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Magic mouthwash
Posted by dkwinter
Diphenhydramine 12.5mg/5mL100 mL Nystatin 100,000 U/mL35 mL Hydrocortisone 100 mg/2mL2 mLOptionalTetracycline 1500 mgOptionalMaalox1
Maintenance fluids 421 rule calculator
Posted by dkwinter
"421 rule"Rate of crystalloid per hour=4mL/kg for first 10kg    40+2mL/kg for next 10kg   +20+1mL/kg for every next kg + wt - 20 kgE.g. 110 mL/hr for a 70 kg pt\$jsmodules/421_maintenance_rate_calcul
Management of Scaphoid Fractures
Posted by dkwinter Source Sketchy Medicine
See also: Scaphoid Anatomy & Fractures
Mania symptoms GST PAID & DIG FAST
Posted by dkwinter
GST PAID GrandiositySleep, decreased needTalkative Pleasure and painActivityInattentionDistractibility DIG FAST Distractibility and easy frustrationIrresponsibility and erra
McCune-Albright syndrome
Posted by dkwinter
Sx triad Cafe au lait spots Polyostic fibrous dysplasia Autonomous endocrine function Sx The most common endocrine feature is gonadotropin-independent precocious puberty
Mechanical ventilation
Posted by dkwinter
See also     Supplemental oxygen     Oxygenation & VentilationSettings of ventilator should aim for "specific patient goals"Generic settings     FiO2     100%   
Medical use of Marijuana in Canada
Posted by dkwinter
See also: Professional Guidance regarding medical use of Marijuana in Canada‚ÄčLast updated Sept 12, 2015. This is a summary of essential information for healthcare providers from Health Canada. Sources are:Medical Use of Mariju
Medications for palliative treatment of GI obstruction
Posted by dkwinter
Source: Canadian Family Physician June 2012 vol. 58 no. 6 648-652  Enemas:start with fleet enemaif unsuccessful then soap-suds enema 
Medullary thyroid carcinoma
Posted by dkwinter
See also: MEN syndromes (seen in MEN-2a and MEN-2b) See also: Thyroid nodules
Methotrexate for ectopic pregnancy
Posted by dkwinter
Source: Academic Life in Emergency Medicine  
Methotrexate Protocol
Posted by dkwinter
Protocol for Initiating MethotrexateA common protocol used to treat inflammatory arthritis e.g. RA or psoriatic. Usually started after consultation with a rheumatologist. Prior to starting Methotrexate:CBC, ESR, Liver Functio
Metoclopramide (Metonia, Reglan)
Posted by dkwinter
Treats Nausea/vomiting (see n/v tx) Diabetic gastroparesis Dosing 10 mg PO/IM q8h PRN 10 mg IV over 1-2 min q8h PRN Mechanism of action Most doses &
Metoprolol
Posted by dkwinter
Brand names: Lopressor, Toprol, Betaloc Peak effect:IV: as little 5 minutes if given as IV push 20 minutes when infused over 10 minutesPO: 1-2 hours Duration of action: 3-6 hours Contraindications:
Migraine Headache
Posted by dkwinter
See alsoHeadache DdxMigraine Headache treatment in the ED                   Hx     Episodes of throbbing temporal pain 
Migraine Headache treatment in the ED
Posted by dkwinter
First line:30-60 mg Toradol IM. Onset 30-60 minutes.OR20-40 mg Relpax Eletriptan PO. May give second dose 2 hours later if initial dose was 20 mg max daily dose is 40 mg. Onset 1.5-2 hours.Second line:1L IV flui
Mitral regurgitation
Posted by dkwinter
See also: Murmurs May be caused by Progression/worsening of mitral valve prolapse Myocardial infarction with papillary muscle ischemia and/or papillary muscle rupture causing secondary MR &nb
Mitral stenosis
Posted by dkwinter
Hx Rheumatic fever Sx Hemoptysis Other sx of pulmonary congestion High risk for developing atrial fibrillation due to left atrial dilation &nb
Mitral valve prolapse
Posted by dkwinter
Myxomatous valve degeneration is the pathologic cause of MVP Sx Higher-than-expected incidence of chest pain compared with the normal population, which cannot be explained by the valvular abnormality  
MMSE Interactive Online Calculator
Posted by dkwinter
Mini-mental status examClick the boxes corresponding to the patient's responses. Scroll down for the calculated MMSE score and interpretation. Download handout as PDF print and use to make MMSE administration faster 
Mnemonics: Predictors of a Difficult Airway
Posted by dkwinter
Source: Academic Life in Emergency Medicine 
Mosteller BSA Calculator
Posted by dkwinter
Specify "Mosteller" from popup menu when dosing chemotherapy http://www.medcalc.com/body.html
Motion sickness rx
Posted by dkwinter
Dimenhydrinate. Oral: 50 to 100 mg every 4 to 6 hours, not to exceed 400 mg dailyScopolamine transdermal patch: Apply 1 patch to hairless area behind the ear at least 4 hours 2-12 hours before anticipated need, longer 12 hours is be
MRC Dyspnea Scale
Posted by dkwinter
GradeDegree of breathlessness related to activities1Not troubled by breathlessness except on strenuous exercise2Short of breath when hurrying on the level or walking up a slight hill3Wa
Multifocal Atrial Tachycardia
Posted by dkwinter
Etiologyexacerbation of pulmonary disease e.g. COPDelectrolyte disturbancecatecholamine surge e.g. sepsis Common historyelderly patients with an acute exacerbation of underlying pulmonary disease e.g. COPDsymptom
Multiple endocrine neoplasia MEN syndromes
Posted by dkwinter
MEN-1MEN-2aMEN-2bDefect in tumor suppressor gene called Menin  Pituitary adenoma  Pancreatic endocrine tumor  Parathy
Multiple sclerosis
Posted by dkwinter
Hx     Multiple symptoms in space in timeSx     Weakness          Tingling     Eye pain     Vision changes     Internuclear ophthalmopleg
Murmurs
Posted by dkwinter
Levine grading scale:The murmur is only audible on listening carefully for some time.The murmur is faint but immediately audible on placing the stethoscope on the chest.A loud murmur readily audible but with no palpable thrill.A l
Mycoplasma pneumoniae
Posted by dkwinter
A cause of "atypical pneumonia"A common cause of pneumonia in young adultsSx typical of Mycoplasma     Erythema multiformeSx classically associated with     Bullous myringitis