bleeding from the middle ear may be observed. Close observation for possible cerebrospinal fluid leakage should also be made at this time. It is often difficult to determine if there is spinal fluid present, if there is fairly active bleeding. It m ...
... causing a tear in the tympanic membrane, and active bleeding from the middle ear may be observed. Close observation for possible cerebrospinal fluid leakage should also be made at this time. It is often difficult to determine if there is spinal fluid present, if there is fairly active bleeding. It m ...
Brennan presentation
... meta-analysis of randomized controlled trials. Anesthesiology 2011:115 :575 -588. mixed effect • Analgesic effect of NSAIDs and COX-2 inhibitors A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Intravenous Ibuprofen in the Management of Postoperative Pain Following Abdominal Hyst ...
... meta-analysis of randomized controlled trials. Anesthesiology 2011:115 :575 -588. mixed effect • Analgesic effect of NSAIDs and COX-2 inhibitors A Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Intravenous Ibuprofen in the Management of Postoperative Pain Following Abdominal Hyst ...
Otitis media
Otitis media is a group of inflammatory diseases of the middle ear. The two main types are acute otitis media (AOM) and otitis media with effusion (OME). AOM is an infection of abrupt onset that usually presents with ear pain. In young children this may result in pulling at the ear, increased crying, and poor sleep. Decreased eating and a fever may also be present. OME is typically not associated with symptoms. Occasionally a feeling of fullness is described. It is defined as the presence of non-infectious fluid in the middle ear for more than three months. Chronic suppurative otitis media (CSOM) is middle ear inflammation of greater than two weeks that results in episodes of discharge from the ear. It may be a complication of acute otitis media. Pain is rarely present. All three may be associated with hearing loss. The hearing loss in OME, due to its chronic nature, may affect a child's ability to learn.The cause of AOM is related to childhood anatomy and immune function. Either bacteria or viruses may be involved. Risk factors include: exposure to smoke, use of pacifiers, and attending daycare. It occurs more commonly in those who are Native American or who have Down syndrome. OME frequently occurs following AOM but may also be related to viral upper respiratory infections, irritants such as smoke, or allergies. Looking at the eardrum is important for making the correct diagnosis. Signs of AOM include bulging or a lack of movement of the tympanic membrane from a puff of air. New discharge not related to otitis externa also indicates the diagnosis.A number of measures decrease the risk of otitis media including: pneumococcal and influenza vaccination, exclusive breastfeeding for the first six months of life, and avoiding tobacco smoke. In those with otitis media with effusion antibiotics do not generally speed recovery. The use of pain medications for AOM is important. This may include: paracetamol (acetaminophen), ibuprofen, benzocaine ear drops, or opioids. In AOM, antibiotics may speed recovery but may result in side effects. Antibiotics are often recommended in those with severe disease or under two years old. In those with less severe disease they may only be recommended in those who do not improve after two or three days. The initial antibiotic of choice is typically amoxicillin. In those with frequent infections tympanostomy tubes may decrease recurrence.Worldwide AOM affect about 11% of people a year (about 710 million cases). Half the cases involve children less than five years of age and it is more common among males. Of those affected about 4.8% or 31 million develop chronic suppurative otitis media. Before the age of ten OME affects about 80% of children at some point in time. Otitis media resulted in 2,400 deaths in 2013 – down from 4,900 deaths in 1990.