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Over the past 30 years, UpToDate has become the standard for evidence-based clinical decisions. Early pregnancy loss, which occurs in the first trimester (ie, up to 12+6 weeks gestation), is the most. Redistributive hyperkalemia most commonly occurs in uncontrolled hyperglycemia (eg, diabetic ketoacidosis. By convention, the pKa of 6. 17. There are numerous causes of hemolytic anemia, including inherited and acquired conditions, acute and chronic processes, and mild to potentially life-threatening severity. ACUTE AND CHRONIC KIDNEY DISEASE. "UpToDate能够帮助你，在什么时候做什么判断。然后这个时候要干什么，然后一步一步来帮医生去做一个相应的决定。" ———罗哲 复旦大学附属中山医院 重症医学科副主任医师 "UpToDate对于临床医生来说这是一个非常非常实用的产品"Cystic fibrosis (CF) is a multisystem disorder caused by pathogenic mutations of the CFTR gene (CF transmembrane conductance regulator). Fluid and electrolyte therapy in newborns, including the. INTRODUCTION — Dermatophyte infections are common worldwide, and dermatophytes are the prevailing causes of fungal infection of the skin, hair, and nails []. Diverticular disease of the colon is an important cause of hospital admissions and a significant contributor to health care costs in Western and industrialized societies []. UpToDate offre des abonnements individuels pour les professionnels de santé, les médecins résidents, les internes et les étudiants en médecine, de même que pour les groupes allant jusqu’à 19 personnes, les patients et les soignants. This topic review discusses the clinical significance of RBC alloantibodies other than anti-RhD during pregnancy. Methotrexate (MTX) is commonly used for the treatment of patients with rheumatoid arthritis (RA) and in several other forms of inflammatory arthritis and autoimmune disease. It is applicable to both children and adults. Download UpToDate 3. ” The Basics patient education pieces are written in plain language, at the 5 th to 6 th grade reading level, and they answer the four or five key questions a patient might have about a given condition. Acute cholangitis is a clinical syndrome characterized by fever, jaundice, and abdominal pain that develops as a result of stasis and infection in the biliary tract. • Earn and track free CME/CE/CPD credit. Most symptomatic patients with a ruptured ovarian cyst are successfully managed with observation and analgesics; however, some patients require surgery. Therapy for hyperkalemia due to potassium retention is ultimately aimed at inducing potassium loss [ 1-3 ]. UpToDate offers a number of subscriptions and add-on products, allowing you to have the most up-to-date information and improve patient care. More than 100 studies concur: patients receive better care. upToDate Downloader is a lightweight application designed to help you perform all updates for the desired applications in one go. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. In systematic reviews, the worldwide annual hip fracture rate in women ranged from <100 to nearly 600 per 100,000 and vertebral fracture rate from. metaDescription}}Welcome to the UpToDate User Academy. This topic will discuss the virology, epidemiology, and prevention of. With an average discount of 30% off, buyers can grab unbeatable bargains up to 65% off. Download UpToDate 3. 58. UpToDate临床顾问是威科（Wolters Kluwer）集团旗下全球著名的基于 循证医学 的 临床决策 支持 数据库 系统。. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition. TREATMENT. Diagnosis — The clinical diagnosis of cystitis is made in a patient who has classic signs and symptoms (ie, dysuria, urinary frequency, urgency, and/or suprapubic pain). UpToDate at A Glance. Retrospective studies indicate that a second dose is necessary in 12 to 36 percent of cases [ 49-55 ]. The treatment, prognosis, and follow-up of patients with acute PE are reviewed here. 7 AM to 9 PM ET. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. Recognizing a Here we discuss our approach to the adult with unexpected thrombocytopenia. The four essential components of asthma management are patient education, minimizing exposure to asthma triggers, monitoring for changes in symptoms or lung function, and pharmacologic therapy. UpToDate临床顾问恪守严谨的翻译流程，不断将英文专题翻译成中文：. A unique editorial process and the importance of getting it right. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. Patient level information — UpToDate offers two types of patient education materials. O UpToDate é a referência mais confiável que existe de suporte às decisões clínicas baseadas em evidências no local do cuidado. INFORMATION FOR PATIENTS — UpToDate offers two types of patient education materials, “The Basics” and “Beyond the Basics. Starting in late 2019, a novel coronavirus rapidly spread throughout the world, resulting in a global pandemic. Axonal injury is also a prominent pathologic feature, especially in the later stages. It is developed by Wolters Kluwer Health and requires an individual or institutional subscription to access the content. 回診時には非常に優れたリソースとなり、試験準備にも威力を発揮します。. Click on one of the specialties below to see sections associated with each. (See "Clinical manifestations of lung cancer" . ) UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. Enter the email address associated with your UpToDate account in the space below and click "Send Request. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. New Users. 25 to 0. There are two principal reasons why patients with hyperprolactinemia may need to be treated: existing or impending neurologic symptoms due to the large size of a lactotroph adenoma, and hypogonadism or other symptoms due to hyperprolactinemia, such as galactorrhea [ 1-3 ]. [Stable] Uptodate Subscription for 2 mobile devices & 1 web (Individual account)The management of anticoagulation in patients undergoing surgical procedures is challenging, since interrupting anticoagulation for a procedure transiently increases the risk of thromboembolism. The virus that causes COVID-19 is designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It is one of the most common complaints encountered by neurologists in day-to-day practice. Acetaminophen poisoning is among the most common causes of medication-related poisoning and death. Vitamin B12 and folate deficiencies are often considered together, although folate deficiency has become less common in individuals who are living in. Neuromyelitis optica spectrum disorder (NMOSD; previously known as Devic disease or neuromyelitis optica [NMO]) is an inflammatory disorder of the central nervous system characterized by severe, immune-mediated demyelination and axonal damage predominantly targeting optic nerves and the spinal cord. If water intake exceeds the reduced urine output, the ensuing water retention leads to the development of hyponatremia. Subscribe to UpToDate. COPD is consistently ranked among. The diagnosis and evaluation of osteoporosis in postmenopausal women, the prevention of osteoporosis, and the. This generalized information is a limited summary of diagnosis, treatment, and/or medication information. INTRODUCTION. These infections lead to a variety of clinical manifestations, such as tinea pedis (picture 1A-C), tinea corporis (picture 2A-D), tinea cruris (picture 3A-E), tinea capitis (picture 4A. It presents a comprehensive synthesis of the evidence, followed by graded recommendations and MEDLINE abstracts. Around the world and across the continuum of care, millions of professionals trust UpToDate to find the answers to their clinical questions. This topic will discuss treatment of acute VVC,. Topics By Specialty - UpToDate. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. Monday through Friday. Contributor Disclosures. Patient Education. The most common etiology of ARS is a viral infection associated with the common cold. DEFINITIONS. Kuala Lumpur. This overview topic presents the goals and components of asthma management. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. Symptoms and signs — Rhabdomyolysis is characterized clinically by the triad of myalgias, muscle weakness, and red to brown urine due to myoglobinuria [ 1 ]. This subscription option offers access to the same content and features as a professional subscription at a fraction of the price; 1 eligible individuals receive a reduced subscription fee. 9 g/dL (119 g/L) or hematocrit <35 percent. New Users. 1. Literature review current through: Jul 2023. Detailed dose adjustments for impaired kidney or liver function, obesity, or toxicity. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. The most recent What's New entries are at the top of each subsection. ‎UpToDate は、医療従事者向けの優れた意思決定支援リソースです。 ご利用には個人購読契約または施設契約が必要です。 UpToDate® Anywhere に登録・利用契約すると、アプリを使用して臨床上の疑問に対する回答をいつでも、どこでも入手できます。 UpToDate は、エビデンスに基づいた有用な臨床. Low back pain is often categorized as "acute" (lasting four weeks or less), "subacute" (lasting 4 to 12 weeks), or "chronic" (lasting more than 12 weeks). Anakinra — Anakinra (100 mg daily, administered subcutaneously daily until flare resolution) is the preferred IL-1 antagonist for use in a gout flare because of its short half-life. ongkos kirim. 常に目指すのは、実践的な推奨を必要な時に、必要な場所へ. É necessária a assinatura individual ou institucional. Multiple sclerosis (MS) is the most common immune-mediated inflammatory demyelinating disease of the central nervous system. These articles. The initial dose of levothyroxine in young, healthy adults with primary hypothyroidism is typically the average full replacement dose, approximately 1. ถูกใจในพลัง. Clinical manifestations, evaluation, and diagnosis of acute radiation exposure; Electrical injuries and. You can also view Practice Changing UpDates, What’s New, Patient Education, Authors and Editors, Calculators, and Drug Information. UpToDate® Anywhere registrants and Individual subscribers can now answer their clinical questions anytime, anywhere by downloading this app onto an Android™ phone or tablet. uptodate. 18. Wolters Kluwer Health | UpToDa. Six Pack in 30 Days. The management of SVT in children will be reviewed here. The diagnosis and management of hepatic injury in adults is discussed separately. 79. Concurrent gastroprotection (eg, a proton pump inhibitor) may be warranted. The virus that causes COVID-19 is designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); previously, it was referred to as 2019-nCoV. Save time and money by fulfilling CME/CE/CPD requirements without. When you care for patients, the stakes are high and every decision counts. pylori should be guided by the presence of risk factors for macrolide resistance and the presence of a penicillin allergy [ 7 ]. INTRODUCTION — Acute appendicitis is the most common abdominal surgical emergency in the world, with a lifetime risk of 8. Softonic review. Nausea, the unpleasant sensation of being about to vomit, can occur alone or can accompany vomiting (the forceful expulsion of gastric contents), dyspepsia, or other. The annual incidence of hospitalization for CAP among adults ≥65 years old is approximately 2000 per 100,000 in the United States [ 7,9 ]. The management of patients with exacerbations of COPD is discussed here. 000 - Rp1. ) Constipation is a common problem in children of all ages. However, postprandial hypoglycemia may be a concurrent or even the sole manifestation of hypoglycemia in some patients [ 4 ]. This figure is approximately three times higher than the general population and indicates that 2 percent of the older adult population will be hospitalized for CAP annually ( figure 1 ). Urgency urinary incontinence describes having the urge to void immediately preceding or accompanying involuntary urine leakage. The infection is most frequently precipitated by impaired function of the Eustachian tube, resulting in the retention and suppuration of. ]com mà qua trang do bên mình cung cấp tại đây. Topics By Specialty - UpToDate. The annual incidence of hospitalization for CAP among adults ≥65 years old is approximately 2000 per 100,000 in the United States [ 7,9 ]. • Bookmarks and history. Vulvovaginal candidiasis (VVC) is one of the most common causes of vulvovaginal itching and discharge. Shorted Version Uptodate 2023. . We would like to show you a description here but the site won’t allow us. {{configCtrl2. ‏‏٣٥ ألف‏ تسجيل إعجاب · كان ‏٩٥‏ هنا‏. They are written in accordance with plain language principles and answer the four or five most important questions a person might have about a medical problem. The clinical features, diagnosis, differential diagnosis, and management of angioedema will be reviewed here. all)Download the latest version of UpToDate for Android. When clinicians care for adults with diarrhea, two important decision points are when to perform stool testing and. Symptoms and signs — Rhabdomyolysis is characterized clinically by the triad of myalgias, muscle weakness, and red to brown urine due to myoglobinuria [ 1 ]. (See "Overview of acute pulmonary embolism in adults" and. In a recent randomized trial of. Typical symptoms and signs include persistent pulmonary infection, pancreatic insufficiency, and elevated sweat chloride levels. Contents. Quizartinib approved for AML with FLT3 internal. That means you can practice with confidence, even when. Les traigo un proxy que utiliza esta página que se dedica a recopilar información médica. Fax: +1. This topic will provide a broad overview of the classification, clinical presentation, diagnosis, management, and sequelae of AF, including new-onset AF. Cirrhosis represents a late stage of progressive hepatic fibrosis characterized by distortion of the hepatic architecture and the formation of regenerative nodules. Approximately 50 to 100 mEq of nonvolatile, inorganic acid is produced each day. com. ‏‎UptoDate Tech‎‏, ‏الإسكندرية‏. 014. Nipple injury appears to be an inciting factor, although the exact mechanisms are debated. 000. It is estimated that the annual incidence of pheochromocytoma is approximately 0. GAD is a relatively common disorder, most often with an adult onset and chronic course [ 2-6 ]. - Persistent COVID-19 symptoms - Health screening tools after critical illness - Borg scale - Six-minute walk test technique - CPET interpretation in unexplained dyspnea - Breathing exercises that may help with dyspnea - NYHA and other classifications of cardiovascular disability - Contraindications for cardiac rehabilitation - COVID-19. UpToDate is a free Android application designed for clinical decision support. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. 00 - RM31. Major diagnostic concerns in an. Many patients with hyponatremia have a single cause, but multiple factors sometimes contribute to the fall in plasma sodium. 6 percent in males and 6. UpToDate临床顾问是什么. Distinguishing acute viral rhinosinusitis (AVRS) related to colds and influenza-like illnesses from bacterial. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. Dissolved CO 2 + H 2 O ↔ H 2 CO 3 ↔ HCO 3- + H +. A panic attack is a discrete episode of intense fear that begins abruptly and lasts for several minutes to an hour. The prevention and treatment of iron deficiency is a major public health goal, especially in females, children, and individuals in low-income countries. . Pour en savoir plus sur les abonnements individuels à UpToDate. Influence of cortisol assay technique on diagnosis of adrenal insufficiency (May 2023)Management of neonatal fluid and electrolyte therapy is challenging, as several factors (eg, gestational age, physiological changes in kidney function, and total body water changes) and the clinical setting need to be accounted for while caring for neonates, especially preterm infants. A typical starting dose of pyridostigmine for adults and older adolescents is 30 mg three times a day. UpToDate offre des abonnements individuels pour les professionnels de santé, les médecins résidents, les internes et les étudiants en médecine, de même que pour les groupes allant jusqu’à 19 personnes, les patients et les soignants. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. Angioedema is self-limited, localized swelling of the skin or mucosal tissues, which results from extravasation of fluid into the interstitium due to a loss of vascular integrity. The tendency toward phosphate retention develops early in chronic kidney disease (CKD) due to the reduction in the filtered phosphate load. Oral options include penicillin V potassium, amoxicillin, cephalexin, and cefadroxil. Mechanisms of adverse effects — Glucocorticoids used in chronic disease (eg, prednisone or prednisolone) do not have significant mineralocorticoid, androgenic, or estrogenic activity; thus, their major adverse effects result from inhibition of hypothalamic-pituitary-adrenal function and the development of iatrogenic Cushing's syndrome.