FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic literature reviews and conferences.A life-threatening viral infection caused by the neurotropic Rabies virus. It is transmitted to humans usually from a bite by an infected dog. The initial signs and symptoms include malaise, fever, and headache, followed by the central nervous system manifestations which include abrupt behavioral changes.Definitions. Low Back Pain. Pain distribution between the costal angles and the gluteal folds. Mechanical Low Back Pain. Back pain with origin in the spine, intervertebral discs and surrounding soft tissue. Includes strains, disc Hernia tion, Spondylosis, Spondylolisthesis, Spondylolysis, compression Fracture s.Ontology: Hypernatremia (C0020488) Definition (MSH) Excessive amount of sodium in the blood. (Dorland, 27th ed) Definition (CSP) excessive amount of sodium in the blood. Concepts. Disease or Syndrome ( T047 ) MSH.Ontology: Acyclovir (C0001367) Definition (CHV) a drug used to treat initial genital herpes infections. Definition (NCI_NCI-GLOSS) A substance used to prevent or treat cytomegalovirus and herpes simplex infections that may occur when the body is immunosuppressed. It belongs to the family of drugs called antivirals.A disorder characterized by the persistent or recurrent inability to achieve or to maintain an erection during sexual activity. Definition (CSP) inability to perform sexual intercourse. Definition (MSH) The inability in the male to have a PENILE ERECTION due to psychological or organ dysfunction.A warm welcome to The Family Practice. Access our surgery by entering a room below. BREAKING NEWS.Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with … Acute Cholecystitis may present cryptically yet requires emergent management. Fever and chills are frequently absent. Fever or chills are only present in a third of patients with Acute Cholecystitis. Right upper quadrant pain or tenderness may be absent. As many as a quarter of Acute Cholecystitis cases do not have RUQ findings. IV. Risk Factors. Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic ...Definitions. Low Back Pain. Pain distribution between the costal angles and the gluteal folds. Mechanical Low Back Pain. Back pain with origin in the spine, intervertebral discs and surrounding soft tissue. Includes strains, disc Hernia tion, Spondylosis, Spondylolisthesis, Spondylolysis, compression Fracture s.Jul 30, 2021 ... Clicky. The home of general practice and family medicine. Home · About · The BJGP journals · Contribute · How to opt in to get the BJGP...Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …In today’s fast-paced digital age, staying organized and maximizing efficiency is crucial. One tool that has become increasingly popular is the free digital notebook. The first ste...FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 7100 interlinked topic …Prednisone 40 mg orally daily (5 day course is typical) Five day course of 40 mg daily is sufficient for most COPD exacerbations. Leuppi (2013) JAMA 309 (21):2223-31 [PubMed] Ten day course reduces relapse rate after COPD evaluation in ER. Aaron (2003) N Engl J Med 348:2618-25 [PubMed] Avoid low efficacy therapies.Family Practice Notebook Updates 2014. Family Practice Notebook Updates 2013. advertisement. II. Updates: March 2024. Abnormal Uterine Bleeding Associated with Hormonal Contraception (gyn, pharm) Updates including management of AUB for various contraceptive options. Atrial Fibrillation Acute Management (cv, ekg) advertisement. II. Definition. Infection of trachea, Bronchi, or Bronchi oles. Acute Bronchitis is most often of viral etiology. Contrast with Chronic Bronchitis exacerbation ( COPD exacerbation) which is often Bacteria l. III. Epidemiology. Acute Bronchitis is most common cause of acute cough. How are you planning to use your Chromebook? That’s the first question you should ask yourself before shopping for one. Acer has an outstanding reputation for delivering high-quali...Definition (NCI) A species of anaerobic, Gram indeterminate, spiral shaped bacteria assigned to the phylum Spirochaetes. This species is motile, NADH oxidase positive, ferments glucose and is an obligate parasite. T. pallidum is the causative agent of syphilis and at least 3 other subspecies are also human pathogens.Gout is a common, painful form of arthritis. It causes swollen, red, hot and stiff joints. Gout happens when uric acid builds up in your body. Uric acid comes from the breakdown of substances called purines. Purines are in your body's tissues and in foods, such as liver, dried beans and peas, and anchovies. Management: General Measures. Ice or heat applied to affected area. Initial interval: 20-25 minutes per hour. Later interval: three times daily. Position of comfort. Flexion relieves pressure on Posterior Column s. Extension relieves pressure on anterior columns. Body mechanics. Ease transfers out of bed. Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …Irwell Medical Practice, Bacup Health Centre (Irwell Mill/Rochdale Rd, Bacup OL13 9NR) – Monday and Thursdays; Ilex View Medical Centre, Rossendale Health ...Hyperlipidemia is a chapter in the book, Cardiovascular Medicine, containing the following 4 pages: Hypercholesterolemia, Hypertriglyceridemia, AntiHyperlipidemic, Cholesterol Education Resources.Ontology: Intertrigo (C0021807) A superficial dermatitis occurring on skin surfaces in contact with each other, such as the axillae, neck creases, intergluteal fold, between the toes, etc. Obesity is a predisposing factor. The condition is caused by moisture and friction and is characterized by erythema, maceration, burning, and …Dec 14, 2022 ... If you're interested in how I make my charts and study, check out my blog post on the subject. Family Practice Notebook. On my third family ...An inflammatory skin condition caused by direct contact between the skin and either an irritating substance or an allergen. (NICHD) Definition (MSH) A type of acute or chronic skin reaction in which sensitivity is manifested by reactivity to materials or substances coming in contact with the skin. Parasitic attack or subsistence on the skin by members of the order Phthiraptera, especially on humans by Pediculus humanus of the family Pediculidae. The hair of the head, eyelashes, and pubis is a frequent site of infestation. (From Dorland, 28th ed; Stedman, 26th ed) Concepts. Disease or Syndrome ( T047 ) MSH. Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …Known as Clenched-Fist Bite Wound or Fight Bite. Index or Long finger MCP joint strikes tooth (typically upper teeth) Site of injury obscured in extension. High risk for infection spread. Often associated with small (3-5 mm) Laceration over MCP joint. Associated injuries (in 75-100% of cases) despite initial benign, superficial appearance.Onset in first two weeks of travel (usually first week) Duration: Short. Diarrhea lasts <24 hours in 20% of cases. Diarrhea lasts 2-7 days in 60% of cases. Diarrhea lasts >1 week in <15% of cases. Diarrhea lasts >4 weeks in <2% of cases. Longer duration associated with age under 29 years. This page includes the following topics and synonyms: Sexually Transmitted Disease, STD, Sexually Transmitted Infection, STI, Expedited Partner Treatment, STI Screening, STD Screening, Chlamydia trachomatis and Neisseria gonorrhoeae Infections, STI Postexposure Prophylaxis. Bacterial Vaginosis is associated with Preterm Labor. Treat all symptomatic Bacterial Vaginosis cases in pregnancy (but screening not indicated) First Trimester. Avoid treatment if possible in first trimester. Clindamycin ( Cleocin) 300 mg PO bid for 7 days. Clindamycin Cream 5 grams PV qhs for 7 days. Tiny, rice grain size, gelatinous pale bumps on the Conjunctiva. Gonococcal Conjunctivitis ( Hyperacute Bacterial Conjunctivitis) Severe purulent Eye Discharge, Eye Pain and decreased Vision. Risk of Cornea l involvement including Corneal Ulcer ation. Obtain cultures and treat systemically for both Gonorrhea … FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 7100 interlinked topic pages divided into a tree of 31 specialty books and 726 chapters. Content is updated monthly with systematic literature reviews and conferences. Tiny, rice grain size, gelatinous pale bumps on the Conjunctiva. Gonococcal Conjunctivitis ( Hyperacute Bacterial Conjunctivitis) Severe purulent Eye Discharge, Eye Pain and decreased Vision. Risk of Cornea l involvement including Corneal Ulcer ation. Obtain cultures and treat systemically for both Gonorrhea …Family Practice Notebook began as one Family Practice physician’s personal palmpilot notes. It has since developed over time into an online compendium recently transitioned into an iPhone and Android application. I have used the notebook multiple times online and actually emailed the creator, Dr … FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic literature reviews and conferences. An infectious or non-infectious inflammatory process affecting the prostate gland. inflammation of the prostate. Infiltration of inflammatory cells into the parenchyma of PROSTATE. The subtypes are classified by their varied laboratory analysis, clinical presentation and response to treatment.Anaphylaxis is a life threatening condition that requires immediate ABC Management and Epinephrine injection IM. Biphasic reactions occur in up to 20% of cases. Second acute anaphylactic reaction despite no repeat exposure to the original allergen. Second reaction may be delayed up to 8 hours later (24-72 hour delay has been reported in ...Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …Acute Vestibular Syndrome (AVS) Acute, rapid onset (<1 hour) that is persistent, continuous Vertigo or Dizziness (for weeks to months) Vertigo is worsened by (but not triggered by) position change. Associated with Nystagmus, Nausea or Vomiting, head motion intolerance and gait unsteadiness. Perform HiNTs Exam.Sit upright and lean forward (avoids aspiration of blood) Pinch the nose just below the Nasal Bridge for 10-15 minutes. Spray Oxymetazoline or neosynephrine inside nares (2-3 sprays) Apply cold compress the area around Nasal Bridge. Avoid unhelpful measures. Avoid home Nasal Packing with tissue, gauze or tampon.Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …Peters (1998) Ann Surg 228 (1):40-50 [PubMed] This page includes the following topics and synonyms: Gastroesophageal Reflux, Esophageal Reflux, Reflux Esophagitis, Heartburn, Acid Reflux, Acid Regurgitation, Water Brash, Pyrosis, GERD, Causes of Decreased Lower Esophageal Sphincter Pressure. Bacterial Vaginosis is associated with Preterm Labor. Treat all symptomatic Bacterial Vaginosis cases in pregnancy (but screening not indicated) First Trimester. Avoid treatment if possible in first trimester. Clindamycin ( Cleocin) 300 mg PO bid for 7 days. Clindamycin Cream 5 grams PV qhs for 7 days. Alopecia Universalis. Hair Loss over entire body. VI. Signs. Characteristics. Well-demarcated oval or round patches of Hair Loss. Patch es of Hair Loss may coalesce into larger areas of Hair Loss. Distribution. Hair Loss on scalp is most common (but may occur in any body region)FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic literature reviews and conferences. Please see the Terms and Conditions.. This page was written by Scott Moses, MD. This page was last revised on 9/16/2022 and last published on 9/16/2022. ©2022, Family Practice Notebook, LLC Rate: 103-118 per 100,000 people in U.S. Over 330,000 Emergency Department visits per year. Dog Bites account for 80-90% of Animal Bite s in U.S. Unprovoked Dog Bites account for 50% of events. Dogs are known to the victim in 70% of Dog Bite cases. Mortality: >12 per year in U.S. (most are children) FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic literature reviews and conferences. Definitions. Epididymitis. Inflammation of the epididymis, typically due to Bacterial Infection (esp. Gonorrhea, Chlamydia) Much more common than Orchitis. Orchitis. Inflammation of the Testicle, typically due to Viral Infection (esp. mumps) Epididymo-orchitis. Inflammation of both the epididymis and the Testicle. III.I always wanted to have two kids. I dreamily scribbled names for them in my notebooks as far back as high school and imagined them having fun together. Being a... Edit Your Post Pu...Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic ...Family Practice Notebook is a library contains many topics related to family medicine. Author(s): Family Practice Notebook. s NAPages ...Family Practice notebook app is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains over …Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic ...Download / View book. Family Practice Notebook. by. File Type : Number of Pages : Description. No Description Available for this content.Ontology: Acyclovir (C0001367) Definition (CHV) a drug used to treat initial genital herpes infections. Definition (NCI_NCI-GLOSS) A substance used to prevent or treat cytomegalovirus and herpes simplex infections that may occur when the body is immunosuppressed. It belongs to the family of drugs called antivirals.Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …Peripheral joint and spine stiffness. Occurs >30 minutes in morning and after inactivity. Skin lesions consistent with Psoriasis (60-80%) Arthritis may precede psoriatic dermatitis (20%) Classic psoriatic Plaque s (See Psoriasis) Look at typical sites on extensor knee and elbow. Examine scalp, ears, perineum, Umbilicus.Ontology: Iron deficiency anemia (C0162316) Definition (NCI) Anemia caused by low iron intake, inefficient iron absorption in the gastrointestinal tract, or chronic blood loss. Definition (MSH) Anemia characterized by decreased or absent iron stores, low serum iron concentration, low transferrin saturation, and low hemoglobin concentration or ...Microalbuminuria (moderately increased) 24h Collection: 30-300 mg/day. Timed Collection: 20-200 mcg/min. Urine Albumin to Creatinine Ratio (Spot Collection): 30-300 mcg/mg Creatinine. Macroalbuminuria (severely increased) 24h CollecSpot Collectiontion: >300 mg/day. Timed Collection: >200 mcg/min.Bacteria that cause stomach inflammation (gastritis) and ulcers in the stomach. This bacteria is the most common cause of ulcers worldwide. It is often referred to as H. pylori. H. pylori infection is usually acquired from contaminated food and water and through person to person spread.Family Practice Notebook is a library containing the following 31 books: Cardiovascular Medicine, Gynecology, Hematology and Oncology, Human … Menopause is the time in a woman's life when her period stops. It usually occurs naturally, most often after age 45. Menopause happens because the woman's ovaries stop producing the hormones estrogen and progesterone. A woman has reached menopause when she has not had a period for one year. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 7100 interlinked topic pages divided into a tree of 31 specialty books and 726 chapters. Content is updated monthly with systematic literature reviews and conferences. Atrial Fibrillation waves ( F Wave s) seen as small irregular waves at rate >150/min. Irregularly irregular ventricular rhythm. Inconsistent R-R interval, with rates up to rapid rate up to 160-200 bpm in RVR. Other rhythm evaluation in suspected paroxysmal Atrial Fibrillation. Holter Monitor.Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic ...Family Practice Notebook is a library containing the following 31 books: Cardiovascular Medicine, Gynecology, Hematology and Oncology, Human …Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic ...FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic literature reviews and conferences.Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic ...this minimalist notebook design enables you to plot and create a family life you’ll love within the year to come. via a chain of illuminating questions and sporting events, you’ll be …Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …Consider if onset at Menarche, Family History, bleeding from other sites (e.g. prolonged Epistaxis >10 min) Accounts for 20% of patients with Menorrhagia (esp. adolescent girls) Endocrinopathy. Hypothyroidism and Hyperthyroidism symptoms; Hyperandrogenism (e.g. PCOS) Hyperprolactinemia (e.g. Galactorrhea)As the disease becomes chronic, ulcers appear, sinus tracts enlarge, fistulas develop, and fibrosis and scarring become evident. Hidradenitis suppurativa (HS) is a chronic disease of a type of sweat gland. It can occur in one or multiple areas of your body. HS usually develops in your armpits, groin, and anal area. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with systematic literature reviews and conferences. Definition (NCI) An acute viral infection of the respiratory tract, occurring in isolated cases, in epidemics, or in pandemics; it is caused by serologically different strains of viruses (influenzaviruses) designated A, B, and C, has a 3-day incubation period, and usually lasts for 3 to 10 days.Starts as erythematous tender indurated lid area. Later Pustule develops in area of Eyelid Inflammation. Red, swollen, tender mass within Eyelid, at margin. Types. External Hordeolum (stye) Clogging of the eyelash follicles, or Zeis or Moll glands ( Sweat Gland s) Most common presentation. Points to skin surface.Please see an explanation of the subscription model here. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6407 interlinked topic pages divided into a tree of 31 specialty books and 722 chapters. Content is updated monthly with …
Peters (1998) Ann Surg 228 (1):40-50 [PubMed] This page includes the following topics and synonyms: Gastroesophageal Reflux, Esophageal Reflux, Reflux Esophagitis, Heartburn, Acid Reflux, Acid Regurgitation, Water Brash, Pyrosis, GERD, Causes of Decreased Lower Esophageal Sphincter Pressure.. What is group me
Anaphylaxis is a life threatening condition that requires immediate ABC Management and Epinephrine injection IM. Biphasic reactions occur in up to 20% of cases. Second acute anaphylactic reaction despite no repeat exposure to the original allergen. Second reaction may be delayed up to 8 hours later (24-72 hour delay has been reported in ... iPhone. Family Practice Notebook is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains over 6100 interlinked topic pages divided into a tree of 31 specialty books and over 700 chapters. FP Notebook’s content is updated monthly with systematic literature ... Clean lid margins twice daily. Pull lower lid down to scrub against orbital rim. Apply warm compress for 2 minutes. Loosens debris. Helpful in severe Blepharitis. Gently massage posterior lid to express meibomian gland contents. Scrub lid margins with warm cloth. Scrub lashes and lid margins with dilute baby Shampoo on cotton swab.Use the index at left to list all terms starting with the given letter (e.g. 'Index A' lists all terms starting with A). Use the search box at top right to enter a search term. …Hemorrhoids are swollen, inflamed veins around the anus or lower rectum. They are either inside the anus or under the skin around the anus. They often result from straining to have a bowel movement. Other factors include pregnancy, aging and chronic constipation or diarrhea.I always wanted to have two kids. I dreamily scribbled names for them in my notebooks as far back as high school and imagined them having fun together. Being a... Edit Your Post Pu...Tiny, rice grain size, gelatinous pale bumps on the Conjunctiva. Gonococcal Conjunctivitis ( Hyperacute Bacterial Conjunctivitis) Severe purulent Eye Discharge, Eye Pain and decreased Vision. Risk of Cornea l involvement including Corneal Ulcer ation. Obtain cultures and treat systemically for both Gonorrhea …Volume 41, Issue 1, February 2024. SYSTEMATIC REVIEW. Accuracy of diagnostic tests for acute diverticulitis that are feasible in primary care: a systematic review and meta …Difficulty in going to sleep or getting enough sleep. A sleep disorder characterized by difficulty in falling asleep and/or remaining asleep. This page includes the following topics and synonyms: Insomnia, Sleeplessness, Disorder of Initiating and Maintaining Sleep, DIMS, Sleep Initiation and Maintenance Disorder.A dark orange, yellow pigment that is the product of the breakdown of iron in the blood; it is conjugated in the liver and excreted in the bile. Substance formed when red blood cells are broken down. Bilirubin is part of the bile, which is made in the liver and is stored in the gallbladder.Gout is a common, painful form of arthritis. It causes swollen, red, hot and stiff joints. Gout happens when uric acid builds up in your body. Uric acid comes from the breakdown of substances called purines. Purines are in your body's tissues and in foods, such as liver, dried beans and peas, and anchovies.Sensation of motion involving either oneself or one's environment; sensation of rotating, swaying or tilting. A disorder characterized by a disturbing sensation of lightheadedness, unsteadiness, giddiness, spinning or rocking. A sensation of lightheadedness, unsteadiness, turning, spinning or rocking.A Gregg-ruled notebook has lines adapted for stenography, including a line down the middle of the page. Spacing between lines is 8.7 millimeters. Stenography is a method of shortha...In today’s digital age, note-taking has evolved from pen and paper to digital platforms. With the vast array of free notebook apps available, it can be overwhelming to choose the b...Anemia has three main causes: blood loss, lack of red blood cell production, and high rates of red blood cell destruction. Anemia can make you feel tired, cold, dizzy, and irritable. You may be short of breath or have a headache. Your doctor will diagnose anemia with a physical exam and blood tests.Hyperpigmented brown flat Macula r patch. Epidermal Melasma: Light brown coloration, enhances under Woods Lamp. Dermal Melasma: Gray, does not enhance under Woods Lamp (predicts treatment refractory) Distribution (usually symmetric) Face (typically in one of 3 patterns: centrofacial, malar or mandibular) Cheeks (malar) Forehead and bridge of nose. Acute Cholecystitis may present cryptically yet requires emergent management. Fever and chills are frequently absent. Fever or chills are only present in a third of patients with Acute Cholecystitis. Right upper quadrant pain or tenderness may be absent. As many as a quarter of Acute Cholecystitis cases do not have RUQ findings. IV. Risk Factors. Outbreaks and epidemics occur in autumn to early winter. Can occur year round sporadically. Affects ages under 6 years (rarely up to 8 to 12 years) Most common cause of Stridor in children 6 months to 3 years of age. Typical age 6 months to 36 months of age (peaks between 12 and 24 months) Rare before 3 months of age..