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world.
URINARY TRACT INFECTION (UTI) Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM.DIPHENHYDRAMINE
DOG BITE - WIKEM
Dog bite - WikEM. Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM.LOWER BACK PAIN
HERPES ZOSTER
VAGINAL BLEEDING (MAIN) Vaginal bleeding definitions. Menorrhagia: >7 day (prolonged) or >80 mL/day (excessive) uterine bleeding at regular intervals. Metrorrhagia: irregular vaginal bleeding outside the normal cycle. Menometrorrhagia: excessive irregular vaginal bleeding. Intermenstrual bleeding: variable amounts between regular menstrual periods. WIKEMCOXSACKIE VIRUSANTIBIOTICSRECENT CHANGESROCURONIUMOTITIS EXTERNACONTRIBUTION SCORE WikEM, The Global Emergency Medicine Wiki, is the world's largest and most popular emergency medicine open-access reference resource.Our highly acclaimed content is freely available via the internet and our dedicated mobile applications.If you are a medical practitioner, join our contributor community and share your important knowledge with theworld.
URINARY TRACT INFECTION (UTI) Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM.DIPHENHYDRAMINE
DOG BITE - WIKEM
Dog bite - WikEM. Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM.LOWER BACK PAIN
HERPES ZOSTER
VAGINAL BLEEDING (MAIN) Vaginal bleeding definitions. Menorrhagia: >7 day (prolonged) or >80 mL/day (excessive) uterine bleeding at regular intervals. Metrorrhagia: irregular vaginal bleeding outside the normal cycle. Menometrorrhagia: excessive irregular vaginal bleeding. Intermenstrual bleeding: variable amounts between regular menstrual periods. SEXUALLY TRANSMITTED DISEASES Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM.ACUTE CHEST PAIN
Chest pain reproducible with palpation. Gender differences in ACS. Women with ACS: Less likely to be treated with guideline-directed medical therapies. Less likely to undergo cardiac catheterization. Less likely to receive timely reperfusion therapy. More likely to report fatigue, dyspnea, indigestion, nausea or vomiting,palpitations, or
LYME DISEASE
Lyme Meningitis. Ceftriaxone 2g IVq12h x 14-28 days. Doxycycline 200-400mg/d divided into two doses q day x 10-28 days. Preferred for facial palsy or Lyme meningitis (lack of efficacy studies other medications) Penicillin G, Cefotaxime. SYSTEMIC LUPUS ERYTHEMATOSUS SLICC Classification Criteria 2012 Requirements: >4 of the following criteria (at least 1 clinical and 1 laboratory) OR biopsy proven lupus nephritis with positive ANA or Anti-dsDNA. Clinical criteria. Malar rash, bullous lupus, photosensitivity. Discoid rash, hypertrophic lupus. Oral ulcers or nasal ulcers. Non-scarring alopecia. ACUTE PAIN MANAGEMENT Agent Oral Parenteral Step1. Mild Pain, Nonopioid, +/- Adjuvant: Acetaminophen: 650mg q4-q6h PRN or 1000mg q6h PRN - Aspirin: 650mg q4-6h PRN or 1000mg q6h PRNHYPOPHOSPHATEMIA
Serum phosphate 1mg/dl to 2mg/dl. Able to take PO. Minimize or eliminate all dextrose-containing IV solutions. Aggressively treat acidosis. 1 tab K-phos neutral 250mg Q hour x 5 doses. Each tab contains phosphorus 8 mmol, Na 13 mEq, K1.1 mEq. Recheck serum phosphate after last dose, and repeat dosing if continues to be 50ml and > 100ml in patients > 65 years of age. Post-void residual of 150-200 cc is particularly concerning.DENTAL PROBLEMS
Please donate! Funds go solely to hosting and development costs that allow medical practitioners around the globe to freely access WikEM. HYPEREMESIS GRAVIDARUM ↑Goodwin, TM. Hyperemesis gravidarum. Obstet Gynecol Clin North Am. 2008 Sep;35(3):401-17 ↑ Kantor S, Prakash S, Chandwani J, Gokhale A, Sarma K, Albahrani MJ. Wernicke's encephalopathy following hyperemesisgravidarum.
NITROMIST - WIKEM
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WIKEM
The Global Emergency Medicine Wiki 12,588 pages with 110,866 recent edits WIKEM , THE GLOBAL EMERGENCY MEDICINE WIKI, is the world's largest emergency medicine open-access reference resource. Our highly acclaimed content is freely available via the internet and our dedicated mobile applications . If you are a medical practitioner, join our contributor community and share your important knowledge with the world. WikEM is a project of the OpenEM Foundation , a 501(c)(3) nonprofit public charity. Please donate to help make open access to medicalknowledge possible!
Notes by category Mobile AppsWe need you!
We need you! See something you could improve? Make an edit and help improve WikEM for everyone.NEWS
Telegram chat group
To better facilitate communication we have an open telegram channel https://t.me/wikem_org Anyone can join and chat directly with other users and editors for help and general discussion.… Read moreread more
Empty mobile App
If your mobile app is crashing and lacking content, please uninstall and perform a full update upon re-install. The app needs to download the entire wiki and must be performed on wifi. Please do not let your phone sleep during the process as it will interrupt the download. Due to the size of the wiki we cannot perform a background update. If your phone did turn off the screen during setup please click the blue update button in the app and reattempt initial download. After this initial download, pages will only update if changes have occurred since last viewed.… Read moreread more
Myths in Emergency Medicine Out now! Myths in Emergency Medicine debunks and documents the history and facts behind the most pervasive and common myths inEmergency Medicine.
Available in ebook and paperback… Read more
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App Content
If you newly installed the app or upgraded your phone and reinstalled the app and don’t see any content, connect to wifi and click the blue update button to download a fresh offline copy of the wiki. The app does not update on cellular by default to prevent data charges due to the size of the initial download that must occur for you to have the entire wiki offline… Read moreread more
Kaji Review Volume 3 Just released, the Kaji Review Volume 3 adds additional questions to the already best selling Kaji ReviewVolumes 1
and 2
!
Book sales support the Harbor-UCLA Dept of EMre...
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New wiki redesign
OUR NEW REDESIGN IS LIVE! Please provide any comments on this forum thread https://forum.wikem.org/t/redesign-feedback/936 The login issues that have plagued many users especially on Android during the last week should hopefully be fixed. Thank you for bearing with us as we grow. AS ALWAYS, IF YOU ENJOY WIKEM, PLEASE DONATE. Everything from the software to the content is made for free and open use. Without a small amount of money software development and maintenance for WikEM is not possible.… Read more
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