A Lange Medical Book Pediatrics on call - part 2 pdf

... Myocardial ischemia or infarction. Conditions that place chil- dren at risk of angina or myocardial infarction include anom- alous coronary arteries, long-standing diabetes mellitus, past medical ... trauma. 6. Anal exam. Specific anal findings are rare. Erythema is a common nonspecific finding, often associated with hygiene problems. Anal fissures, perianal abrasions, midline anal tags, and a...

Ngày tải lên: 11/08/2014, 11:22

... than or equal to b : decrease(d) a : increase(d) l : leads to ABCs: airway, breathing, and circulation ABG: arterial blood gas ABPA: allergic bronchopulmonary aspergillosis ACE: angiotensin-converting enzyme ACLS: ... Call. The on- call series of which this book is a part is based on a concept applied by Tricia Gomella, MD, in her book, Neonatology: Basic Management, On Cal...

Ngày tải lên: 11/08/2014, 11:22

... an associated pneumonia, appropriate antibiotics are indicated. VI. Problem Case Diagnosis. The 2- year-old patient had aspirated a Barbie doll shoe. A chest x-ray revealed right middle lobe air ... frequency, and duration, migraines may be associated with typical features (aura, unilaterality, nausea, vomiting, and family history) in addi- tion to a transient alteration of neurologic...

Ngày tải lên: 11/08/2014, 11:22

... intracellular compartment, renal losses, or GI losses. Changes can be acute, chronic, or a combination. 22 8 I: ON CALL PROBLEMS loss have an associated acid-base disturbance. Finally, an anion gap ... corticosteroids. Also consider ethanol withdrawal and neonatal narcotic withdrawal. 52. HYPOTENSION 24 3 4. ABGs. This evaluation is essential in determining acid-base balance. Metabol...

Ngày tải lên: 11/08/2014, 11:22

... nasal cannula, face mask, or rebreather mask to maintain oxygen saturation > 92% . B. Pain Control. Administer appropriate pain medication for age and weight to control pain without sedation ... intubation is frequently nec- essary, and antibiotic therapy should target S aureus, GABHS, Moraxella catarrhalis, and S pneumoniae. VI. Problem Case Diagnosis. On physical examination, the 8-yea...

Ngày tải lên: 11/08/2014, 11:22

... ASA class 1 and class 2 patients. B. ASA Class 3. For patients identified as ASA class 3 or greater, preoperative evaluation laboratory studies and imaging are obtained on a case-by-case basis. ... severe headache and ague (fever and chills), lethargy, and nausea. Inflammatory reaction is most common in repeated transfusions and will disappear once transfusion is discontinued. 2. Anaphyl...

Ngày tải lên: 11/08/2014, 11:22

... hyperpigmentation, radiation recall phenom- enon, phlebitis, and tissue damage with extravascular extravasation and hepatic dysfunction. DANTROLENE (DANTRIUM) Indications: Clinical spasticity resulting ... β-blocker overdose. Notes: Anticholinergic side effects and drowsiness are common. CYTARABINE (CYTOSAR-U, ARA-C) Indications: Leukemias; Hodgkin lymphoma; non-Hodgkin lymphoma. Actions: Ant...

Ngày tải lên: 11/08/2014, 11:22

... dysfunction. Concomitant analgesia or sedation is required. VERAPAMIL (CALAN, ISOPTIN) Indications: Angina; essential hypertension; arrhythmias (paroxysmal supraventricular tachycardia [PSVT], atrial ... synthesis. c Notes: Less active against gram-positive cocci than first- and second-generation agents. Increased activity against gram-negative aerob es (Enterobacteriaceae including Enterobact...

Ngày tải lên: 11/08/2014, 11:22

... the faculty. He was all of 20 years old. Instead of academia, Graham decided to give Wall Street a shot. He started as a clerk at a bond-trading firm, soon became an analyst, then a partner, and ... Introduction * Raskob (1879–1950) was a director of Du Pont, the giant chemical com- pany, and chairman of the finance committee at General Motors. He also served as national chairman o...

Ngày tải lên: 04/07/2014, 15:20