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Friday, October 2, 2009
Ingrown Toenails
The American Academy of Orthopaedic Surgeons offers these suggestions:
Soak the foot in warm water three or four times each day.
When not soaking, make sure the foot is clean and dry.
Wear open-toed sandals or similar while the condition heals. Otherwise, opt for comfortable shoes that don't squeeze the toes.
Carefully wedge a small piece of clean cotton or waxed dental floss between the skin and the toenail. Be sure to change this packing daily.
Use an over-the-counter pain reliever such as ibuprofen or acetaminophen.
You should start to see improvement within two or three days. If you don't, contact your doctor.
Soak the foot in warm water three or four times each day.
When not soaking, make sure the foot is clean and dry.
Wear open-toed sandals or similar while the condition heals. Otherwise, opt for comfortable shoes that don't squeeze the toes.
Carefully wedge a small piece of clean cotton or waxed dental floss between the skin and the toenail. Be sure to change this packing daily.
Use an over-the-counter pain reliever such as ibuprofen or acetaminophen.
You should start to see improvement within two or three days. If you don't, contact your doctor.
Saturday, September 19, 2009
Friday, September 11, 2009
Refractory pharyngitis
DDx: Strep A, Strep C, Strep G, HIV acute retroviral syndrome, EBV, Lemierre's syndrome
Group C: Can have rising ASO titers, glomerulonephritis, pharyngitis epidemics. PCN usually effective.
Group G: PCN usually effective, some vanc resistance
EBV: anterior and posterior nodes positive; can develop peritonsillar abscess
Lemierre's syndrome: Fusibacterium necrophorum with septic thrombophlebitis of the IJV
Group C: Can have rising ASO titers, glomerulonephritis, pharyngitis epidemics. PCN usually effective.
Group G: PCN usually effective, some vanc resistance
EBV: anterior and posterior nodes positive; can develop peritonsillar abscess
Lemierre's syndrome: Fusibacterium necrophorum with septic thrombophlebitis of the IJV
USDA DRI Fe
Daily:
8mg healthy, non-mentruating adult
18mg menstruating female
16mg vegetarians
20mg blood donors
Note: Bone marrow response limited to 20mg per day.
Expect Hgb to improve 1g/dL every 2-3 weeks in compliant patient
FeSO4: 300mg = 60 mg elemental Fe
FeGluconate: 325mg = 36 mg elemental Fe
Add Vit C
Avoid tea/tannins, phytates (bran, cereal), PPI/antacids, H2 blockers
8mg healthy, non-mentruating adult
18mg menstruating female
16mg vegetarians
20mg blood donors
Note: Bone marrow response limited to 20mg per day.
Expect Hgb to improve 1g/dL every 2-3 weeks in compliant patient
FeSO4: 300mg = 60 mg elemental Fe
FeGluconate: 325mg = 36 mg elemental Fe
Add Vit C
Avoid tea/tannins, phytates (bran, cereal), PPI/antacids, H2 blockers
Iron Loss
Non-menstruating females, males: 1 mg / day
Menstruating females: 10mg or more (42mg per cycle possible)
Pregnancy: 700 mg
Whole blood donation: 250mg
Menstruating females: 10mg or more (42mg per cycle possible)
Pregnancy: 700 mg
Whole blood donation: 250mg
Tuesday, September 8, 2009
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