Latest Updates

The Pediatric Surgical Patient

    • Nasogastric tube feedings are often employed for the early stages of postoperative feeding in infants to ensure adequate nutrition. In general, feeding is begun after the resolution of postoperative ileus. Initially, small volumes of rehydration fluid are given orally or via a gastrostomy tube. If these are tolerated, the feedings are increased gradually until the nutritional goals are reached.
    • The laparoscopic approach for abdominal testes is safe and cost-effective; it allows for both localization and surgical treatment, minimizing the use of preoperative imaging for localization of the testicle. Orchiopexy is performed in one or two stages depending on the anatomic localization of the testicle and feasibility of mobilization of the spermatic vessels. Orchiectomy is indicated when an atrophic or hypoplastic testicle is encountered.
    • Babies with CDH require immediate resuscitation, correction of acidosis, and, in most cases, endotracheal intubation. Placement of an orogastric tube can help decompress the GI tract. Once the patient is relatively stable, surgical intervention should be delayed to allow time for the pulmonary hypertension to improve. 

Drug Allergies

    • Guideline for the diagnosis of drug hypersensitivity reactions 2015 S2K-Guideline of the German Society for Allergology and Clinical Immunology (DGAKI) and the German Dermatological Society (DDG)
    • Some immunologic and clinical studies suggest that type-IV (T cell-mediated) and type-I (IgE-mediated) pathogenic mechanisms help in nonmediated and mediated reactions.

Drug Allergies

    • Guideline for the diagnosis of drug hypersensitivity reactions 2015 S2K-Guideline of the German Society for Allergology and Clinical Immunology (DGAKI) and the German Dermatological Society (DDG)
    • Some immunologic and clinical studies suggest that type-IV (T cell-mediated) and type-I (IgE-mediated) pathogenic mechanisms help in nonmediated and mediated reactions.

Drug Allergies

    • Guideline for the diagnosis of drug hypersensitivity reactions 2015 S2K-Guideline of the German Society for Allergology and Clinical Immunology (DGAKI) and the German Dermatological Society (DDG)
    • Some immunologic and clinical studies suggest that type-IV (T cell-mediated) and type-I (IgE-mediated) pathogenic mechanisms help in nonmediated and mediated reactions.

Drug Allergies

James L Baldwin, MD, Aimee L. Speck, MD
    • Guideline for the diagnosis of drug hypersensitivity reactions 2015 S2K-Guideline of the German Society for Allergology and Clinical Immunology (DGAKI) and the German Dermatological Society (DDG)
    • Some immunologic and clinical studies suggest that type-IV (T cell-mediated) and type-I (IgE-mediated) pathogenic mechanisms help in nonmediated and mediated reactions.

Body Contouring of the Trunk

Heather R. Faulkner, MD, MPH, FACS
    • Evidence-based guidelines for pre-operative/pre-procedure patient assessment.
    • Comprehensive review of non-operative and operative techniques for truncal body contouring.
    • Review of complications from body contouring of the trunk.

Overview of Psychotherapy in Psychiatry

    • The beginning of the twentieth century saw the rise of psychosocial interventions through the work of Sigmund Freud and other psychoanalysts and the advent of behaviorism. They offered novel approaches to patients with mental illness.
    • To be certified, psychiatry residencies must abide by the regulations of the Accreditation Council for Graduate Medical Education (ACGME). The ACGME requires that all psychiatry residents demonstrate competence in “managing and treating patients using both brief and long-term supportive, psychodynamic, and cognitive-behavioral psychotherapies.”
    • Data from office-based psychiatrists in the National Ambulatory Medical Care Survey (NAMCS) have been mixed. Between 1996–1997 and 2004–2005, the percentage of psychiatric office visits that involved psychotherapy fell from 44.4% to 28.9%. The number of psychiatrists who reported that they provide psychotherapy to all of their patients fell from 19.1% to 10.8% during that time.

Arterial Thoracic Outlet Syndrome

    • Arterial thoracic outlet syndrome (TOS) is the least common form of TOS in adults.
    • Arterial TOS is usually a result of a bony anomaly causing compression of the subclavian artery at the scalene triangle.
    • Clinical presentation is similar to arterial insufficiency in any extremity.
    • Surgical treatment involves thromboembolectomy or thrombolysis depending on viability of the limb, arterial reconstruction, and first rib resection.
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