All public posts: # A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Scar healing
Posted by dkwinter
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/
SCAT5
Posted by dkwinter
See also: Concussion Recognition Tool 5 for field use 2017 Download SCAT5 as PDF [451 KB]   
Self-Monitoring of Blood Glucose suggestions from CDA
Posted by dkwinter
Source: http://guidelines.diabetes.ca/Browse/Appendices/Appendix4   
Sepsis, early management
Posted by dkwinter
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
Shingles tx
Posted by dkwinter
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 
Sicca symptoms
Posted by dkwinter
Dry eyesDry mouthCommonly seen in absence of underlying autoimmune disease.However, most patients with Sjögren's syndrome do have Sicca symptoms.
Sigvaris Rx pad with Graduated Compression Chart
Posted by dkwinter
Simethicone dosage forms in Canada
Posted by dkwinter
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
SMART-COP tool for assessing severity of CAP in adults
Posted by dkwinter
Smoking 5 As palm card
Posted by dkwinter
Source: http://www.smokershelpline.ca/  
Smoking cessation rx
Posted by dkwinter
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
SOGC Guidelines for Hypertensive Disorders in Pregnancy 2014
Posted by dkwinter
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
Salmeterol
Posted by dkwinter
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
Scaphoid Anatomy & Fractures
Posted by dkwinter Source Sketchy Medicine
See also: Management of Scaphoid Fractures
School ages
Posted by dkwinter
GradeAgePreschool4-5Kindergarten5-6Grade 16-7Grade 27-8Grade 38-9Grade 49-10Grade 510-11Grade 6
Screening and Treating Maternal/Fetal Rh Incompatibility and Alloimmunization
Posted by dkwinter
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
Screening for Intimate Partner Violence
Posted by dkwinter
Source: Academic Life in Emergency Medicine  
Sedatives for agitated patients in the ED
Posted by dkwinter
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-,
Septic shock
Posted by dkwinter
A form on distributive shock Etiology Common causes of sepsis Escherichia coli Staphylococcus aureus Pseudomonas aeruginosa &
Sequelae of MI
Posted by dkwinter
Structural:Papillary muscle ruptureInterventricular wall ruptureVentricular aneurysmVentricular free wall rupture Circulatory:Cardiogenic shockPulmonary edema
Serous cystadenomas
Posted by dkwinter
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
Serum ferritin reference ranges and Iron-Deficiency Anemia
Posted by dkwinter
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
Serum free testosterone calculator
Posted by dkwinter
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
Sexual assault
Posted by dkwinter
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
Shock Profiles and agents of choice
Posted by dkwinter
 Cardiogenic ShockHypovolemic ShockSeptic Shock warm phaseBPDecreasedDecreasedDecreasedSVRElevatedElevatedDecreasedCODecreasedDecreasedEle
Sickle cell disease-pulmonary infarction
Posted by dkwinter
See also: Chest pain Ddx Pathophysiology Pulmonary infarction Hx African American Sickle cell disease Multiple previous hospitalizations for pain and anemia management S
Small cell carcinoma of the lung
Posted by dkwinter
Complications Hypercortisolism 2/2 ectopic ACTH production in the lung
Sport Concussion Assessment Tool -- 3rd edition SCAT3
Posted by dkwinter
** 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
SSRI & SNRI cheat sheet
Posted by dkwinter
See also: CANMAT Depression Guidelines 2009
Stages of heart failure
Posted by dkwinter
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
Stages of menopause
Posted by dkwinter
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
Stasis dermatitis
Posted by dkwinter
PE Marked ankle edema Erythema Mild scaling Brown discoloration of the overlying skin of the distal lower legs
Statin myopathy
Posted by dkwinter
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 different exposure times, applying the same exclusion criteri
Status epilepticus treatment
Posted by dkwinter
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
Steroid injection
Posted by dkwinter
Knee, intra-articular 40mg (up to 80mg) Depomedrol (1 mg/mL) + 2 mL 0.5% bupivicaine
Stool guaiac test/Fecal occult blood test (FOBT)
Posted by dkwinter
See also: Bloody stool Ddx Causes of false positives Ingestion of Red fruits Meats Methylene
Streotococcal Pharyngitis
Posted by dkwinter
Etiology Group A beta-hemolytic Streptococcus Sx Fever Sore throat PE Tonsillar exudates Cervical lymphadenopathy Complications, short term
Subacute bacterial endocarditis (SBE)
Posted by dkwinter
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
Substance dependence and abuse
Posted by dkwinter
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
Supplemental oxygen
Posted by dkwinter
See also     Oxygenation & Ventilation     Mechanical ventilation Device typeLPMFiO2Nasal cannula0.25-624-40%Loose face mask5-1535-40%
Surgical airway
Posted by dkwinter
See also: Rapid sequence intubation Rapid sequence intubation (Salt Spring Island protocol) Advanced airway support Nasotracheal intubaton An emergency cricothyrotomy re
Suspected lymphoma workup
Posted by dkwinter
CBC with differentialRenal functionLFTsLDHCa2+AlbuminTotal proteinUric AcidDIC PANEL INR, APTT, Fibrinogen, D-dimerSerum viscosityFerritinIron studiesSPECRPCT Neck/Chest/Abd/Pelvis with contrastLymph n
Synthroid monograph
Posted by dkwinter
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