Diabetes

Nov 20, 2017 by in Uncategorized Comments Off on Diabetes

Criteria and classification of diabetic ketoacidosis (DKA) DKA Mild Moderate Severe Plasma glucose >250 mg/dl >250 mg/dl >250 mg/dl Arterial pH 7.25–7.30 7.00–7.24 <7.00 Serum bicarbonate 15–18 10–15 <10 Urine…

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Depression

Nov 20, 2017 by in Uncategorized Comments Off on Depression

  Onset (min) Initial dose (mg) Considerations Benzodiazepines Diazepam 30 5–10 IV Avoid IM because of unpredictable absorption. Useful in the setting of alcohol withdrawal Lorazepam 2–5 IV, 15–30 IM…

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Anxiety

Nov 20, 2017 by in Uncategorized Comments Off on Anxiety

(a) Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance)…

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Insomnia

Nov 20, 2017 by in Uncategorized Comments Off on Insomnia

FDA-approved sedative-hypnotics Flurazepam Quazepam Triazolam Estazolam Temazepam Pitfalls 1. Prescribing for pregnant patients.   2. Prescribing for poorly treated patients with sleep apnea.   3. Prescribing for patients with history…

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Skin Problems

Nov 20, 2017 by in Uncategorized Comments Off on Skin Problems

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_24 24. Skin Problems Gail A. Knight1   and Cheri N. Adgerson2   (1) Emergency Medicine, UF Health Shands Hospital, Gainesville, FL 32610, USA (2) Dermatology, UF Health…

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Back Pain

Nov 20, 2017 by in Uncategorized Comments Off on Back Pain

Radiologic procedure Ratinga Comments X-ray lumbar spine 7 Initial study of choice especially in setting of osteoporosis or osteoporosis risk factors CT lumbar spine without contrast 7 If suspicion for…

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Dysmenorrhea

Nov 20, 2017 by in Uncategorized Comments Off on Dysmenorrhea

Fig. 21.1 Primary vs. secondary dysmenorrhea flow diagram. [3] 21.7 Introduction to Treatment Increased levels of circulating PGF2α and PGE2 lead to increased myometrial contraction, vasoconstriction, and hypersensitization of pain…

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Acute Pelvic Pain

Nov 20, 2017 by in Uncategorized Comments Off on Acute Pelvic Pain

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_20 20. Acute Pelvic Pain Joshua Gordon1  , Bobby Desai1   and Alpa Desai2   (1) Emergency Medicine, UF Health Shands Hospital, Gainesville, FL 32610, USA (2) Community…

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Constipation

Nov 20, 2017 by in Uncategorized Comments Off on Constipation

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_17 17. Constipation Alpa Desai1   and Bobby Desai2   (1) Community Health and Family Medicine, University of Florida, Newberry, FL, USA (2) Emergency Medicine,…

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Diarrhea

Nov 20, 2017 by in Uncategorized Comments Off on Diarrhea

Agent Brief clinical tidbits Treatment Campylobacter, Shigella, Salmonella, Yersinia Invasive diarrhea characterized by fever, bloody stools TMP/SMX or fluoroquinolone for 3 days (may reduce duration of shedding); see below for…

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