Download or read book Evidence Based Medicine Guidelines written by Duodecim Medical Publications and published by John Wiley & Sons. This book was released on 2005-03-04 with total page 1428 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-Based Medicine Guidelines fills the demand for a handbook discussing the diagnosis and treatment of a wide range of diseases and conditions encountered by health care professionals. The title was first published in Finland by the Finnish Medical Society, where it is now considered to be the single most important support tool for the physicians' decision making in their daily work. What sets EBM Guidelines apart from competing books? Provides physicians with fast and easy access to practice guidelines based on the best available research evidence Covers practically all medical conditions encountered in general practice Developed by over 300 experienced general practitioners and specialists worldwide Includes both diagnostic and therapeutic guidelines, and recommendations on diagnostic tests and drug dosage Presented in a user-friendly format with self contained chapters based on clinical subjects Clear and concise explanations of all available evidence results in the guideline for treatment The strength of evidence is graded from A-D making this title a quick and easy reference whenever and wherever you need it! Assumes no prior knowledge of EBM or statistics - all the work of searching and appraisal has been done for you! Seeks to include guidelines where clinical evidence is incomplete or unavailable Contains full-colour photographs and tables throughout Easy-to-read and fast support at the point of care - EBM Guidelines: Summarises the best available evidence - Cochrane reviews - DARE abstracts - Clinical Evidence topics - original articles in medical journals - abstracts in the Health Technology Assessment Database - NHS Economic Evaluation Evaluates and grades the strength of all individual evidence from A (Strong research-based evidence) to D (No scientific evidence) Suggests guidelines based on clinical evidence. If clinical evidence is inadequate or missing, an expert panel evaluate all other available information and suggests the appropriate guideline With over 1000 problem-orientated or disease-specific guidelines including reference to evidence summaries for all guidelines, this title is the most extensive collection of guidelines for primary care today. Here are just a few examples of the raving reviews for Evidence-Based Medicine Guidelines: "An excellent resource... quick to use, even during consultations...very helpful to check whether our preferred diagnostic and therapeutic methods are adequate...competent suggestions based on real evidence..." —Heinz Bhend, PRIMARY CARE "clinically useful answers...easy-to-read ...this resource is worth using..." —Carl Heneghan, Centre for Evidence-Based Medicine, Oxford, UK, EVIDENCE-BASED MEDICINE Journal

Download or read book Polymyalgia rheumatica written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the vast amount of patients who suffer from pain those should be identified in whom the symptoms could be effectively relieved with low-dose glucocorticoids.A patient with typical polymyalgia rheumatica that responds well to glucocorticoids can be treated in the primary care. Suspicion of temporal arteritis , atypical clinical features and non-satisfactory response to treatment are indications for a consultation in the specialized care.

Download or read book Whooping cough written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vaccination against whooping cough (pertussis) is given as a part of the national immunization programme at the age of 3, 5 and 12 months (DTaP vaccine). See Vaccinations .Whooping cough occurs particularly in unvaccinated infants less than 3 months of age and in school-age children because the protection provided by the vaccine is of short duration.After confirmation of the diagnosis, antimicrobial treatment using a macrolide is given to infants and to those children and adults in whom the symptoms have lasted less than 4 weeks.

Download or read book Supraventricular ectopic beats written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Supraventricular (atrial) ectopic beat (AES, SVES, APB) is an early atrial depolarization originating in either of the atria outside the sinoatrial node. The P wave of an atrial ectopic beat differs from a normal sinus-originated beats.

Download or read book Pulse oximetry written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypoxaemia is common, difficult to detect and deleterious. An experienced clinician can detect hypoxaemia on the basis of cyanosis only when blood oxygen saturation is 80% or less . Pulse oximetry is an easy-to-use and effective method for detecting hypoxaemia when the device recognizes a good pulse wave . Pulse oximetry should be used routinely for monitoring oxygen saturation; however, it tells nothing about ventilation .

Download or read book Tularaemia written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are several forms of tularaemia. In the most common, ulceroglandular form the patient has fever, lymphadenopathy and an ulcerated skin lesion (picture ) at the site of a mosquito bite or a scratch. Begin treatment immediately if the symptoms are typical and the point of time of the disease onset matches with tularaemia. Diagnosis can be confirmed with serology.

Download or read book Poliomyelitis and post polio syndrome written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: Poliomyelitis (polio) is a highly contagious disease, but in the majority of cases it causes no symptoms. Since the implementation of polio vaccines the number of cases has greatly reduced, and many countries are now thought to have eliminated the poliovirus. Infection is possible in the endemic regions of Asia and Africa if immunisation coverage is suboptimal. Rapidly developing flaccid paralysis is asymmetrical. Sensation is preserved in the paralysed limbs. Post-polio syndrome (e.g. fatigue, muscle weakness, myalgia and arthralgia) is a condition that affects patients several years after recovery from an initial acute attack. The treatment of these late effects is symptomatic (analgesia, exercises, rest, weight control, assistive devices).

Download or read book Use of medication during pregnancy written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: Any medication used during pregnancy should always have a clear indication. On the other hand, any medication that is important for the mother should not be left unprescribed. Medication should be planned before pregnancy already, and drugs for which there is experience of use during pregnancy should be preferred. Susceptibility to malformations is at its highest from the beginning of the 5th to the end of the 10th week of pregnancy, counting from the last menstruation, i.e. from the 3rd to the 8th foetal week from conception. At later stages of pregnancy, adverse drug effects may manifest in other ways, such as delayed growth, disturbed organ maturation or, for instance, cognitive problems appearing later. The minimum dose that is sufficient for the treatment of the mother's symptoms should be used.. The same principles apply for breastfeeding.

Download or read book Chronic cough in a child written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 35 pages. Available in PDF, EPUB and Kindle. Book excerpt: A prolonged cough is defined as one that lasts for longer than 6–8 weeks. The most likely cause of a cough varies according to the age of the child. Asthma is possible in children of all ages.

Download or read book Measles mumps and rubella MMR written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: The incidence of measles, mumps and rubella has greatly reduced in many Western countries after the introduction of the MMR vaccine . Measles still occurs widely in Europe: more than 30 000 cases in 2011. If one of these illnesses is suspected, a specialist in infectious diseases should be consulted. The diagnosis must always be confirmed with antibody and PCR assays. Vaccination: see .In Finland, the health authorities recommend the first MMR vaccination to be given already at the age of 12 months. Further, if a child aged 6–11 months travels abroad he/she should get the first MMR vaccination before the travel.

Download or read book Treatment of alcohol withdrawal written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: The patient is helped to adjust physically to function without alcohol, and seizures, cardiac arrhytmia or delirium tremens associated with withdrawal are avoided. A calm, non-judgemental environment is provided to motivate the patient to continue to deal with the problem of alcohol abuse. Irreversible brain damage associated with thiamine deficiency (Wernicke encephalopathy ) is prevented.

Download or read book Examining a patient with a thyroid complaint written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: The assessment of thyroid function is primarily based on the symptoms, on clinical examination and on the measurement of serum TSH concentration. In hypothyroidism originating in the thyroid gland (primary hypothyroidism), the serum concentration of THS is increased, and in hyperthyroidism it is respectively decreased (in most cases not measurable). In rare hypothyroidism originating in the pituitary gland (central hypothyroidism) the serum TSH concentration is within or below the reference range and free T4 (FT4) concentration is below the reference range. Central hyperthyroidism is very rare. In this condition, TSH concentration is within or above the reference range and FT4 concentration is increased. TSH concentration is interpreted differently in patients on thyroxine replacement therapy than in diagnostics of thyroid disorders: patients on replacement therapy usually feel the best when TSH concentration is approximately 1–2 mU/l and FT4 concentration is near the upper threshold of the reference range. See also .The treatment of patients with thyroid cancer is individually tailored in specialized care. The target level of THS concentration is within or below the reference range. See also .

Download or read book Alkaline phosphatase ALP written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: the origin of an increased plasma ALP concentration is usually either the liver or the bones.

Download or read book Chronic otitis media written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients with suspected or diagnosed cholesteatoma or permanent perforation of the eardrum in a dry ear should be referred to an ENT specialist. Adequate local treatment should be provided while the patient is waiting for the appointment with an ENT specialist.

Download or read book Colonoscopy and sigmoidoscopy written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colonoscopies are performed in the primary care in growing numbers, also by general practitioners. In diagnosing adenomas and cancers, colonoscopy is preferable to sigmoidoscopy. Colonoscopy should be performed as the initial investigation when looking for possible colonic causes of iron deficiency anaemia or occult blood in the faeces. Thorough investigation of these patients and endoscopic follow-up of adenoma patients is the key to an early diagnosis and treatment as well as prevention of colon cancer. Readiness for polypectomy is desirable, at least if colonoscopy is performed because of positive screening test for faecal occult blood. Sigmoidoscopy is often sufficient in the investigation of bloody or prolonged diarrhoea or fresh blood from the anus if the cause of the bleeding becomes evident in the investigation. Microscopic colitis can almost always be diagnosed from the sigma. If an adenoma is detected in sigmoidoscopy, colonoscopy must always be performed. Fiberosigmoidoscopy should replace rectoscopy with a stiff instrument whenever sigmoidoscopy is available. Sigmoidoscopy must always be complemented by proctoscopy and touch per rectum in order to detect abnormalities of the anal canal.

Download or read book Thrombocytosis written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: The blood platelet or thrombocyte concentration varies between individuals but remains rather constant in each individual. The reference range is 150–360 × 109/l. Thrombocytosis (platelet count > 360 × 109/l) can be classified into two categories: primary thrombocytosis, i.e. thrombocytosis related to myeloproliferative diseases reactive or secondary thrombocytosis. In primary thrombocytosis the patient may have symptoms and complications due to the high thrombocyte concentration. In reactive thrombocytosis, not even a high thrombocyte count causes symptoms but the symptoms and complications are related to the primary disease.

Download or read book Rhabdomyolysis written by Sics Editore and published by SICS Editore. This book was released on 2014-10-01 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: Suspect rhabdomyolysis in patients with typical history (particularly those found unconscious), symptoms and clinical findings. When suspicion arises diagnosis is easy to verify (serum creatine kinase, CK). Intensified fluid therapy is the most essential treatment measure: start with infusing 1 000 ml of 0.9% saline solution during the first hour.