Nakimedicalblog.tumblr.com Website Review

> Dilation and curettage > Loop electrocautery excisional procedure (LEEP) > Cervical conization > Congenital abnormality of the cervix due to DES Patients with a history of incompetent cervix should be offered an elective, prophylactic cerclage at 12 to 14 weeks’ gestational Dilation and curettage Loop electrocautery excisional procedure (LEEP) > Infrequent bowel sounds, bowel movements, urination > Nausea Here are another 5 F’s to keep in mind while screening newborns for DDH: dislocated). It is important to diagnose and treat because, left untreated, the patient will develop arthritis and difficulty Whether on a USMLE test question or on your pediatrics rotation, a baby with these risk factors may have DDH! old, spica cast if > 6 m – 1 ½ yrs old, surgery if these fail or if patient is > 1 ½ yrs old > Is very confused all the time. Requires Lactulose to decrease the > high ammonia levels that cause the confusion.  > NURSE: Dr. Wayfaring, Ms. P is refusing her lactulose again. She’s > all confused. What to do? > WAYFARING: Patient does not have decision-making capacity. She > cannot refuse meds. Her decision maker says give her the lactulose. > PATIENT’S FAMILY: Dr. Wayfaring, why don’t you force her to take > the lactulose? > WAYFARING: I would love to, but this is a nursing home not a > prison. I can’t shove it down her th*oat. > WAYFARING TO PATIENT: Please take your medicine. If you don’t you > will eventually go to sleep and wake up dead.  > PATIENT: I don’t like the medicine. Please fix my shaking and my > confusion. > WAYFARING: Coincidentally, this lactulose fixes the shaking and the > confusion! > PATIENT: I don’t like the medicine. Now fix my shaking and > confusion I say! > PATIENT’S FAMILY TO PATIENT: Take your medicine! >  > PATIENT: Gets more confused. Falls. Hits her head.  >