Download Current Practice Guidelines in Primary Care, 2005 by Ralph Gonzales PDF

By Ralph Gonzales

This e-book is the single pocket-sized compendium of the most up-tp-date medical perform guidance in fundamental care. It contains the 60 so much common/important directions for basic care clinicians.

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Extra info for Current Practice Guidelines in Primary Care, 2005

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If clinical characteristics consistent with a high risk of GDM,a do glucose testing at first prenatal visit. If no GDM at initial testing, retest between 24–28 weeks’ gestation. Average-risk women: test at 24–28 weeks’ gestation. Low-risk womenb: no glucose testing. Recommendations 1. High-quality evidence that asymptomatic screening (vs. testing women with symptoms) for GDM substantially reduces important adverse health outcomes for mothers or their infants is lacking. 2. Fasting plasma glucose >126 mg/dL or a casual plasma glucose > 200 mg/dL meets threshold for diabetes diagnosis, if confirmed on a subsequent day, and precludes the need for glucose challenge.

Risk assessment should be performed during prenatal visits and continuing until 6 years of age. 2. CDC personal risk questionnaire: (1) Does your child live in or regularly visit a house (or other facility, eg, daycare) that was built before 1950? (2) Does your child live in or regularly visit a house built before 1978 with recent or ongoing renovations or remodeling (within the last 6 months)? (3) Does your child have a sibling or playmate who has or did have lead poisoning? pdf Source Comments for being at high risk include: receipt of Medicaid or WIC; living in a community with ≥ 12% prevalence of elevated blood lead levels (BLLs) at ≥ 10 µg/mL; living in a community with ≥ 27% of homes built before 1950; or meeting 1 or more high risk criteria from a lead-screening questionnaire (see CDC comments in table).

Recommendations Organization Date Population 1. 15%–25% of persons with acute hepatitis C resolve their infection; of the remaining, 10%–20% develop cirrhosis within 20–30 years after infection, and 1%–5% develop hepatocellular carcinoma. 2. Abstinence from alcohol is imperative in patients with chronic hepatitis C. 3. Although antiviral therapy can improve intermediate outcomes, such as viremia, there is limited evidence that such treatment improves long-term outcomes. 4. Potential harms of screening include unnecessary biopsies and labeling, as well as adverse effects of antiviral therapy.

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