Calculating Maintenance Fluids

HealthCare

The 4/2/1 rule: 4 ml/kg for first 10kg, 2ml/kg for the next 10kg, 1 ml/kg for every 1kg over 20. For example, for a 70kg person: 4×10=40; 2×10=20; 1×50=50. Total=110 ml/hr This online calculator seems to use this rule....

Colposcopy Exam

HealthCare, OB/GYN, Skills

Evaluation of a patient newly diagnosed with Hypertension

HealthCare

The following are generally agreed-upon initial workup of the hypertensive patient. Uptodate has a great article for consultation. The following tests should be performed in all patients with newly diagnosed hypertension : History & Physical CMP (Electrolytes,...

Hypoxic pulmonary vasoconstriction

HealthCare, PULMONARY & CRITICAL CARE

“Hypoxic pulmonary vasoconstriction is a physiological phenomenon in which pulmonary arteries constrict in the presence of hypoxia (low oxygen levels) without hypercapnia (high carbon dioxide levels), redirecting blood flow to alveoli with a higher oxygen...

Cervical & Bimanual Exam – with Pap Smear

HealthCare

 

Murphy’s sign

HealthCare

Increased  RUQ pain and inspiratory arrest with deep breath during palpation of R. subcostal region. If the patient stops breathing in (as the gallbladder is tender and, in moving downward, comes in contact with the examiner’s fingers) and winces with a...