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A Lange Medical Book Pediatrics on call - part 4 ppsx

A Lange Medical Book Pediatrics on call - part 4 ppsx

A Lange Medical Book Pediatrics on call - part 4 ppsx

... seizures, vasovagal fainting,narcolepsy, and anxiety attack.IV. Database A. Physical Exam Key Points1. Assess airway, breathing, and circulation (ABCs) and vitalsigns.2. Evaluate for hepatomegaly, ... corticosteroids. Also considerethanol withdrawal and neonatal narcotic withdrawal.52. HYPOTENSION 243 4. ABGs. This evaluation is essential in determining acid-basebalance. Metabolic acidosis reflects inadequate ... intracellularcompartment, renal losses, or GI losses. Changes can be acute,chronic, or a combination.228 I: ON CALL PROBLEMSloss have an associated acid-base disturbance. Finally, ananion gap...
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A Lange Medical Book Pediatrics on call - part 3 ppsx

A Lange Medical Book Pediatrics on call - part 3 ppsx

... GASTROINTESTINAL TRACT 143 arm where he had been scratched, as well as axillary adenopathy.Sonogram and abdominal CT scan, performed because of initialabdominal pain, showed typical granulomatous lesions ... 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 function (motor, ... suggestive of allergiccolitis.E. If school-aged, has patient had any extraintestinal manifes-tations? Symptoms such as rash, arthralgias, anorexia, andweight loss are all indicative of inflammatory...
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A Lange Medical Book Pediatrics on call - part 8 ppsx

A Lange Medical Book Pediatrics on call - part 8 ppsx

... patients.B. ASA Class 3. For patients identified as ASA class 3 or greater,preoperative evaluation laboratory studies and imaging areobtained on a case-by-case basis. Blood chemistries, hematologicand ... severe headache and ague (fever and chills),lethargy, and nausea. Inflammatory reaction is most common in repeatedtransfusions and will disappear once transfusion is discontinued.2. Anaphylactoid ... minimal.MercaptopurineMethotrexateThioguanineThiotepaAntiparkinsonism AgentsAmantadineBenztropineAntiprotozoal AgentsAtovaquoneDapsoneAntipsychotic AgentsHaloperidolLithium carbonateProchlorperazineAntitussives,...
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A Lange Medical Book Pediatrics on call - part 1 pptx

A Lange Medical Book Pediatrics on call - part 1 pptx

... than or equal tob : decrease(d) a : increase(d)l : leads toABCs: airway, breathing, andcirculationABG: arterial blood gasABPA: allergic bronchopulmonaryaspergillosisACE: angiotensin-convertingenzymeACLS: ... airway, choanal atresia.B. Decreased Diffusion of Gas From Alveoli to Capillaries.Includes pneumonia and aspiration.C. Abnormal Cardiopulmonary Blood Flow. Includes cyanoticcongenital heart ... duration.B. A 15-year-old girl is brought to the pediatrician because of lowerabdominal pain that has lasted 2 days.II. Immediate Questions A. How old is patient? Many conditions that cause abdominal...
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A Lange Medical Book Pediatrics on call - part 2 pdf

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 hygieneproblems. Anal fissures, perianal abrasions, midline anal tags,and anal ... Opioids.9. Organophosphates and carbamates.IV. Database A. Physical Exam Key Points1. Vital signs and general appearance. Assess vital signs;airway, breathing, and circulation (respiratory rate, BP,...
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A Lange Medical Book Pediatrics on call - part 5 ppt

A Lange Medical Book Pediatrics on call - part 5 ppt

... 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-oldboy ... can occur as a primary or sec-ondary phenomenon in metabolic disease.2. HEENT. A full fontanelle can accompany meningitis and hyper-ammonemia (secondary to cerebral edema). Altered pupillaryreactions ... Tricyclic antidepressants. Used for analgesia and sleep inchronic pain situations; not for acute pain management.3. Anticonvulsants. Carbamazepine and gabapentin; used forneuropathic pain. 4. Anxiolytics....
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A Lange Medical Book Pediatrics on call - part 9 docx

A Lange Medical Book Pediatrics on call - part 9 docx

... nebulizer.DOXORUBICIN (ADRIAMYCIN)Indications: Ovarian, breast, and bladder tumors; various lymphomas andleukemias (ALL, AML); soft tissue sarcomas; neuroblastoma; osteosarcoma.Actions: Antineoplastic anthracycline ... β-blockeroverdose.Notes: Anticholinergic side effects and drowsiness are common.CYTARABINE (CYTOSAR-U, ARA-C)Indications: Leukemias; Hodgkin lymphoma; non-Hodgkin lymphoma.Actions: Antineoplastic antimetabolite agent.Dosage: ... p. 7 54) FLUOROURACIL (ADRUCIL, CARAC, EFUDEX, FLUOROPLEX)Indications: Stomach, colon, rectal, breast, and pancreatic cancer; topi-cally for multiple actinic keratoses and superficial basal cell...
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A Lange Medical Book Pediatrics on call - part 10 pot

A Lange Medical Book Pediatrics on call - part 10 pot

... and non-Hodgkin lymphomas; leukemia; breast,ovarian, and bladder cancer; preparative for allogeneic and autologousbone marrow transplantation.Actions: Antineoplastic alkylating agent.Dosage: ... Concomitant analgesiaor sedation is required.VERAPAMIL (CALAN, ISOPTIN)Indications: Angina; essential hypertension; arrhythmias (paroxysmalsupraventricular tachycardia [PSVT], atrial fibrillation, atrial ... (TIMENTIN)Indications: Serious gram-negative infections caused by Pseudomonas,Proteus, E coli, and Enterobacter.Actions: Antipseudomonal penicillin and beta-lactamase combinationantibiotic.Dosage: Infants...
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The Intelligent Investor: The Definitive Book On Value part 4 pdf

The Intelligent Investor: The Definitive Book On Value part 4 pdf

... return on his stocks and also on an averageannual appreciation of about 4% . As we shall explain later thisappreciation is based essentially on the reinvestment by the vari-ous companies of a corresponding ... marketthan had been realized between 1 949 and 19 64. That rate had aver-aged a good deal better than 10% for listed stocks as a whole, and itwas quite generally regarded as a sort of guarantee that ... commonstocks.3About half gave as their reason “not safe, a gamble,” andabout half, the reason “not familiar with.”* It is indeed ironicalInvestment versus Speculation 19* The survey Graham cites was conducted...
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