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SICS
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Fractures of the Ribs and Pelvis
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Ebook - epub
Fractures involving the ribs and pelvis may only require conservative treatment or they may be more serious: unstable rib fractures may be accompanied by profuse bleeding, pneumothorax and breathing difficulties a fractured pelvis may lead to severe blood loss. Recognize tension pneumo ...
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Pubertal Development and Its Disturb...
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The first signs of central puberty are enlargement of the testes in boys and growth of the breasts in girls. Once pubertal development has started it normally proceeds. In the case of delayed puberty, acceleration of development may be warranted for mental reasons even if the delay fal ...
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The Inpatient Care of a Geriatric Pa...
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Ebook - epub
The inpatient care of an elderly patient with several concomitant medical problems must include an assessment regarding whether the treatment could be carried out somewhere other than on a long-stay geriatric ward. A primary task of a doctor working with geriatric inpatients is to outl ...
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Peripheral Neuropathies: Examination...
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Ebook - epub
Determine the level of the disorder: is there a damage to the peripheral nerve system (e.g. disorder of a nerve plexus) only one affected nerve, i.e., mononeuropathy systematic peripheral nerve damage, i.e., polyneuropathy. The symptoms can be motor, sensory, autonomic or all these tog ...
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Urine Aspiration Sampling in a Child
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Verifying urinary tract infection. Evidence-Based Medicine (EBM) was originally defined as the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individ ...
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Substance Abuse During Pregnancy
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Ebook - epub
Patients often try to conceal or understate their alcohol and illicit drug use; this also applies to mothers attending antenatal clinics. Questions about substance abuse should be direct in the attempt to create an open and confidential atmosphere. A pregnancy in a woman with substance ...
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Supraventricular Ectopic Beats
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Ebook - epub
Supraventricular (atrial) ectopic beat (AES, SVES, APB) is an early atrial depolarization originating in either of the atria outside the sinoatrial node. The P wave of an atrial ectopic beat differs from a normal sinus-originated beats.
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Pleural Effusions and Thoracentesis
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Ebook - epub
Pleural effusion, either unilateral or bilateral, may be caused by many different diseases of the lung, pleura or other organs, or by systemic diseases. Characterization of pleural fluid either as exudate or transsudate helps in diagnostic workout. Exudate is usually caused by a diseas ...
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Hypoglycaemia in a Diabetic Patient
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The possibility of hypoglycaemia should be considered with every unconscious diabetic patient, especially with type I diabetics. To avoid hypoglycaemic attacks the insulin dosing should be checked every time the patient has symptoms of hypoglycaemia low plasma blood sugar levels (< 4 m ...
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Peyronie's Disease (Induratio Penis ...
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The aetiology is unknown; however, 15% of the patients have Dypyutren contracture of the palms.
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Amputation of the Lower Limb: Postop...
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Pain management, prevention of venous thrombosis and reduction of swelling in the stump are the principal goals in the acute phase. Physiotherapy should be introduced as soon as tolerated in order to restore optimal functional capacity and mobility. Plans must be made as regards suitab ...
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Suspicion of Rabies
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Rabies is a fatal disease, but it is always preventable through a series of vaccinations and immunoglobulin treatment started immediately after exposure.
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Gait Disturbances
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In a young or working-aged person gait disturbance is most often caused by a specific disease. In elderly persons a slowly progressing gait disturbance is often associated with several concomitant underlying diseases.
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Dilated Cardiomyopathy
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Asymptomatic dilated cardiomyopathy may first manifest itself as an enlarged heart shadow on a chest x-ray or an abnormal ECG finding. If previously undiagnosed heart failure or left ventricular dilatation is noted, the patient must undergo echocardiography. Typical symptoms in the ear ...
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Muscle Compartment Syndromes
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Compartment syndrome should be suspected in leg injuries when the patient experiences atypical pain aggravated by passive tension of muscles in the affected compartment. The muscles may be rescued by prompt surgical treatment provided that the acute syndrome is suspected early enough.
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Selective Mutism
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Selective mutism is a form of abnormal behaviour in which the child refuses to speak in a certain or several social situations after having learned to speak properly.
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Lactose Intolerance
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Lactose intolerance should be identified as the cause of flatulence, abdominal pains and intermittent diarrhoea before performing more extensive investigations. Genetic testing for adult-type hypolactasia (primary hypolactasia, genotype C/C1390) reliably confirms or excludes the predis ...
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Silicosis, Silicotuberculosis and Si...
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Silicosis presents as nodular fibrosis of the lung tissue particularly in the upper lung fields. Susceptibility to lung cancer and pulmonary tuberculosis are increased. Workers at risk of developing occupational silicosis should go through an initial health examination and then regular ...
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Increased Blood Creatinine Concentra...
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The principal renal function tests are plasma creatinine concentration, estimated glomerular filtration rate (eGFR) calculated from the creatinine concentration result and urinalysis. Impaired filtration rate with or without proteinuria and/or haematuria is suggestive of renal disease. ...
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Painful Conditions of the Ankle and ...
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KOhler's disease, Sever's disease, Freiberg's disease, Supernumerary navicular bone (os tibiale externum), Flat foot (pes planovalgus) are included.
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Hyperglycaemic Hyperosmolar Syndrome
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Ebook - epub
Manage an acutely ill patient with hyperglycaemia before he/she enters coma. Do not confuse this condition with ketoacidosis.
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Hallux Valgus
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Ebook - epub
Assess the biomechanical function and functional disturbance of the foot by clinical and radiological examinations. An observed functional disturbance is treated conservatively or surgically depending on the symptoms caused by the condition. The need and method of surgery is decided up ...
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Lacrimal Duct Stenosis
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In lacrimal duct stenosis of a newborn, wait for spontaneous recovery for at least 6 months.
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Transsexualism
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Ebook - epub
Transsexualism refers to the most extreme form of incongruity between an individual's gender identity and anatomic sex. In 1994, the diagnosis of transsexualism was replaced with "gender identity disorder' by the DSM-IV committee. Transsexualism is associated with distress because the ...
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