OARS&mdasha set of verbal and non-verbal communication skills that helps clinicians and educators in primary care practices to engage and build rapport with patients and assess their needs. --Source OPEN-ENDED QUESTIONSOpen-ended
C.f. Constipation
Ddx
Intestinal obstruction
Oral therapyTerbinafine [Lamisil Terbinex] duration--same for adults & peds: 6 weeks for fingernails, 12 weeks for toenailsMonitoring: less liver complications than azoles but reasonable to check LFTs at baseline and u
Source: Academic Life in Emergency Medicine
Diagnosis
Procedure
Surgeon
Assistants
Anesthesiologist
Type of anesthetic
Findings
Estimated blood loss
Complications
Disposition (e.g. stable to recovery room)
E.g.
Heroin
Sx
Pinpoint pupils
Withdrawal Sx
Not life-threatening, managed symptomatically
CNS excitation
Diarrhea
Mydriasis
&n
H2-receptor antagonistsDrug nameStandard doseCostRanditidine Zantac150-300 mg per day in 1 to 2 divided doses\$0.30-0.60/dayCimetidine Tagamet200-1200 mg per day in 1 to 2 divided doses
From: http://www.bd.com/vacutainer/pdfs/plus_plastic_tubes_instructions_orderofdraw_vs5734.pdf From: http://www.bd.com/vacutainer/pdfs/plus_plastic_tubes_instructions_tubeguide_vs5733.pdf &nbs
Path
Periods of rapid growth in which the quadriceps tendon puts traction on the apophysis of the tibial tubercle where the patellar tendon inserts.
The traction is worsened by sports that involve repetitive runnin
See also: Bone endocrine diseases Sx Defective mineralization of the bone Softening of the bone Development of deformities, particularly in the weight-bearing bones of the lower ex
If high clinical suspicion, obtain x-rays, CBC, CRP, blood cultures and discuss with ortho to ascertain need for bone bx.If not systemically unwell, oral antibiotics are usually good enough until seen by ortho. E.g.Cephalexin 500 mg po qid
Pathophysiology Most common sites of fracture are Throacic and lumbar vertebral bodies Neck of the femur Distal radiusH
http://www.osteoporosis.ca/multimedia/FractureRiskTool/index.htmlNote: this tool requires Microsoft Silverlight, an antiquated plugin that is not supported by all browsers. It is also available for iOS. Quick Reference Guide from Ost
Of course, use medications sparingly in infants and children. Colic, bloating, flatulenceSimethicone Ovol OTC, dosing as labeled TeethingHyland's homeopathic teething tablets OTC, dosing as labeled. N.b. Effi
Source: Academic Life in Emergency MedicineSee also: Revised and validated Ottawa ankle rules
In MenBPH Benign Prostatic HypertrophyBladder outlet obstructionUrethral stricture In WomenUTIProlapseUrethral obstructionAtrophic vaginitisBladder pain syndromeMultiple sclerosisRecent pelvic surgery
Source: Academic Life in Emergency Medicine
See also Supplemental oxygen Mechanical ventilation Oxygenation O2 problems, think shunt Adequate if Sp