Download Blueprints Family Medicine (Blueprints Series) by Martin S. Lipsky PDF

By Martin S. Lipsky

Blueprints kinfolk drugs, 3rd variation offers scholars with a whole assessment of key innovations and themes and serves as a swift reference in the course of daily actions in sufferer care—perfect for clerkship rotations and the USMLE. This variation has been thoroughly up to date whereas holding its succinct, geared up, and concise variety. a hundred USMLE-style multiple-choice questions with complete reasons Key issues on the finish of every bankruptcy summarize vital info up-to-date Appendix of evidence-based assets better half web site bargains entry to totally searchable textual content plus an extra 50 USMLE-style questions with solutions

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Rubella component: 1 dose of MMR vaccine is recommended for women whose rubella vaccination history is unreliable or who lack laboratory evidence of immunity. For women of childbearing age, regardless of birth year, rubella immunity should be determined and women should be counseled regarding congenital rubella syndrome. Women who do not have evidence of immunity should receive MMR upon completion or termination of pregnancy and before discharge from the health-care facility. , cognitive dysfunction, spinal cord injury, or seizure disorder or other neuromuscular disorder); and pregnancy during the influenza season.

Generally, preoperative testing will include hemoglobin, UA, and—in patients over age 40—a serum glucose and ECG. Urine pregnancy tests should be considered in women of childbearing age and a chest x-ray, blood urea nitrogen (BUN), creatinine, and CBC in patients above 75 years of age. Other testing should be directed by specific indications prompted by the history and physical examination. Patients with risk factors for cardiac complications undergoing elective or semielective surgeries may require preoperative cardiac evaluation (Figure 6-1).

Incentive spirometry and smoking cessation can help to limit pulmonary complications. • Laboratory testing for the otherwise healthy patient includes a hemoglobin and urine analysis and, in those over age 40, a serum glucose and ECG. • Antibiotic prophylaxis is warranted for procedures with high infection rates, those involving implantation of prosthetic devices, and those in which the consequences of infection are particularly serious. • DVT prophylaxis is warranted for most surgical patients.

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