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INTRODUCTION. Patients with acute upper gastrointestinal (GI) bleeding commonly present with hematemesis (vomiting of blood or coffee-ground-like material) and/or melena (black, tarry stools). The initial evaluation of patients with acute upper GI bleeding involves an assessment of hemodynamic stability and resuscitation if necessary.

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Atrial fibrillation (AF) is the most commonly treated cardiac arrhythmia. AF is generally associated with an irregularly irregular ventricular rhythm and absence of distinct P waves. This topic will provide a broad overview of the classification, clinical presentation, diagnosis, management, and sequelae of AF, including new-onset AF. For over 30 years, clinicians around the world have trusted the evidence-based content in the UpToDate® clinical decision support (CDS) system to help make crucial care decisions when it matters most. Founded by clinicians for clinicians, and backed by an expert editorial team in over 25 specialties, UpToDate provides the latest medical ... UpToDate, the evidence-based clinical decision support resource from Wolters Kluwer, is trusted at the point of care by clinicians worldwide.Pelvic inflammatory disease (PID) refers to acute infection of the upper genital tract structures in females, involving any or all of the uterus, fallopian tubes, and ovaries and may involve the neighboring pelvic organs. Early diagnosis and treatment are believed to be key elements in the prevention of long-term sequelae, such as infertility ...May 7, 2024 · Evidence-based point of care resource. Free mobile app is available for iPhones, iPads, Androids, and Windows 8 devices. Note: To accrue CME/CE/CPD credit for reading UpToDate topic reviews, login with your own individual UpToDate username and password.

Sign up today to receive the latest news and updates from UpToDate. Sign Up Des médecins, des professionnels de santé et des établissements du monde entier font confiance aux solutions UpToDate® fondées sur des données factuelles pour prendre les meilleures décisions de soins possible et obtenir de meilleurs résultats pour leurs patients. Herpes zoster, also known as shingles, results from activation of latent VZV from a sensory ganglion. The virus then travels down the associated sensory nerve to the skin, leading to a characteristic dermatomal rash, usually in association with dermatomal pain. Although herpes zoster can occur at any age, it is more commonly a disease of …

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Points may be redeemed for up to 5 years from the time they were accrued. European Board for Accreditation in Hematology (EBAH) UpToDate is recognized as a provider of e-learning under EBAH's accreditation criteria. This recognition begins January 1, 2021. Credit points may be redeemed for up to 5 years from the time they were accrued. Valacyclovir is the valyl ester of the antiviral drug acyclovir [ 1 ]. Acting as an oral prodrug, valacyclovir is converted in vivo to acyclovir. Acyclovir, a nucleoside analog, is phosphorylated by virally-encoded thymidine kinase and subsequently by cellular enzymes, yielding acyclovir triphosphate, which competitively inhibits viral DNA ...The virus that causes COVID-19 is designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This topic will discuss the management of COVID-19 in hospitalized adults. Our approach to hospital management evolves rapidly as clinical data emerge. Clinicians should consult their own local protocols for management, which …Anemia definitions — Anemia is defined for patient care as a reduction in one or more of the major red blood cell (RBC) measurements obtained as a part of the complete blood count (CBC): hemoglobin concentration, hematocrit, or RBC count. A low hemoglobin concentration and/or low hematocrit are the parameters most widely used to diagnose …

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Evidence-based, clinical resource to be used for educational purposes only to optimize learning and to identify information for clinical problem-solving.A minimum of 1.3 GB of local storage is required for both topics and graphics; 400MB of local storage is required for topics only. Access clinical decision support on-the-go with UpToDate's mobile app. Get evidence-based answers to your medical questions anytime, anywhere. Learn more today. 14-C Urea breath test: Drug information; Abacavir and lamivudine: Drug information; Abacavir, lamivudine, and zidovudine: Drug information; Abacavir: Drug information - - Remember Me ? Designed and developed by RSE (N.S. 1.2.5 - 15/03/2024)(Prod.)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. This topic will review the causes of iron deficiency in adults and an approach to the diagnostic evaluation. Treatment of iron deficiency in adults is discussed ...Evidence-based medicine (EBM) is the care of patients using the best available research evidence to guide clinical decision-making ( figure 1) [ 1,2 ]. 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)

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Range of normal temperature — Normal body temperature ranges from approximately 35.3 to 37.7°C (95.5 to 99.9°F), with an average of 36.7°C (98.0°F) when measured orally, as suggested by studies in both outpatients and hospitalized individuals: In a study that included 35,488 individuals who underwent 243,506 oral temperature measurements ...As people age, they often find themselves in a difficult position when it comes to dating. For those over 50, the options can seem limited. Fortunately, there is a great solution f...Acute pancreatitis is an acute inflammatory process of the pancreas. Overall mortality rates in acute pancreatitis are approximately 2 percent, but can be as high as 30 percent in patients with persistent organ failure (severe acute pancreatitis) [ 1 ]. This topic reviews the management of acute pancreatitis.Oct 17, 2023 · Colitis — Patients with ulcerative colitis usually present with diarrhea, which may be associated with blood. Bowel movements are frequent and small in volume as a result of rectal inflammation. Associated symptoms include colicky abdominal pain, urgency, tenesmus, and incontinence [ 1 ]. Patients with mainly distal disease may have ... 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. This topic will review the causes of iron deficiency in adults and an approach to the diagnostic evaluation. Treatment of iron deficiency in adults is discussed ...In the world of online dating, there are numerous options available to help individuals find their perfect match. One popular platform that has gained significant attention is Plen...この30年間で、UpToDateはエビデンスに基づいた臨床意思決定支援の標準になりました。. でも、やるべきことはまだまだあります。. 常に目指すのは、実践的な推奨を必要な時に、必要な場所へ届けること。. そして疑問を解決に導き、知見を意思決定に活かし ...

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An updated 2023-2024 formula vaccine is recommended for all individuals aged 6 months and older. Regardless of prior vaccination history, immunocompetent individuals 5 to 64 years should receive one updated vaccine, and those aged 65 years and older should receive two.

In adults, oropharyngeal candidiasis (also referred to as thrush) is seen in both immunocompetent and immunocompromised hosts. In immunocompetent patients, oropharyngeal candidiasis typically occurs in those who wear dentures [ 5,6 ], patients with xerostomia (dry mouth), and those treated with antibiotics or inhaled corticosteroids.Powerful and practical clinical knowledge at your fingertips, a personal subscription to UpToDate provides consistent, convenient access to enhance your daily medical practice. UpToDate helps you stay current on the latest evidence-based recommendations across 25 specialties to find answers to your clinical questions. Subscribe.Mar 20, 2024 · INTRODUCTION. Acute pancreatitis is an acute inflammatory process of the pancreas. Acute pancreatitis should be suspected in patients with severe acute upper abdominal pain but requires biochemical or radiologic evidence to establish the diagnosis. This topic will review the clinical manifestations and diagnosis of acute pancreatitis. about us. The Lucky Date is an online dating website where every message holds the potential for something magical. Thousands of singles are waiting to connect, chat and explore. Simple, user-friendly & easy to navigate.UpToDate, the evidence-based clinical decision support resource from Wolters Kluwer, is trusted at the point of care by clinicians worldwide.Guest Pass. > Complimentary Guest Pass registration. Sign up for a Guest Pass and start using UpToDate today. 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 ...What's New. Our editors select a small number of the most important updates and share them with you via What's New. See these updates by clicking on the specialty you are interested in below. You may also enter "What's new" in …All patients with kidney disease (whether acute or chronic) should undergo an assessment of kidney function by estimating the glomerular filtration rate (GFR) from the serum creatinine. This measurement is used clinically to evaluate the degree of kidney impairment, to follow the course of the disease, and to assess the response to therapy. Eastern Virginia Medical School Brickell Medical Sciences Library 740 W. Olney Road Norfolk, VA 23507. Circulation Desk: 757.446.5850 Information Desk: 757.446.5851 Email: [email protected]

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Overall mortality rates in acute pancreatitis are approximately 2 percent, but can be as high as 30 percent in patients with persistent organ failure (severe acute pancreatitis) [ 1 ]. This topic reviews the management of acute pancreatitis.