07-02-2009, 02:46 AM
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What I learned today. - lazygenius
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07-02-2009, 03:06 AM
major depressive disorder diagnosed
next step ... ask about suicidal thinking ..
07-02-2009, 08:29 PM
fish poisoning;
_________________ scombroid poisoning consumption of canned fish tuna dolphin mackerel mahi-mahi overgrowth of bacteria on improperly preserved fish These bacteria produce histidine histamine-type allergic reactions flushing pruritus urticaria nonspecific gastrointestinal symptoms within 5 minutes to 1 hour of ingestion More severe cases bronchospasm angioedema respiratory compromise Treatment includes adequate resuscitation antihistamines epinephnne Ciguatera poisoning nonbacterial food poisoning fish barracuda snapper jack grouper onset of symptoms 15 to 30 minutes of ingestion and typically takes place within 1 to 3 hours Symptoms then increase in severity over the ensuing 4 to 6 hours symptoms abdominal pain nausea vomiting diarrhea chills paresthesias pruritus visual blurring maculopapular rash skin vesiculations dermatographism sialorrhea diaphoresis headache arthralgias myalgias insomnia bradycardia hypotension central respiratory failure coma Death is rare The most common symptom neurologic Tetrodotoxin toxin expressed by the puffer fish eastern Asian Countries Symptoms perioral numbness increasing neurologic dysfunction eventual respiratory arrest secondary to profound muscle weakess
07-06-2009, 01:31 PM
rx of otitis media and sinusitis is the same and they are in order:
amoxicillin cefuroxime azithro-clarithro levofloxacin
07-06-2009, 01:38 PM
meningitis:fever,headache,NICK STIFFNESS
encephalitis:fever,headache,CONFUSION brain abscess:fever,headache,focal neurological signs(seizures,aphasia,hemiparesis)
07-06-2009, 10:08 PM
Ludwig angina: rapidly progressing bilateral cellulitis of submaxillary and sublingual spaces. Asphyxation is most common cause of death in this disease
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