UCLA Resident Education System
UCLA Housestaff Handbook
Introduction
Medicine Ward Basics
Cardiology
Endocrinology
Gastroenterology
Hepatology
Hematology/Oncology
Infectious Disease
HIV/AIDS
Nephrology
Neurology
Nutrition
Pulmonary/Critical Care
Rheumatology
Toxicology
Miscellaneous
MEDICINE WARD BASICS
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Pagers
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Dictating
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Admit Orders
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Admit Notes
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Prerounds
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Daily Questions
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End of Day Checklist
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How to call a consult
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Transferring Patients
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Discharging Patients
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Procedure Notes
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Code Team
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Code Team
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Declaring A Patient Deceased
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How To Float (Nuts and Bolts)
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How To Float (General Tips)
CARDIOLOGY
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EKG Tutorial
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EKG Tutorial
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Bradycardia
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Tachycardia
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Narrow complex tachycardia, regular
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Narrow complex tachycardia, irregular
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Wide complex tachycardia, regular
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Wide complex tachycardia, irregular
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Hypertension
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Hypertensive Emergency
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Hypertensive Urgency
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Hypotension
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Types of Shock
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Vasopressors and Vasodilators (Table )
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Vasopressors and Vasodilators (Table )
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Chest Pain
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TIMI Score
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GRACE (Global Registry of Acute Coronary Events)
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Fundamentals of Stress Testing
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Chest Pain Algorithm (Diagram)
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Treatment Algorithm for Acute Myocardial Infarction with or without Left Ventricular Dysfunction (Diagram)
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Acute Myocardial Infarction
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Goal Lipid Levels by CAD Risk (Table)
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EKG Diagnosis in Ischemia, Infarction and Injury
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Rough Angiographic Correlation of EKG diagnosis of MI (Table)
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Congestive Heart Failure
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ACE Protocol
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Pulmonary Artery (Swan-Ganz) Catheter Tracing
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Early Pacemaker Complications
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Chronic Valvular Disease
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Chronic Aortic Stenosis
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Chronic Aortic Regurgitation
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Chronic Mitral Stenosis
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Chronic Mitral Regurgitation
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Syncope
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Preoperative Clearance For Noncardiac Surgery
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Revised Goldman Cardiac Risk Index (RCRI) Stratification
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Dosing of Common Cardiovascular Drugs (Table)
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Cardiac Transplant Basics
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Goal Immunosuppression Levels (Table)
ENDOCRINOLOGY
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Diabetes Mellitus
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Types of Insulin (Table)
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Insulin Sliding Scale (Table)
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Perioperative insulin management
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Diabetic Ketoacidosis (DKA)
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Hyperosmolar Nonketotic Coma (HONC)
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Non-Insulin Diabetic Medications (Table)
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Adrenal Insufficiency
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Adrenal Function Testing
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Cosyntropin Stimulation Test
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Metyrapone Test
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Adrenal Replacement Therapy
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Adrenal Incidentaloma
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Pheochromocytoma
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Thyrotoxicosis
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Thyroid Storm
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Myxedema Coma
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Non-Thyroidal Illness Syndrome
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Thyroid Function Tests
GASTROENTEROLOGY
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Acute GI Bleed
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Nasogastric Lavage
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Abdominal Pain
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Acute Pancreatitis
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Ranson's Criteria for Acute Pancreatitis (Table)
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Small Bowel Obstruction
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Acute Nausea
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Constipation
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Acute Diarrhea
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Helicobacter Pylori
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Regimens for Treatment of H Pylori Infection (Table)
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Abdominal Radiography
HEPATOLOGY
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Ascites
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Etiology of Ascites Based On SAAG (Table)
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Paracentesis
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Spontaneous Bacterial Peritonitis (SBP)
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Hepatic Encephalopathy
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Abnormal Liver Function Tests
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Hepatitis Serologies (Table)
HEMATOLOGY/ONCOLOGY
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Guidelines for DVT/PE Prophylaxis
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Anemia
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Reticulocyte Index (Equation)
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Microcytic Anemia (Table)
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Normocytic Anemia (Table)
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Macrocytic Anemia (Table)
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Hemolytic Anemia (Table)
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Pancytopenia
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Sickle Cell Anemia
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Bleeding Disorders
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Characteristic Bleeding Patterns (Table)
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von Willebrand's Disease
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Hemophilia A and B
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Thrombocytopenia
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Idiopathic Thrombocytopenic Purpura (ITP)
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Heparin-Induced Thrombocytopenia (HIT)
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Thrombotic Thrombocytopenic Purpura (TTP)
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Disseminated Intravascular Coagulopathy (DIC)
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Hypercoagulable States
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Anticoagulation
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Initiating Warfarin Dosing (Table)
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Transfusion Practices
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RBC Transfusion
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Platelet Transfusion
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Fresh Frozen Plasma (FFP)
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Cryoprecipitate
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Intravenous Immunoglobulin (IVIG)
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Vitamin K
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Growth Factors
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Transfusion Reactions
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Acute Hemolysis
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Anaphylaxis
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Acute Lung Injury
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Delayed Hemolysis
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Febrile, Non-Hemolytic Transfusion Reaction
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Neutropenia
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Neutropenic Fever
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Bone Marrow Transplantation
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Allogeneic BMT
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Autologous BMT
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Timeline of Frequent Complications After Bone Marrow Transplantation (Chart)
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BMT Complications and Prevention
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Graft Versus Host Disease (GVHD)
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Acute Graft Versus Host Disease Clinical Grading (Table)
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Chronic Graft Versus Host Disease Organ Involvement and Complications (Table)
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Veno-occlusive Disease (VOD)
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Acute Renal Failure
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Oncologic Emergencies
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Hypercalcemia
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Superior Vena Cava Syndrome (SVCS)
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Tumor Lysis Syndrome
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Spinal Cord Compression
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Increased Intracranial Pressure
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Pericardial Tamponade
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Antiemetics For Chemotherapy Patients (Table)
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Common Tumor Markers (Table)
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Common Chemotherapeutic Agents (Table)
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Novel Chemotherapeutic Agents (Table)
INFECTIOUS DISEASE
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Key Concepts of Anti-Microbial Therapy
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Therapeutic drug monitoring
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Fever
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Pneumonia
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Community acquired Pneumonia in Immunocompetent Hospitalized Patient
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Hospital acquired Pneumonia
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Pneumonia in HIV positive patient
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Tuberculosis
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Criteria for a Positive Tuberculin Skin Test
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Active Tuberculosis
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Meningitis
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Cerebral Spinal Fluid Studies (Table)
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CSF Findings in Various Types of Meningitis (Table)
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Bacterial Endocarditis
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Prophylaxis
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Clostridium Difficile
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Line Infections
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Urinary Tract Infections
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Acute, uncomplicated cystitis in women
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Acute, uncomplicated pyelonephritis in women
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Complicated UTI
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Asymptomatic Bacteriuria
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Pyuria
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Candiduria
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Lactose Fermenting Status of Gram Negative Organisms (Table)
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Quick Guide to empiric antibiotic management (Table)
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Antibiotic Dosing In Renal Replacement Therapy (Figure)
HIV AND AIDS
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Human Immunodeficiency Virus (HIV) Testing
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Laboratory Diagnosis of HIV
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The CDC Definition of AIDS
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Initial Work-Up of HIV+ Patient
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Vaccinations and Prophylaxes for HIV Infected Individuals
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HIV Complications By CD4+ Count
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Any CD4+ Count:
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CD4+ Counts <500
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CD4+ Counts <200
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CD4+ Count <100 (Table)
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AIDS Indicator Conditions
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Antiretroviral Therapy Initiation and Treatment Considerations
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Antiretroviral Regimens
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Nucleoside Reverse Transcriptase Inhibitors (Table)
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Non-Nucleoside Reverse Transcriptase Inhibitors (Table)
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Protease Inhibitors (Table)
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Fusion Inhibitors (Table)
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Combination Drugs (Table)
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Recommended Combinations
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Pregnancy Considerations
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Complications of Highly Active Antiretroviral Therapy
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Post Exposure Prophylaxis (PEP)
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Pulmonary Disease in HIV
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Mycobacterium Tuberculosis
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Mycobacterium Avium-Intracellulare
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Pneumocystis Jiroveci (formally PCP)
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CMV Pneumonitis
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Fungal Infections
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Malignancies
NEPHROLOGY
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Guide to Intravenous Fluids (Table)
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Urinalysis Interpretation
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Urine Dipstick
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Urine Microscopy
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Proteinuria
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Nephrotic Syndrome
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Decreased Urine Output
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GFR Estimation
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MDRD Equation
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Cockroft-Gault Equation
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Acute Renal Failure (ARF)/Acute Kidney Injury (AKI)
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RIFLE Classification for Acute Renal Failure (Table)
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Dialysis
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Hemodialysis
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Continuous Renal Replacement Therapy
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Peritoneal Dialysis
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Evaluation of urinary composition in ARF
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Fractional Excretion of Sodium (Equation)
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Fractional Excretion of Urea (Equation)
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Evaluation of Urinary Composition in Acute Renal Failure (Table)
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Hepatorenal syndrome (HRS)
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Chronic Kidney Disease
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Requirements for Outpatient Hemodialysis
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Hyponatremia
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Syndrome of Inappropriate ADH Secretion (SIADH)
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Hypernatremia
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Polyuria
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Hypokalemia
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Hyperkalemia
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Hypocalcemia
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Differential Diagnosis of Hypocalcemia Based On Lab Findings (Table)
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Hypercalcemia
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Treatments for Hypercalcemia (Table)
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Other Electrolyte Replacement
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Magnesium
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Phosphate
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Identifying Acid/Base Disorders
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Acid/Base Formulas
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Acid/Base Differential Diagnoses
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Metabolic Acidosis
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Metabolic Alkalosis
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Respiratory Acidosis
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Respiratory Alkalosis
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Renal Tubule Acidoses
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Diuretic Therapy
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Rhabdomyolysis
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Contrast-Induced Nephropathy
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Vascular Access for Hemodialysis
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Complications associated with hemodialysis access
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Renal Transplant
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Differential of Renal Transplant Graft Dysfunction
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Work-up of renal allograft dysfunction
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Immunosuppressive Medications In Renal Transplant
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Renal Transplant Rejection
NEUROLOGY
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Glasgow Coma Scale (Table)
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Folstein Mini-Mental Status Exam (Table)
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Delirium Versus Dementia (Table)
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Delirium Prophylaxis
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Altered Mental Status
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Status Epilepticus
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Phenytoin
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Adjustment Formula for Low Albumin
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Adjustment Formula for Renal Failure
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Acute Stroke
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Ischemic Strokes
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Criteria for Determining Thrombolytic Use (tPA) In Ischemic Strokes (Table)
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Hemorrhagic Strokes
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Brain Death Criteria
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Headaches
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Headache Alarms and Workup (Table)
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HIV and Headaches
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Primary Headache Disorders
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Migraines
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Tension Headaches
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Cluster Headaches
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Temporal Arteritis
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Pseudotumor Cerebri
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Medications and Chemicals Known to Cause Headaches (Table)
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Peripheral Neuropathy
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Dermatome Map
NUTRITION
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Oral Diets
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Disease Specific Modifications
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Nutritional Supplements
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Enteral Nutrition
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Parenteral Nutrition
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Approved Diet Orders (Table)
PULMONARY AND CRITICAL CARE
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Pulmonary Function Tests
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Normal Flow-Volume Loop (Diagram)
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Asthma
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Asthma Severity Classification (Table)
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Asthma Treatment (Table)
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GINA Levels of Asthma Control (Table)
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Chronic Obstructive Pulmonary Disease (COPD)
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GOLD Staging Criteria for COPD (Table)
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COPD Exacerbation Triaging (Table)
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Pulmonary Embolism
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Simplified Wells Criteria for Pretest Probability of PE (Table)
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V/Q Scan and Clinical Probability in Predicting PE from PIOPED (Table)
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CTA and Clinical Probability in Predicting PE from PIOPED II (Table)
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Algorithm for Diagnosis of PE (Diagram)
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Inferior Vena Cava Filters
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Pulmonary Hypertension
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Classification of Pulmonary arterial hypertension
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Pleural Effusions
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Light's Criteria for Diagnosing a Pleural Effusion as an Exudate (Table)
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Chest Tubes
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Water Seal (Diagram)
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Complications
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Differential Diagnosis of Shock (Table)
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Respiratory Failure
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Differential Diagnosis of Acute Respiratory Failure (Table)
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Alveolar-arterial oxygen gradient (Equation)
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Noninvasive Mechanical Ventilation
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Types of Noninvasive Mechanical Ventilation (Table)
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Noninvasive Mechanical Ventilation Algorithm (Diagram)
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Ventilators
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Mechanical Ventilator Variables (Table)
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Ventilator Modes
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Assist-Control (Table)
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Pressure-Support (Table)
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Synchronous Intermittent Mandatory Ventilation (Table)
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Typical Initial Settings for Mechanical Ventilation (Table)
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Adjusting the Mechanical Ventilator (Table)
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Ventilator Emergencies
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Weaning the Ventilator
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Predictive Indices of Extubation (Table)
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Sedation
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Properties of Sedatives Commonly Used in the ICU (Table)
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Paralysis
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Properties of Paralytics Commonly Used in the ICU (Table)
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Acute Respiratory Distress Syndrome
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General Care of ICU Patients
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Blood glucose control
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GI prophylaxis
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Nutrition
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DVT prophylaxis
RHEUMATOLOGY
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Arthrocentesis General Concepts
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Synovial Fluid Analysis (Table)
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Acute Monoarthritis Differential Diagnosis
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Gonococcal Bacterial Arthritis
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Nongonococcal Bacterial Arthritis
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Crystal Deposition Arthritides
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Gout
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Pseudogout
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Classification of Vasculitides
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Takayasu's Arteritis
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Giant Cell (temporal) Arteritis
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Polyarteritis Nodosa
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Isolated CNS Vasculitis
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Churg-Strauss Arteritis
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Wegener's Granulomatosis
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Microscopic Polyarteritis
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Henoch-Schönlein Purpura
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Hypersensitivity Vasculitis
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Essential Cryoglobulinemic Vasculitis
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Antinuclear Antibody Subtypes (Table)
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ACR Criteria for Diagnosis of Systemic Lupus Erythematosus (Table)
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Drugs that cause lupus
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Scleroderma Renal Crisis
TOXICOLOGY
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General Approach to Intoxication/Ingestion
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Ethanol Intoxication and Withdrawal
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Blood Alcohol Concentration and Associated Clinical Signs (Table)
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Ethanol Withdrawal Syndromes (Table)
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Opioid Overdose
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Properties of Common Opioid Drugs (Table)
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Cocaine Overdose
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Benzodiazepine Overdose
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Properties of Common Benzodiazepine Drugs (Table)
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Acetaminophen Overdose
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Rumack-Matthew Nomogram (Diagram)
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Salicylate (Aspirin) Overdose
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Tricyclic Antidepressants Overdose
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Properties of Tricyclic Antidepressants (Table)
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Carbon Monoxide Intoxication
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Digoxin Toxicity
MISCELLANEOUS
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Perioperative Management
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Pain Medication Conversions
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Steroid Conversions
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Gastric Tubes
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Premedication For Contrast Allergy
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Care Coordiation Cues
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Outpatient Dialysis
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Medications That Need Prior Auth
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Levels of Care
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Home Health Orders
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Skilled Nursing Facilities
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Interfacility Transfer Orders
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Qualifying For Home Oxygen
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Determining Level of Care
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Vaccinations (Table)
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