A Lange Medical Book Pediatrics on call - part 3 ppsx

... GASTROINTESTINAL TRACT 1 43 arm where he had been scratched, as well as axillary adenopathy. Sonogram and abdominal CT scan, performed because of initial abdominal pain, showed typical granulomatous lesions ... suggestive of allergic colitis. E. If school-aged, has patient had any extraintestinal manifes- tations? Symptoms such as rash, arthralgias, anorexia, and weight loss are all indicati...

Ngày tải lên: 11/08/2014, 11:22

... intracellular compartment, renal losses, or GI losses. Changes can be acute, chronic, or a combination. 228 I: ON CALL PROBLEMS loss have an associated acid-base disturbance. Finally, an anion gap ... HYPOTENSION I. Problem. A 2-year-old boy who was admitted earlier in the day with diarrhea and dehydration now has a BP of 64 /33 . II. Immediate Questions A. What are the vital signs...

Ngày tải lên: 11/08/2014, 11:22

... 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. Blood chemistries, hematologic and ... 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....

Ngày tải lên: 11/08/2014, 11:22

... rheumatic fever; acute renal failure AST: aspartate aminotransferase ATN: acute tubular necrosis ATP: adenosine triphosphate AV: atrioventricular β-HCG: beta human chorionic gonadotropin BiPAP: ... 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 Call Problems, Diseases,...

Ngày tải lên: 11/08/2014, 11:22

... 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 ... (eg, abdominal pain, bloating, dis- tention)? Patients with severe constipation have decreased 11. BRADYCARDIA 53 C. Intracranial Hypertension 1. Bradycardia is part of Cushing triad, along...

Ngày tải lên: 11/08/2014, 11:22

... 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-year-old boy ... 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...

Ngày tải lên: 11/08/2014, 11:22

... nebulizer. DOXORUBICIN (ADRIAMYCIN) Indications: Ovarian, breast, and bladder tumors; various lymphomas and leukemias (ALL, AML); soft tissue sarcomas; neuroblastoma; osteosarcoma. Actions: Antineoplastic anthracycline ... 754) FLUOROURACIL (ADRUCIL, CARAC, EFUDEX, FLUOROPLEX) Indications: Stomach, colon, rectal, breast, and pancreatic cancer; topi- cally for multiple actinic keratoses and su...

Ngày tải lên: 11/08/2014, 11:22

... Concomitant analgesia or sedation is required. VERAPAMIL (CALAN, ISOPTIN) Indications: Angina; essential hypertension; arrhythmias (paroxysmal supraventricular tachycardia [PSVT], atrial fibrillation, 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 Ent...

Ngày tải lên: 11/08/2014, 11:22

... one Hyper-V virtual machine for each lab in this course, named 10 23 1A- NYC-DC 1- XX. Each virtual machine has an internal computer name of 10 23 1A- NYC-DC1 Important: At the end of each lab, you ... Virtualization Technology (Intel VT) or AMD Virtualization (AMD-V) 6 4- bit processor. • Dual 120-GB hard disks, 7,200 RAM Serial Advanced Technology Attachment (SATA) or better (co...

Ngày tải lên: 04/07/2014, 13:20

... Chapter 2 Numerical Approach Again if a 2 112, all roots are non-negative and so node-to-node oscillations are damped. In 2-D we follow a similar procedure. The particular approach ... that as Chapter 3 Testing where If we consider the linearized system with the Jacobian matrix A as a constant, the nonconservative shallow-water equations may be written as where and...

Ngày tải lên: 07/08/2014, 10:20