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3 Cards in this Set
- Front
- Back
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anemia
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1. retic <2 (underproduction) vs retic >2 (loss/destruction)
2. CBC 3. if micro, get iron studies If underproduction: microcytic: TAILS (thalessemia, ACD, Iron, Lead, Sideroblastic) normocytic: ACD, red cell aplasia, pancytopenia, sideroblastic macrocytic: B12/folate def. nonmegaloblastic) If increased destruction or loss: hemolysis (high LDH, bili, low haptoglobin) acute blood loss (sx of bleed) normocytic: ? |
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chronic nonmalignant pain
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1. pain > 3 months
2. rule out cancer 3. only reimage if new sx 4. FUNCTIONAL status improvement is goal MEDS + LIFESTYLE + EXCERCISE/PT MEDS NSAIDs only for OA, RA acetaminophen up to 4g/day SNRI like Effexor - try try TCA, but SSRI is easiest to tolerate and seems to do some good --anticonvulsants like gabapentin --muscle relaxant like flexeril --------if failure, go to OPIATE -contract -refer to pain clinic |
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diarrhea
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red flags: HOT, BLOODY, DRY, HURTING, EXPOSED
1 secretory: |
