An Atlas of EEG Patterns by John M. Stern MD PDF

Diagnosis

By John M. Stern MD

Prepared via wave good points instead of trend names, this atlas is helping consultant the reader to an EEG interpretation even if the waveform is strange. the 1st part takes the reader throughout the strategy of characterizing EEG waves through their positive aspects. the second one part organizes EEG styles through their gains, so presents EEG waveform differential diagnoses. The 3rd part is geared up alphabetically via development identify with each one development defined in a manner that enables the reader to tell apart it from equally showing styles. Examples of the styles are also supplied.

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Abscess, Lung I 10 Abscess, Lung PTG CHRONIC Rx • Bronchoscopy to assist with drainage and/or diagnosis is indicated in patients who fail to respond to antibiotics or if there is suspected underlying malignancy. • Surgery is indicated on rare occasions (,10%) in patients with complications of lung abscess (see “Comments”). • Hospital-acquired lung abscess carries a high mortality rate (65%). DISPOSITION • More than 95% of patients are cured with the use of antibiotics alone. • Complications of lung abscesses include: 1.

Total administration time is 21 hours. • Oral administration is 140 mg/kg PO as a loading dose, followed after 4 hr by 70 mg/kg PO q4h for a total of 17 doses. N-acetylcysteine therapy should be started within 24 hr of acetaminophen overdose. Total administration time is 72 hours. • Advantages of IV administration include more reliable absorption, fewer doses, and shorter duration of treatment. • Monitor acetaminophen level; use graph to plot possible hepatic toxicity. Some toxicologists recommend repeating AST/ALT and APAP levels after 12 to 14 hr of IV acetylcysteine infusion and continuing infusion longer than 16 hr if transaminases are elevated or if the serum acetaminophen concentration is measurable.

Gov. PEARLS & CONSIDERATIONS COMMENTS Care should be taken in interacting with the alleged abuser so that access to the victim is not lost. , respite care) for stressed caregivers. • Make financial arrangements and arrange durable power of attorney for health care and finances while patient is still cognitively intact. PATIENT & FAMILY EDUCATION National Center on Elder Abuse: http://www. gov JAMA Patient Page: Hildreth CJ et al: JAMA patient page. H. PTG EBM ALG i BASIC INFORMATION DEFINITION Acetaminophen (APAP) poisoning is a disorder caused by excessive intake of acetaminophen and is manifested by jaundice, nausea, vomiting, and potential death from hepatic necrosis if not treated appropriately.

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