Anesthesia Key

Agent Brief clinical tidbits Treatment Campylobacter, Shigella, Salmonella, Yersinia Invasive diarrhea characterized by fever, bloody stools TMP/SMX or fluoroquinolone for 3 days (may reduce duration of shedding); see below for…

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_17 17. Constipation Alpa Desai1   and Bobby Desai2   (1) Community Health and Family Medicine, University of Florida, Newberry, FL, USA (2) Emergency Medicine,…

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_16 16. Bloating Bobby Desai1   and Alpa Desai2   (1) Emergency Medicine, University of Florida, Gainesville, FL, USA (2) Community Health and Family Medicine,…

Fiber/laxatives Psyllium or other soluble fiber Polyethylene glycol Pitfalls 1. Nonsoluble fiber and polyethylene glycol can worsen bloating, gas, and cramping.   2. Wheat bran should be avoided.   3….

  Clinical features Comment(s) Epigastric pain Acute myocardial infarction May be associated with shortness of breath and exertional symptoms Elderly patient with risk factors for coronary artery disease. EKG may…

Hemoptysis Hematemesis History History  Absence of nausea/vomiting  Nausea/vomiting  Associated hypoxia  Hypoxia less common  Lung disease  Gastrointestinal and/or hepatic disease Sputum appearance Sputum appearance  Frothy or clotted  Coffee ground  Bright red…

Severity FEV1 (% predicted) Mild ≥80 % Moderate 50–79 % Severe 30–49 % Very severe <30 % COPD exacerbations are characterized by an acute change in sputum character or an…

© Springer International Publishing Switzerland 2017Bobby Desai and Alpa Desai (eds.)Primary Care for Emergency Physicians10.1007/978-3-319-44360-7_11 11. Gastroesophageal Reflux Disease (GERD) Tara Dyson1   (1) Division of Gastroenterology, Department of Internal Medicine, 100277, Gainesville, FL 32610-0277, USA    …

Modification Recommendation Approximate systolic BP reduction, range Weight reduction Maintain normal body weight (BMI, 18.5–24.9 kg/m2) 5–20 mmHg per 10 kg weight loss Adopt dietary approaches to stop hypertension Consume…

Examples of NSAIDs Aspirin Ibuprofen Naproxen Ketorolac Meloxicam Indomethacin Ketoprofen Pitfalls 1. Prescribing to patients at risk for bleeding   2. Prescribing to patients with kidney disease   3. Prescribing…