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Monthly Archives : November

Home/ 2018/November

Verified User Sleep Medicine Comments Off on How much sleep should you get? 1933 views

RECOMMENDATIONS BASED ON NATIONAL SLEEP FOUNDATION: AGE HOURS OF SLEEP 0-3 months 14-17 hours 4-11 months 12-15 hours 1-2 years 11-14 hours 3-5 years 10-13 hours 6-13 years 9-11 hours 14-17 years 8-10 hours 18-25 years 7-9 hours 26-64 years 7-9 hours 65+ years 7-8 hours Reference: National Sleep Foundation (Accessed ...

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Verified User Primary Care Comments Off on Pneumonia 1983 views

Pneumonia is the infection of the lower respiratory tract. There are 2 main types; Community acquired pneumonia (CAP) and Health care associated pneumonia (HCAP) EPIDEMIOLOGY - approx 4 million adults in the US are diagnosed with CAP every year ETIOLOGY - Viral (most common, 85% cases) - Common bacterial; S.pneumoniae, Hemophilus influenzae, Staph aureus, MRSA, Pseudomonas - Other; TB, fungi, legionella RISK FACTORS - Age (>65yrs) - Smoking, Alcohol use - Asthma, COPD - Previous h/o of pneumonia - Immunosuppression - Malnutrition PATHOLOGY BASED ON RISK FACTORS 1. Alcohol - S.pneumoniae, Klebsiella, S aureus, Anaerobes 2. ...

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Verified User Primary Care , USMLE Step 1 Comments Off on Adrenal Insufficiency 2104 views

Consists of 2 types; primary and secondary Primary adrenal insufficiency is also called Addison's disease ETIOLOGY Primary - Autoimmune (most common) - Hemorrhage; trauma, illness, pregnancy - Infections; HIV, CMV, TB - Amyloidosis and Hemochromatosis - Congenital - Drugs; ketoconazole, etomidate, mitotane Secondary - Iatrogenic CLINICAL FEATURES - Weakness, Fatigue - Weight loss - Nausea, Vomiting, Diarrhea, Abdominal pain - Orthostatic hypotension - Coma, Death - Hyper pigmentation of oral mucosa and palmar creases DIAGNOSIS - Blood work; BMP (hyponatremia, hyperkalemia) - Cortisol test - Cosyntropin stimulation test TREATMENT - Fludrocortisone, Hydrocortisone, Prednisone

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