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 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

... 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 ... 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 indicative of infla...

Ngày tải lên: 11/08/2014, 11:22

... intracellular compartment, renal losses, or GI losses. Changes can be acute, chronic, or a combination. 2 28 I: ON CALL PROBLEMS loss have an associated acid-base disturbance. Finally, an anion gap ... 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, pig...

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: ... Hypokalemia. Associated with diarrhea, ureteral diversion, proximal renal tubular acidosis (RTA), type I RTA and hyper- alimentation. b. Hyperkalemia. Can be found in hyperald...

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 ... 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 withou...

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 ... nebulizer. DOXORUBICIN (ADRIAMYCIN) Indications: Ovarian, breast, and bladder tumors; various lymphomas and leukemias (ALL, AML); soft tissue sarcomas; neuroblastoma; osteosarcoma. Actions:...

Ngày tải lên: 11/08/2014, 11:22

... first- and second-generation agents. Increased activity against gram-negative aerob es (Enterobacteriaceae including Enterobacter and Serratia) due to increased stability to beta-lactamases. May ... Concomitant analgesia or sedation is required. VERAPAMIL (CALAN, ISOPTIN) Indications: Angina; essential hypertension; arrhythmias (paroxysmal supraventricular tachycardia [PSVT], atrial fibrillatio...

Ngày tải lên: 11/08/2014, 11:22

... in fact it was really about the acting eye candy that is Hays. This is called “bait and switch” (though you prob- ably are more familiar with the terms “tuck and roll” or perhaps “Bartles & ... they added the ability to crop while keeping the same aspect ratio as the original image. Click-and-hold on the Crop tool in Camera Raw’s toolbar, and from the pop-up menu that appears, ch...

Ngày tải lên: 03/07/2014, 22:21

...

Ngày tải lên: 10/07/2014, 22:20