May be improved with topical application of Dermatix UltraComes in 15 g tubes in Canada for \$40 at WalmartApply to clean dry skin daily starting after wound closureManufacturer's website: http://www.dermatix.asia/
See also: Concussion Recognition Tool 5 for field use 2017 Download SCAT5 as PDF [451 KB]
Source: http://guidelines.diabetes.ca/Browse/Appendices/Appendix4
SepsisSevere sepsisSeptic shockEvidence of infection plus SIRS >= 2 of:&bull Temp >38C 100.4F or <36C 96.8F&bull HR >90&bull RR>20 or PaCO2<32 mmHg
See also: Female Sexual Function Index FSFI Online Calculator Download as PDF [390 KB]\$jsmodules/shim.html/ Information for clinicians:Add together the numbers correspo
ImmediatelyVentolin nebules x2 10 u regular insulin SC*1/2 amp D50 IV**given together at these doses there is usually no significant net change in glucose Kayexalate 15 g PO QID slow but start early
Famciclovir500 mg PO TID for 7 days reduces duration of symptoms Amitriptyline 25 mg PO daily for 90 days decreases risk of post-herpetic neuralgia by more than 50 percent
Download guide as PDF [208 KB] See also:Heart failure
Dry eyesDry mouthCommonly seen in absence of underlying autoimmune disease.However, most patients with Sjögren's syndrome do have Sicca symptoms.
AntiflatulentUsual dosage oral: 40 to 360 mg four times daily after meals and at bedtime, as needed.Dosage forms available in Canada: 40, 80, 125 mg
Shins:Shin Splints Medial tibial stress syndromecharacterized by pain along the inner edge of the anterior aspect of the tibiacaused by overuse or repetitive stress on the anterior tibia and surrounding tissues
From: https://pubs.rsna.org/doi/10.1148/rg.292085514#F2
Source: http://www.smokershelpline.ca/
Champix Varenicline2-week Starter PackDays 1-3: 0.5 mg PO dailyDays 4-7: 0.5 mg PO BIDDays 8-14: 1 mg PO BID4-week Continuation PacksWeeks 3-12: 1 mg PO BIDQuit date should be 1 week to 35 days a
Source: SOGC click for the PDF BP MeasurementRecommendations1. Blood pressure should be measured with the woman in the sitting position with the arm at the level of the heart. II-2A 2. An appropriately sized cuff
A long-acting beta-2-adrenergic agonist
See also
Bronchitis
Treats
Asthma
Bronchodilator-responsive COPD
NOT used to treat asthma or COPD exacerbations, due to its slow o
See also: Management of Scaphoid Fractures
GradeAgePreschool4-5Kindergarten5-6Grade 16-7Grade 27-8Grade 38-9Grade 49-10Grade 510-11Grade 6
See also: Routine prenatal care Risk is that mother may form antibodies to Rh antigen on fetus' RBCs, which cross the placenta and destroy fetal RBCs potentially resulting in severe anemia erythroblastosis fetalis, high output cardi
Source: Academic Life in Emergency Medicine
First line:Ativan Lorazepam 1-3 mg PO/IM q30-60min.Benadryl Diphenhydramine 50 mg IM. Antihistamine.Second line:Zyprexa Olanzapine 5-10 mg IM q2-4hours. Max daily dose 30 mg. Atypical antipsychotic. Serotonin-, dopamine-,
A form on distributive shock
Etiology
Common causes of sepsis
Escherichia coli
Staphylococcus aureus
Pseudomonas aeruginosa
&
Structural:Papillary muscle ruptureInterventricular wall ruptureVentricular aneurysmVentricular free wall rupture Circulatory:Cardiogenic shockPulmonary edema
See also: Reproductive gland tumors
Most common cystic ovarian neoplasm
Account for about 30% of all ovarian tumors
About 25% of them are malignant
About half of them are bilateral
Usually do not produce estroge
See also:IV iron supplementation Serum ferritin reference rangesAgeMalesFemales4 d - 14 d100-717 mcg/L15 d - 5 m12 - 647 mcg/L6 m - 11 m12 - 182 mcg/L
To evaluate for late-onset hypogonadism LOH/Andropause, order:Serum total testosteroneSerum sex-hormone binding globulinSerum albuminThen input the values into this calculator:http://www.issam.ch/freetesto.htm &nb
In prepubertal girls, swabs should be taken from vaginal vault or just proximal to the hymen as infection in prepubertal girls causes vaginitis not cervicitis
Test for
HIV
HepB, HepC
Syphillis
Cardiogenic ShockHypovolemic ShockSeptic Shock warm phaseBPDecreasedDecreasedDecreasedSVRElevatedElevatedDecreasedCODecreasedDecreasedEle
See also: Chest pain Ddx
Pathophysiology
Pulmonary infarction
Hx
African American
Sickle cell disease
Multiple previous hospitalizations for pain and anemia management
S
Complications
Hypercortisolism 2/2 ectopic ACTH production in the lung
** UPDATE: See SCAT5 ** Source: Concussion in Sport Group group of international expertsSee also: Child-SCAT3 for 5-12 yoDownload SCAT3 as PDFOnly 26.5% of Sport-Related Concussion SRC patients prese
See also: CANMAT Depression Guidelines 2009
Stage Ahigh risk for heart failure, but without structural heart disease or symptomsrisk factors include: DM, HTN, exposure to cardiotoxic drugs Stage Bstructural heart disease, but without signs or symptoms of heart failure
Note: menopausal transition before age 40 is premature ovarian failure Early menopausal transition7 to 60 day difference consecutive cycle lengthduration variable, usually starts about 4 years prior to FMPvariable increase in FSH
PE
Marked ankle edema
Erythema
Mild scaling
Brown discoloration of the overlying skin of the distal lower legs
Read each statement and select the appropriate response to indicate how you feelright now, that is, at this very moment. There are no right or wrong answers. Do notspend too much time on any one statement but give the answer which seems todescribe yo
See also: Statin myopathySource: http://www.mqic.org/pdf/UMHS_Statin_Dose_Intensity_and_Equivalency_Chart.pdf
See also: Statin dose equivalency chart Source: https://www.uspharmacist.com/article/statin-associated-myopathy"Tables 6&ndash8 compares events all myopathy codes across classes of statins and fibrates, based on dif
1st line:Lorazepam 0.1mg/kg IV MAX 4mg/dose max rate 2mg/min. May be given IM but IV preferred. Repeat q10-15 min to max 8mg/12hr.ORDiazepam 0.2-0.5mg/kg PR single dose q4-12h PRN 2nd line:Fosphenytoin
Knee, intra-articular
40mg (up to 80mg) Depomedrol (1 mg/mL) + 2 mL 0.5% bupivicaine
See also:
Bloody stool Ddx
Causes of false positives
Ingestion of
Red fruits
Meats
Methylene
Etiology
Group A beta-hemolytic Streptococcus
Sx
Fever
Sore throat
PE
Tonsillar exudates
Cervical lymphadenopathy
Complications, short term
Etiology
Transient bacteremia following an injury that seeds a patient's valve(s)
Abnormal valves predispose to endocarditis because turbulent flow denudes the endocardium, inviting bacterial colonization
&nbs
Clinically stableCan tolerate at least PO fluids without vomitingPain manageable with PO meds Benign examNormal vitalsFocal abd tenderness, no rebound tenderness Non-specific Abd seriesNo pneumoperit
Substance dependence -- three or more of the following in a 12-month period:ToleranceWithdrawalConsuming larger amountsUnsuccessful efforts to cut downExcessive time spent to obtain the substance in questionDecreased interest in activ
See also Oxygenation & Ventilation Mechanical ventilation Device typeLPMFiO2Nasal cannula0.25-624-40%Loose face mask5-1535-40%
See also:
Rapid sequence intubation
Rapid sequence intubation (Salt Spring Island protocol)
Advanced airway support
Nasotracheal intubaton
An emergency cricothyrotomy re
Gupta quick and easy, good for routine cases: https://www.mdcalc.com/calc/4038/gupta-perioperative-risk-myocardial-infarction-cardiac-arrest-mica ACS Surgical Risk Calculator better for patients with chronic diseases: https://riskcalc
CBC with differentialRenal functionLFTsLDHCa2+AlbuminTotal proteinUric AcidDIC PANEL INR, APTT, Fibrinogen, D-dimerSerum viscosityFerritinIron studiesSPECRPCT Neck/Chest/Abd/Pelvis with contrastLymph n
Download file [PDF 344 KB] Effective daily doseRegimen12.5 mcg25 mcg, take 1/2 tablet daily25 mcgTake 1 tablet daily37.575 mcg, take 1/2 tablet daily44 mcg