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Each section is cited with relevant articles and studies that users. More than 100 studies concur: patients receive better care when clinicians use UpToDate. In children, COVID-19 is usually mild. See Details. According to UpToDate, it “is designed to get physicians the concise, practical answers they need when they need them most—at the point of care. ‏‎UptoDate Tech‎‏, ‏الإسكندرية‏. uptodate. In the United States, approximately 153,000 new cases of large bowel cancer are diagnosed annually [ 1 ]. com. 5 to 1. A table to assist with emergency. Click the option that you want. A panic attack is a discrete episode of intense fear that begins abruptly and lasts for several minutes to an hour. Cek Review Produk TerlengkapPanic attacks and panic disorder are common problems in both primary and psychiatric specialty care [ 1 ]. (See 'Treatment of erysipelas' above. (See "Management of hepatic trauma in. Old Versions of UpToDate. The treatment of systemic candidal infection in adults will be reviewed here. This topic review discusses the symptoms, clinical manifestations, and diagnosis of vitamin B12 and folate deficiency, vitamins that are required for normal hematopoiesis and neurologic function. Calculator: Creatinine clearance estimate by Cockcroft-Gault equation in adults and older adolescents (age ≥16 years) (conventional units)* {{configCtrl2. Jobson MD. ，通过 计算机 、手机的网上访问，向医生读者提供公正无偏倚、不断更新、切实可行的临床医疗信息，快速解答医生的临床相关. There are two principal reasons why patients with hyperprolactinemia may need to be treated: existing or impending neurologic symptoms due to the large size of a lactotroph adenoma, and hypogonadism or other symptoms due to hyperprolactinemia, such as galactorrhea [ 1-3 ]. O UpToDate é a referência mais confiável que existe de suporte às decisões clínicas baseadas em evidências no local do cuidado. Pour en savoir plus sur les abonnements individuels à UpToDate. Hours: Monday-Friday, 8 AM - 9 PM ET (-5 GMT) UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family. ) The pathologic features of the major lung malignancies. Gratis Ongkir. The four essential components of asthma management are patient education, minimizing exposure to asthma triggers, monitoring for changes in symptoms or lung function, and pharmacologic therapy. Individual subscribers can also download a free mobile app 1. Lung cancer is the most common cancer worldwide and is still responsible for the most cancer deaths according to the World Health Organization, more than double the next two highest cancers of liver and lower gastrointestinal tract [ 1,2 ]. com. UpToDate: The Clinical Decision Support Resource for Android Users. An ectopic pregnancy is an extrauterine pregnancy. 4k sold. However, many patients demonstrate mild or atypical symptoms, and clinicians. For further assistance, contact us at: customerservice@uptodate. The virus was designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the illness it caused coronavirus disease 2019 (COVID-19). DEFINITIONS. They are written in accordance with plain language principles and answer the four or five most important questions a person might have about a medical problem. Catch the chance to save your purchase. Enter the email address associated with your UpToDate account in the space below and click "Send Request. The degree of muscle pain and other symptoms varies widely. UpToDate offers a number of subscriptions and add-on products, allowing you to have the most up-to-date information and improve patient care. CouponAnnie can help you save big thanks to the 12 active bargains regarding Uptodate Subscription. Treatment of iron deficiency in adults is discussed. É necessária a assinatura individual ou institucional. However, there are several ways to access UpToDate for free: Some academic institutions and medical libraries have a subscription to UpToDate and provide access to. All topics are updated as new evidence becomes available and our peer review process is complete. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. The diagnosis of iron deficiency (low iron stores, as measured by iron studies or other testing) is a major public health goal and an important aspect of the care of many adults. Tài khoản Uptodate Advanced. Content in UpToDate is written, reviewed, and updated by more than 5,000 physicians. This topic review discusses the clinical significance of RBC alloantibodies other than anti-RhD during pregnancy. These articles. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. 1. As a medical professional, you need decision support that helps you understand how to apply it as you make decisions for patients’ care. Acetaminophen poisoning is among the most common causes of medication-related poisoning and death. These. Earn and redeem credit from your mobile devices, 24 hours a day, seven days a week 2. INFORMATION FOR PATIENTS — UpToDate offers two types of patient education materials, "The Basics" and "Beyond the Basics. Vaccines to prevent SARS-CoV-2 infection are considered the most promising approach for curbing the coronavirus disease 2019 (COVID-19) pandemic. Symptoms of opioid withdrawal include drug craving, anxiety, restlessness, gastrointestinal distress,. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. همین حالا سفارشتو ثبت کن! بزن بریم!!! آپتودیت؛ بزرگ‌ترین و قابل اعتمادترین مرجع داده‌های علوم. Clinical approach — Treatment of MSSA bacteremia generally consists of a beta-lactam agent such as nafcillin (2 g IV every four hours), oxacillin (2 g IV every four hours), flucloxacillin (2 g IV every six hours), or cefazolin (2g IV every eight hours) [ 48 ]. CMV infections in immunocompromised patients cause substantial morbidity and mortality, especially among transplant recipients and those infected with the human immunodeficiency virus (HIV). Major diagnostic concerns in an. The value of EBM is heightened in light of the following considerations: The volume of evidence available to guide clinical decisions continues to grow at a rapid pace ( figure 2)Clinicians, health systems and businesses turn to UpToDate® as their trusted reference for answers to even the most complex questions. Please select the “Purchase for Others” option to place your group order. These articles. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency. Lactational mastitis is inflammation of the breast tissues associated with breastfeeding. This. آپ تو دیت رایگان UpToDate یک مرجع پزشکی مبتنی بر شواهد است که به شما اطلاعات بروز و قابل اعتماد در مورد بیماری ها، درمان ها و تشخیص ها می دهد. The virus that causes COVID-19 is designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). (See "Antifungal susceptibility testing" and "Treatment of Candida. Moved Permanently. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. Although pheochromocytomas may occur at any age, they are most common. 回診時には非常に優れたリソースとなり、試験準備にも威力を発揮します。. The WHO declared an end to the COVID-19 global health emergency in May 2023, more than three years after its emergence. Although classically. Cholangitis was first described by Charcot as a serious and life-threatening illness; however, it is now recognized that the. Mit Flexionstabellen der verschiedenen Fälle und Zeiten Aussprache und relevante Diskussionen Kostenloser Vokabeltrainer . 5. 9 g/dL (119 g/L) or hematocrit <35 percent. In systematic reviews, the worldwide annual hip fracture rate in women ranged from <100 to nearly 600 per 100,000 and vertebral fracture rate from. Moved Permanently. Our focus will always be on delivering actionable recommendations when and where they’re needed. 6 mcg/kg body weight per day. UpToDate, electronic clinical. And yet our work is far from done. Tools, logs, and practical clinical and medical information. UpToDate Online – All personal subscriptions include UpToDate online, which provides access to UpToDate from any internet browser on a computer or mobile device with a personal username and password. (See 'Treatment of erysipelas' above. )To turn on Automatic Updates: Click Start, and then click Control Panel. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. ) Duration of antibiotic therapy – We suggest five to six days of therapy rather than longer durations ( Grade 2C ). The diagnostic approach to the patient with hyponatremia will be reviewed here. However, postprandial hypoglycemia may be a concurrent or even the sole manifestation of hypoglycemia in some patients [ 4 ]. Nipple injury appears to be an inciting factor, although the exact mechanisms are debated. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. Challenges in the treatment of iron deficiency include finding and addressing the underlying cause and the selection of an iron replacement product that meets the needs of the patient. An overview of the approach to therapy of osteoporosis in postmenopausal women will be presented here. 3 APK. Subscribe to UpToDate. December 13, 2022. Medically supervised opioid withdrawal, also known as detoxification, involves the administration of medication to reduce the severity of withdrawal symptoms that occur when an opioid-dependent patient stops using opioids []. Parenteral options include cefazolin, nafcillin, and flucloxacillin. Patient Education - UpToDate. When clinicians care for adults with diarrhea, two important decision points are when to perform stool testing and. Building a better point-of-care solution for clinicians. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition. This topic will discuss the virology, epidemiology, and prevention of. Uptodate bao gồm hơn 9. This topic will provide a broad overview of the classification, clinical presentation, diagnosis, management, and sequelae of AF, including new-onset AF. This topic will review the epidemiology, risk factors, and the pathogenesis of diverticulosis and diverticular disease. These articles. The management of anticoagulation in patients undergoing surgical procedures is challenging, since interrupting anticoagulation for a procedure transiently increases the risk of thromboembolism. Approximately 10 percent of individuals aged 40 years or older have COPD, although the prevalence varies between countries and increases with age [ 1-3 ]. metaDescription()}}What's New. UpToDate, the evidence-based clinical decision support resource from Wolters Kluwer, is trusted at the point of care by clinicians worldwide. Methicillin-sensitive S. Through UpToDate online you can earn and track free CME/CE/CPD credit by. The Global Initiative for Chronic Obstructive Lung Disease (GOLD), a report produced by the National Heart, Lung, and Blood Institute (NHLBI) and the World Health Organization (WHO), defines an exacerbation of chronic obstructive pulmonary disease (COPD) as "an event characterized by dyspnea and/or. As an example, when a patient infected with HIV becomes hyponatremic, volume depletion, the syndrome of inappropriate ADH secretion (SIADH. UpToDate is a point of care, clinical information tool with over 77,000 pages of peer-reviewed, fully-referenced, and illustrated topic reviews. A study based on a Centers for Disease Control and Prevention database found that in 2021, fentanyl was implicated in 94 percent of opioid deaths, compared with only 5 percent in 1999; between 2013 and 2021, the pediatric mortality rate from fentanyl increased from 0. . In some cases, the primary problem is movement of potassium out of the cells, even though the total body potassium may be reduced. Acute cholangitis is a clinical syndrome characterized by fever, jaundice, and abdominal pain that develops as a result of stasis and infection in the biliary tract. The document has moved here. . However, in rare cases, children can be severely affected, and clinical manifestations may differ from adults. This figure is approximately three times higher than the general population and indicates that 2 percent of the older adult population will be hospitalized for CAP annually ( figure 1 ). 医療従事者により30年前に設立されたUpToDate®は、医療従事者が最善の意思決定を行えるように、適切なエビデンスと推奨を提供します。. DEFINITION Acute otitis media (AOM) is an acute, suppurative infectious process marked by the presence of infected middle ear fluid and inflammation of the mucosa lining the middle ear space ( picture 1 ). Monoclonal gammopathy of undetermined significance (MGUS) is a premalignant clonal plasma cell or lymphoplasmacytic proliferative disorder characterized by the presence of monoclonal immunoglobulins and/or an abnormal ratio of free immunoglobulin light chains in the blood and/or urine. Urinary tract infections (UTIs) happen when bacteria get into the urethra and travel up into the bladder. up to date definition: 1. Although croup usually is a mild and self-limited illness, significant upper airway obstruction and respiratory distress can occur. Osteomyelitis is an infection involving bone. 5 to 1 mg/kg every four to six hours. Monday through Friday. Lernen Sie die Übersetzung für 'up-to-date' in LEOs ­Englisch ⇔ Deutsch­ Wörterbuch. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. You need the best evidence and clinical guidance at your fingertips to answer even the most complex questions with confidence. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. The following represent additions to UpToDate from the past six months that were considered by the editors and authors to be of particular interest. It was first used for the treatment of RA and psoriasis in 1951, following its development in the late 1940s as a chemotherapeutic agent for malignancy [. Most children with constipation do not have an identifiable underlying medical problem causing their symptoms. UpToDate offers a number of subscriptions and add-on products, allowing you to have the most up-to-date information and improve patient care. Most symptomatic patients with a ruptured ovarian cyst are successfully managed with observation and analgesics; however, some patients require surgery. Angioedema is self-limited, localized swelling of the skin or mucosal tissues, which results from extravasation of fluid into the interstitium due to a loss of vascular integrity. Oral options include penicillin V potassium, amoxicillin, cephalexin, and cefadroxil. This generalized information is a limited summary of diagnosis, treatment, and/or medication information. 10 is used when the denominator is the concentration of dissolved CO 2, and this is proportional to the pCO 2 (the actual concentration of the acid H 2 CO 3 is very low):العربية. It is one of the more common causes of thrombocytopenia in otherwise asymptomatic adults. INTRODUCTION — Dermatophyte infections are common worldwide, and dermatophytes are the prevailing causes of fungal infection of the skin, hair, and nails []. metaDescription()}}{{configCtrl2. 2 APK. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. Wolters Kluwer celebrates 30 years of UpToDate, the industry-leading clinical decision support solution. Pathways and Lab Interpretation address common medical conditions and those with. REFERENCES. INTRODUCTION Generalized anxiety disorder (GAD) is characterized by excessive worry and anxiety that are difficult to control, cause significant distress and impairment, and occur on more days than not for at least six months [ 1 ]. Your order will be processed upon receipt of your completed order form and check. Colorectal cancer (CRC) is a common and lethal disease. . 000. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. iPad. When you care for patients, the stakes are high and every decision counts. The treatment, prognosis, and follow-up of patients with acute PE are reviewed here. The best bargain available at this time is 65% off from "Free Trial Offer". ) UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases, Nephrology and Hypertension, Neurology, Obstetrics, Gynecology, and Women. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. In some cases, the primary problem is movement of potassium out of the cells, even though the total body potassium may be reduced. 00 - RM169. Clinical manifestations, evaluation, and diagnosis of acute radiation exposure; Electrical injuries and. These articles are best for patients who want a general overview and who prefer short, easy-to-read materials. Contents. Among the rheumatic diseases in which glucocorticoids are often used are rheumatoid arthritis, large- and small-vessel. INFORMATION FOR PATIENTS — UpToDate offers two types of patient education materials, "The Basics" and "Beyond the Basics. Wi-Fi access is required for initial UpToDate. 中文译者来自国内 400 多家著名医院，例如北京协和医院、四川大学华西医院、中国人民解放军总医院、上海交通大学医学院附属瑞金医院、第四军医大学西京医院、复旦大学附属华山医院. The treatment of hypernatremia in patients with impaired thirst, with or without diabetes insipidus, and with primary sodium overload will also be reviewed. (See "Eyelid lesions" and "Dry eye disease" . Bowel compromise (ischemia, necrosis, or perforation) and a surgically correctable cause of SBO (eg. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. Angioedema may occur in isolation, accompanied by urticaria, or as a component of anaphylaxis. 2 mg per day), even when given continuously over years. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology, Cardiovascular Medicine, Emergency Medicine, Endocrinology and Diabetes, Family Medicine, Gastroenterology and Hepatology, Hematology, Infectious Diseases,. 375 mmol/L) above the upper limit of normal with an elevated or inappropriately normal parathyroid. More than 100 studies concur: patients receive better care. ; Install the UpToDate app and login with your personal account. The management of the acetaminophen-poisoned patient may include stabilization, decontamination, and. 医療用の計算機、薬物相互作用情報、医療専門分野などの幅広い情報を提供しています。. UpToDate は、医師のための豊富な医療情報を収録した医療アプリです。. Rp207. Approach to selecting an antibiotic regimen — The choice of initial antibiotic regimen to treat H. reflecting the latest information or changes (adj. It is developed by Wolters Kluwer Health and requires an individual or institutional subscription to access the content. Separate topics discuss thrombocytopenia in other populations: Neonates – (See "Neonatal thrombocytopenia: Clinical manifestations, evaluation, and. In addition to get more bang for your bucks with all the best UpToDate discount codes at CouponUpto, Wolters Kluwer is well-known as a global provider of professional information, software solutions, and services for clinicians, accountants, lawyers, and tax, finance, audit, risk, compliance, and regulatory sectors. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine, Allergy and Immunology,. Get toned and defined abs in just 30 days. A barking cough is the hallmark of croup.