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early treatment with oseltamivir and zanamivir (contraindicated in asthma or
chronic lung disease d/t SE of bronchospasm) is recommended for those at
high risk to prevent influenza pneumonia (treat if they present <48 hrs from
onset of symptoms, also treat healthcare providers that care for patients
who are high risk. Can also use peramivir IV x1 dose. Otherwise, rest, fluid
intake, antipyretics and NSAIDs.
,metabolic syndrome diagnosis
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have to have 3 or more of the following:
elevated waist circumference (men equal to or greater than 40in, women
equal to or greater than 35in)
elevated triglycerides (equal to or greater than 150)
Reduced HDL cholesterol (men less than 40, women less than 50)
elevated BP (equal to or greater than 130/85)
Elevated fasting glucose (equal to or greater than 100-125)
Clinical Presentation of Acute Bronchitis
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cough (productive or not) is most likely but fever, muscle aches, and
fatigue can also be present. Burning substernal pain with breathing in.
Cough lasts longer than 7 days but shouldn't last more than 3 weeks.
symptoms of peptic ulcer disease
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severe epigastric pain, 1-3 hrs after meals, can awaken people from sleep.
Can be relieved by eating food or antacids (duodenal ulcers) however get
worse with eating when it's a gastric ulcer. Awake from sleep at 1-2 am.
Nausea and vomiting.
Early satiety could be indicative of pyloric obstruction.
, severe asthma
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Continuous symptoms, FEV1<60%, frequent nocturnal symptoms,
hospitalizations
common risk factors for gallstone formation
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native american descent
more common in females and in pregnancy
family history
diet high in fat
meds (estrogen, oral contraceptives, thiazide diuretics) obesity
alcoholism
crohn's
treatment of GERD
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1. Lifestyle modifications: cessation of smoking, avoid eating at bedtime,
avoid large meals, alcohol, and foods that cause irritation (tomatoes, fried
foods, caffeine), and elevation of the head of the bead
2. Pharmacotherapy:
A) Antacids mild symptoms
B) Histamine blockers: cimetidine, ranitidine, famotidine, nizatidine)
C) PPI is the most powerful anti-GERD medication (omeprazole,
rabeprazole, esomeprazole, lansoprazole, dexlansoprazole,
pantroprazole) are first line in moderate to severe disease and those that