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Anaesthesia and Rare Metabolic Disorders

Dec 18, 2017 by in Uncategorized Comments Off on Anaesthesia and Rare Metabolic Disorders

Acid-base imbalance Iron metabolism disorders Phosphorus metabolism disorders Brain diseases, metabolic Lipid metabolism disorders Porphyrias Calcium metabolism disorders Malabsorption syndromes Proteostasis deficiencies DNA repair deficiency disorders Metabolic syndrome X Skin…

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The Patient with End-Stage Liver Disease

Dec 18, 2017 by in Uncategorized Comments Off on The Patient with End-Stage Liver Disease

Parameter 1 point 2 points 3 points Hepatic encephalopathy (grade) None 1–2 3–4 Ascites Absent Mild Moderate Prothrombin time (s prolonged) <4 4–5 >6 or    International normalized ratio <1.7 1.7–2.3…

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The Patient with End-Stage Renal Disease

Dec 18, 2017 by in Uncategorized Comments Off on The Patient with End-Stage Renal Disease

Fig. 10.1 Prognosis of CKD by GFR and albuminuria category [1] 10.2 Preoperative Management 10.2.1 Evaluation of Comorbidities ESRD is caused by a variety of diseases with diabetes mellitus and…

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Advances in Point-of-Care Thoracic Ultrasound

Dec 14, 2017 by in Uncategorized Comments Off on Advances in Point-of-Care Thoracic Ultrasound

Key points • Pulmonary ultrasound allows for rapid diagnosis of pneumothorax, pulmonary edema, pneumonia, and intrathoracic free fluid. • Pulmonary ultrasound is more sensitive and specific than chest radiograph for…

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Approach to Adult Patients with Acute Dyspnea

Dec 14, 2017 by in Uncategorized Comments Off on Approach to Adult Patients with Acute Dyspnea

Undifferentiated patients in respiratory distress require immediate attention in the emergency department. Using a thorough history and clinical examination, clinicians can determine the most likely causes of dyspnea. Understanding the…

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Airway Management of Respiratory Failure

Dec 14, 2017 by in Uncategorized Comments Off on Airway Management of Respiratory Failure

Patients in respiratory distress often require airway management, including endotracheal intubation. It takes a methodical approach to transition from an unstable patient in distress with an unsecured airway, to a…

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Noninvasive Ventilation for the Emergency Physician

Dec 14, 2017 by in Uncategorized Comments Off on Noninvasive Ventilation for the Emergency Physician

Noninvasive ventilation (NIV) improves oxygenation and ventilation, prevents endotracheal intubation, and decreases the mortality rate in select patients with acute respiratory failure. Although NIV is used commonly for acute exacerbations…

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