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- Advantages and disadvantages of oral anticoagulants - LMW heparin dosing renal insufficiency (adults) - Anticoagulant dose adjustment in liver disease - Possible contraindications to anticoagulation - Standard dosing of DOACs - DOACs PK and drug interactions - Inhibitors and inducers of P-glycoprotein drug efflux - DOAC absorption …Acute pancreatitis should be suspected in patients with severe acute upper abdominal pain but requires biochemical or radiologic evidence to establish the diagnosis. This topic will review the clinical manifestations and diagnosis of acute pancreatitis. The etiology, pathogenesis, assessment of severity, and management of acute pancreatitis …Aeromonas species grow at a range of temperatures, although they are isolated with increasing frequency during warmer months (May through October in the Northern hemisphere). Aeromonas species cause a wide spectrum of disease syndromes among warm- and cold-blooded animals, including fish, reptiles, amphibians, mammals, and humans [ 3,4 ].Licensed to: UpToDate Marketing Professional Support Tag : [0602 - 207.46.13.154 - FBF59F1322 - PR14 - UPT - 20240510-02:21:15UTC] - SM - MD - LG - XL Loading

Blood pressure is reported as the systolic pressure over diastolic pressure (eg, 120/70 or "120 over 70"). Untreated high blood pressure increases the strain on the heart and arteries, eventually causing organ damage. High blood pressure increases the risk of heart failure, heart attack (myocardial infarction), stroke, and kidney failure.Severe sepsis in adults: Rapid overview of emergency management during first hour. Table 1. Securing the airway (if indicated), correcting hypoxemia, and establishing venous access for the early administration of fluids and antibiotics are priorities in the management of patients with sepsis and septic shock [ 3,4 ].

INTRODUCTION. Appendicitis, an inflammation of the vestigial vermiform appendix, is one of the most common causes of the acute abdomen and one of the most frequent indications for an emergency abdominal surgical procedure worldwide [ 1,2 ]. The clinical manifestations and differential diagnosis of appendicitis in adults will be reviewed here.

Myasthenia gravis (MG) is an autoimmune neuromuscular disorder characterized by fluctuating motor weakness involving ocular, bulbar, limb, and/or respiratory muscles. The weakness is due to an antibody-mediated, immunologic attack directed at proteins in the postsynaptic membrane of the neuromuscular junction …Nov 10, 2023 · Pneumococcal vaccination is indicated for adults with risk factors for pneumococcal disease or for severe adverse outcomes should disease occur. Pneumococcal vaccination is also a routine part of infant and childhood immunization schedules worldwide. This topic will review types of pneumococcal vaccines, indications and approach to vaccine ... INTRODUCTION — Herpes simplex virus type 1 (HSV-1) is a cause of recurrent vesiculoulcerative lesions of the oral or genital mucosa. It can also cause infection in the eye, skin, central nervous system, and/or visceral organs. This topic will review treatment and prevention of primary and recurrent HSV-1 infections in …Aeromonas species grow at a range of temperatures, although they are isolated with increasing frequency during warmer months (May through October in the Northern hemisphere). Aeromonas species cause a wide spectrum of disease syndromes among warm- and cold-blooded animals, including fish, reptiles, amphibians, mammals, and humans [ 3,4 ]. UpToDate is an online clinical resource tool for physicians and patients that provides information on various specialties and topics. Click on one of the specialties to see sections associated with each, such as Practice Changing UpDates, What's New, Patient Education, Calculators, and Drug Information.

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From the laboratory to your medicine cabinet, the process of researching and developing a drug is long, complicated and costly. From the laboratory to your medicine cabinet, the pr...

Second dose of a 2023-2024 COVID-19 vaccine for individuals 65 years and older (April 2024) In the United States, a single dose of an updated 2023-2024 formula COVID-19 vaccine is recommended for all immunocompetent adults and adolescents, regardless of prior vaccination history. In February 2024, the Centers for Disease Control …Evidence-based medicine (EBM) is the care of patients using the best available research evidence to guide clinical decision-making ( figure 1) [ 1,2 ]. The value of EBM is heightened in light of the following considerations: The volume of evidence available to guide clinical decisions continues to grow at a rapid pace ( figure 2)Our approach to pharmacologic therapy in patients whose systolic blood pressure falls by more than 10 to 20 mmHg after changing from a seated to upright posture is as follows: Choice of pharmacologic therapy – The choice of therapy is generally the same as in patients without orthostatic blood pressure changes.UpToDate is an online platform that offers evidence-based clinical information and decision support for health care professionals and patients. To use UpToDate, you need to …NORTHERN TRUST EAFE INDEX FUND - NON-LENDING- Performance charts including intraday, historical charts and prices and keydata. Indices Commodities Currencies Stocks- VTE terms, definitions, risk factor characterization - Lower extremity vein list - Risk factors for bleeding with anticoagulant therapy - Distal DVT: Factors influencing anticoagulation - Bleeding risk with anticoagulation in VTE - Anticoagulant agent selection - Outpatient care for VTE - Types of inferior vena cava filters RELATED TOPICS. Patient …

UpToDate is one of the most trusted brands in healthcare, providing key clinical and drug information at the point of care, and advanced technologies to educate and engage patients and members. Explore the different elements of the UpToDate suite of solutions that can help support better patient care.UpToDate is an online clinical resource tool for physicians and patients that provides information on various specialties and topics. Click on one of the specialties to see sections associated with each, such as Practice Changing UpDates, What's New, Patient Education, Calculators, and Drug Information.UpToDate: Industry-leading clinical decision support for enterprises. Medical information updates daily. Your care teams and leadership need the best evidence and clinical …Patient level information — UpToDate offers two types of patient education materials. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition. These articles are best for patients who want a general overview and who prefer short, easy-to-read materials.Remember Dollar Shave Club? It's the service that delivers fresh razors to your doorstep, monthly, for a fraction of the cost of the grocery-store equivalent. They had a killer vir...Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options.

ETIOLOGY. Gallstones — Gallstones (including microlithiasis) are the most common cause of acute pancreatitis accounting for 40 to 70 percent of cases [ 1,3,15 ]. However, only 3 to 7 percent of patients with gallstones develop pancreatitis [ 16,17 ]. The mechanism by which the passage of gallstones induces pancreatitis is unknown.Introducing the UpToDate Pro Suite. The UpToDate Pro Suite brings together UpToDate and Lexicomp® products (now UpToDate® Lexidrug™) under the UpToDate name as the trusted partner for individual health professionals who value evidence-based, reliable, and comprehensive clinical information. Learn About This Change.

Patient Education. UpToDate offers two levels of content for patients: The Basics are short overviews. They are written in accordance with plain language principles and answer the four or five most important questions a person might have about a medical problem. Beyond the Basics are longer, more detailed reviews.Are you looking for accurate and up-to-date medical information? Look no further than Uptodate, a comprehensive online resource used by healthcare professionals worldwide. To begin...Apr 5, 2024 ... Outline · - Respiratory/airborne transmission as primary route · - Minimal role of other person-to-person routes · - Viral shedding and period&... UpToDate is a trusted source of clinical information for health professionals. However, the page you are looking for can't be found. Try searching for a different topic or language. Myasthenia gravis (MG) is an autoimmune neuromuscular disorder characterized by fluctuating motor weakness involving ocular, bulbar, limb, and/or respiratory muscles. The weakness is due to an antibody-mediated, immunologic attack directed at proteins in the postsynaptic membrane of the neuromuscular junction …Vaginal yeast infections (also called yeast vaginitis or vaginal candidiasis) are a common problem in women. The most common symptoms are itching and irritation of the vulva and around the opening of the vagina. Vaginal yeast infections usually occur as infrequent episodes, but can recur frequently and may cause chronic persistent symptoms.Spontaneous bacterial peritonitis (SBP) is defined as an ascitic fluid infection without an evident intra-abdominal surgically treatable source [ 1 ]. The presence of SBP, which almost always occurs in patients with cirrhosis and ascites, is suspected because of suggestive signs and symptoms, such as fever, abdominal pain, or altered mental ...Oral options include penicillin V potassium, amoxicillin, cephalexin, and cefadroxil. Parenteral options include cefazolin, nafcillin, and flucloxacillin. (See 'Treatment of erysipelas' above.) Duration of antibiotic therapy – We suggest five to six days of therapy rather than longer durations ( Grade 2C ).

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Licensed to: UpToDate Marketing Professional Support Tag : [0602 - 207.46.13.154 - FBF59F1322 - PR14 - UPT - 20240510-02:21:15UTC] - SM - MD - LG - XL Loading Licensed to: UpToDate Marketing Professional Support Tag : [0602 - 207.46.13.154 - FBF59F1322 - PR14 - UPT - 20240510-02:21:15UTC] - SM - MD - LG - XL Loading Sep 7, 2022 · Chronic diarrhea is defined as three or more loose stools daily for at least four weeks. There are many possible causes of chronic diarrhea. Treatment is aimed at treating the underlying cause of diarrhea (whenever possible), firming up loose stools, and dealing with any complications of diarrhea. Hydroxocobalamin (vitamin B12a supplement and cyanide antidote): Pediatric drug information. Hydroxychloroquine: Pediatric drug information. Hydroxyprogesterone caproate (United States: Withdrawn from market): Pediatric drug information. Hydroxyurea (hydroxycarbamide): Pediatric drug information.Acute pancreatitis should be suspected in patients with severe acute upper abdominal pain but requires biochemical or radiologic evidence to establish the diagnosis. This topic will review the clinical manifestations and diagnosis of acute pancreatitis. The etiology, pathogenesis, assessment of severity, and management of acute pancreatitis are ...UpToDate provides clinical and drug information, patient education, and AI-powered technologies to support better patient care. Learn about the UpToDate suite of …The preventive treatment of episodic migraine headache in adults is reviewed here. The clinical features and management of chronic migraine (defined as ≥15 headache days per month) are discussed separately. (See "Chronic migraine" .) Other aspects of migraine are reviewed elsewhere.Myasthenia gravis (MG) is an autoimmune neuromuscular disorder characterized by fluctuating motor weakness involving ocular, bulbar, limb, and/or respiratory muscles. The weakness is due to an antibody-mediated, immunologic attack directed at proteins in the postsynaptic membrane of the neuromuscular junction …

Reversible posterior leukoencephalopathy syndrome (RPLS) is a clinical radiographic syndrome of heterogeneous etiologies that are grouped together because of similar findings on neuroimaging studies. It is also often referred to as: To continue reading this article, you must sign in with your personal, hospital, or group practice subscription ...Therapy for hyperkalemia due to potassium retention is ultimately aimed at inducing potassium loss [ 1-3 ]. In some cases, the primary problem is movement of potassium out of the cells, even though the total body potassium may be reduced. Redistributive hyperkalemia most commonly occurs in uncontrolled hyperglycemia (eg, …Moved Permanently. The document has moved here.Sign in with Microsoft. Sign in with Open Athens. Sign in Another Way. If your organization permits Single Sign-On (SSO) for UpToDate, you may use your email address here. If not, please enter your Username.Instagram:https://instagram. fin air Intrauterine tamponade (with a balloon, packing, or vacuum) may be used to manage patients with postpartum hemorrhage (PPH) resulting from uterine atony that is not controlled by uterotonic medications and uterine massage. However, outcome data regarding vacuum-induced tamponade are limited.Here we discuss our approach to the adult with unexpected thrombocytopenia. This approach can be used by the primary care physician and the consulting hematologist. Separate topics discuss thrombocytopenia in other populations: Neonates – (See "Neonatal thrombocytopenia: Clinical manifestations, evaluation, and … dollar100 dollar cash app referral code Symptoms and signs — Rhabdomyolysis is characterized clinically by the triad of myalgias, muscle weakness, and red to brown urine due to myoglobinuria [ 1 ]. Biochemically, several serum muscle enzymes are elevated, including CK. The degree of muscle pain and other symptoms varies widely. Most of the symptoms of rhabdomyolysis … fn bounty.org UpToDate is an online clinical resource tool for physicians and patients that provides information on various specialties and topics. Click on one of the specialties to see sections associated with each, such as Practice Changing UpDates, What's New, Patient Education, Calculators, and Drug Information.UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, … poker simulator Learn how to address excessive tardiness and find some of the simplest solutions to tardiness in the workplace. Human Resources | How To WRITTEN BY: Charlette Beasley Published Nov...The Amazon deals keep rolling out in Cyber Week, with big discounts on Amazon digital media and magazine subscriptions. By clicking "TRY IT", I agree to receive newsletters and pro... sundial resort sanibel Powerful and practical clinical knowledge at your fingertips, a personal subscription to UpToDate provides consistent, convenient access to enhance your daily medical practice. UpToDate helps you stay current on the latest evidence-based recommendations across 25 specialties to find answers to your clinical questions. Subscribe.Potassium enters the body via oral intake or intravenous infusion, is largely stored in the cells, and is then excreted in the urine. The major causes of hyperkalemia are increased potassium release from the cells and, most often, reduced urinary potassium excretion ( table 1 ). This topic will review the causes and evaluation of hyperkalemia. summit racing equipment catalog "I want African realities to be explored by Africans." Chimamanda Adichie is vocal about many things and African literature ranks highly on that list. The Nigerian author, in a vid... friendly restaurant Patient level information — UpToDate offers two types of patient education materials. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition. These articles are best for patients who want a general overview and who prefer short, easy-to-read materials.Jan 4, 2024 ... Outline · Constipation · - Osmotic laxatives · - Lubiprostone · - Guanylate cyclase agonists · - Sodium/hydrogen exchanger 3 (NHE... tap tools Generalized anxiety disorder (GAD) is characterized by excessive worry and anxiety that are difficult to control, cause significant distress and impairment, and occur on more days than not for at least six months [ 1 ]. GAD is a relatively common disorder, most often with an adult onset and chronic course [ 2-6 ]. mega millions ticket checker Indices Commodities Currencies StocksMay 4, 2023 · The pharmacology, efficacy, contraindications, and side effects of metformin for the treatment of diabetes will be reviewed here. A general discussion of initial treatment of type 2 diabetes and the role of metformin in the prevention of diabetes, in the treatment of polycystic ovary syndrome, and in gestational diabetes are reviewed separately. chat ra ndom Dissolved CO 2 + H 2 O ↔ H 2 CO 3 ↔ HCO 3- + H +. The ratio between these reactants can be expressed by the Henderson-Hasselbalch equation. By convention, the pKa of 6.10 is used when the denominator is the concentration of dissolved CO 2, and this is proportional to the pCO 2 (the actual concentration of the acid H 2 CO 3 is very …Licensed to: UpToDate Marketing Professional Support Tag : [0602 - 104.224.13.115 - E553BA549D - PR14 - UPT - 20240416-14:45:43UTC] - SM - MD - LG - XL Loading national rail national rail Sign in with Microsoft. Sign in with Open Athens. Sign in Another Way. If your organization permits Single Sign-On (SSO) for UpToDate, you may use your email address here. If …Beta-lactamases are enzymes that open the beta-lactam ring, inactivating the antibiotic. The first plasmid-mediated beta-lactamase in gram-negative bacteria was discovered in Greece in the 1960s. It was named TEM after the patient from whom it was isolated (Temoniera) [ 2 ]. Subsequently, a closely related enzyme was discovered and named TEM-2.