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Step pneumoniae - Ceftriaxone will cover Neisseria, H Flu, and most strains
of strep pneumonia - Vancomycin is added to cover strep pneumoniae
resistant to ceftriaxone - also give dexamethasone before or with first dose
of antibiotics
A positive Coombs test is due to
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an antibody and/or complement on the RBC surface. You will need to
determine if the antibody is ALLOANTIBODY OR AUTOANTIBODY .
,multiple myeloma "myeloma kidney"
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malignant neoplasm of bone marrow. Proteins light & heavy chains will
deposit in parenchyma - pt will present with lower back pain - seen AA
women - will see sever proteinurea, low anion gap, hypercalcemia, anemia,
and bone pain - treat w chemotherapy (melphalan and prednisone)
Mild hypercalcemia treatment in older women
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Estrogen
or
stop vitamin d and start prednisone.
If pt has normal renal function give NS, K+, an lasix to increase renal
excreation
pts w malignancy give bisphosphates, NS, and lasix. - asymptomatic pts
should not be treated w phosphates
Prerenal azotemia
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Due to decreased blood flow to kidneys; common cause of acute renal
failure - increase bun and decreased renal flow - treat with volume
resuscitation
,Project connect
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Designed to increase use of sexual and reproductive healthcare
3 types of pain
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-Norciceptive
-Neuropathic
-Mixed
Anti-intrinsic factor antibodies present in what?
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Pernicious anemia
Non-structural scoliosis
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disappears with flexing of the spine - towards the convex side of the curve.
Causes:
Postural
hysterical
, Nerve root
Inflamation
Leg length discrepancy
bulimia treatment
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CBT, DBT, IPT, & ANTIDEPRESSANTS (SSRI) fluoxetine or sertraline
Diagnostic testing for scoliosis
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Standing AP and lateral scoliosis radiographs
MRI if its a left major thoracic curve or there is neurological finding on PE
Norciceptive pain
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pain due to activation of nociceptive sensory receptors - often adequately
treated with common analgesics
‣ Somatic - localized in the skin, soft tissue, and bone. - arthritis, bone
metastasis - constant, aching, stabbing.
‣ Visceral - due to cardiac, GI, or lung injury (tumor or mass. Constipation,
renal colic - intermittent, dull, cramping