A Lange Medical Book Pediatrics on call - part 4 ppsx

... seizures, vasovagal fainting, narcolepsy, and anxiety attack. IV. Database A. Physical Exam Key Points 1. Assess airway, breathing, and circulation (ABCs) and vital signs. 2. Evaluate for hepatomegaly, ... corticosteroids. Also consider ethanol withdrawal and neonatal narcotic withdrawal. 52. HYPOTENSION 243 4. ABGs. This evaluation is essential in determining acid-base balance. Metabolic a...

Ngày tải lên: 11/08/2014, 11:22

... GASTROINTESTINAL TRACT 143 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 ... 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 neur...

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. 2....

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: ... airway, choanal atresia. B. Decreased Diffusion of Gas From Alveoli to Capillaries. Includes pneumonia and aspiration. C. Abnormal Cardiopulmonary Blood Flow. Includes cyanoti...

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 ... 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

... 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 ... 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). Alte...

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 ... β-blocker overdose. Notes: Anticholinergic side effects and drowsiness are common. CYTARABINE (CYTOSAR-U, ARA-C) Indications: Leukemias; Hodgkin lymphoma; non-Hodgkin lymph...

Ngày tải lên: 11/08/2014, 11:22

... and non-Hodgkin lymphomas; leukemia; breast, ovarian, and bladder cancer; preparative for allogeneic and autologous bone marrow transplantation. Actions: Antineoplastic alkylating agent. Dosage: ... Concomitant analgesia or sedation is required. VERAPAMIL (CALAN, ISOPTIN) Indications: Angina; essential hypertension; arrhythmias (paroxysmal supraventricular tachycardia [PSVT], atrial fibrillati...

Ngày tải lên: 11/08/2014, 11:22

... return on his stocks and also on an average annual appreciation of about 4% . As we shall explain later this appreciation is based essentially on the reinvestment by the vari- ous companies of a corresponding ... market than 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 it was quite generally rega...

Ngày tải lên: 04/07/2014, 15:20