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Allergic Reaction (Anaphylaxis) in the outpatient setting

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Treatment -Intramuscular epinephrine (1st-treatment to give). -Rx autoinjection epinephrine, -R/o biphasic anaphylactic reaction: Refer to the ER all patients who have an anaphylactic reaction even if they have taken Epi-pen and symptoms have resolved. They are at...

Febrile seizures

Clinic A/P, Peds, Hospital A/P, Peds

Graves RC, Oehler K, Tingle LE: Febrile seizures: Risks, evaluation, and prognosis. Am Fam Physician 2012;85(2):149-153

Hirsutism (Excessive Hairiness)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-Excessive growth of hair in women. This hair is usually in a male pattern. -Presence of abnormal androgen action → Excessive hairiness. Treatment -Oral contraceptives are the first-line drug for treatment of hirsutism in women not trying to conceive. -Antiandrogens...

Tumor Lysis Syndrome (TLS)

2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-A massive tumor cell lysis → release of large amounts of potassium, phosphate, and uric acid into the systemic circulation. -Uric acid and/or calcium phosphate crystal deposition in the renal tubules → acute kidney injury, oliguria or anuria, in some patients. Labs:...

Pulmonary Hypertension

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds, PULMONARY & CRITICAL CARE

Definition: Mean pulmonary arterial pressure of 25 mm Hg or greater. Results from different pathophysiologic mechanisms. “Echocardiography is recommended as the initial step in the evaluation of patients with suspected pulmonary hypertension.” AAFP 2016...

Alcoholic Hepatitis

2nd INPATIENT, Clinic A/P, adults, Clinic A/P, Peds, GASTROENTEROLOGY, Hospital A/P, Adults, Hospital A/P, Peds

Treatment -Prevent and treat alcohol withdrawal. -Alcohol abstinence -Supportive Care: –Fluid management and Nutritional support –Monitor for infection –Prophylaxis against gastric mucosal bleeding –D/c nonselective beta-blockers in patients...
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