This is a lecture from the Ghana Emergency Medicine Collaborative (GEMC). To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc.
Evaluation of the patient with hematuria , with recent update in Diagnosis, Evaluation, and Follow-up of asymptomatic microscopic hematuria (AMH) in Adult | american association of urology AUA guideline
Hematuria for undergraduates
this is a presentation i prepared for medical students about hematuria, hope u like it
for more urology resources visit:
www.uronotes2012.blogspot.com
Dr. Andrew Tompkins, Clinical Instructor of Surgery at The Warren Alpert School of Medicine at Brown University and a locally practicing Urologist presents at the RIAPA Spring CME on Asymptomatic Microscopic Hematuria.
Evaluation of the patient with hematuria , with recent update in Diagnosis, Evaluation, and Follow-up of asymptomatic microscopic hematuria (AMH) in Adult | american association of urology AUA guideline
Hematuria for undergraduates
this is a presentation i prepared for medical students about hematuria, hope u like it
for more urology resources visit:
www.uronotes2012.blogspot.com
Dr. Andrew Tompkins, Clinical Instructor of Surgery at The Warren Alpert School of Medicine at Brown University and a locally practicing Urologist presents at the RIAPA Spring CME on Asymptomatic Microscopic Hematuria.
Blood in urine is known as haematuria. It can be visible or non-visible. There are many causes for this. It is essential to differentiate haematuria from other causes of red colour in urine.
HELLO FRIENDS HERE CAUSES OF HEMATURIA IS HERE MANAGEMENT IN NEXT PRESENTATION ...YOU CAN SEE AND SUBSCRIBE OVER YOU TUBE ...LEARN UROLOGY IS CHANNEL NAME
FOLLOW THE YOU TUBE CHANNEL FOR FUTURE UROLOGY VIDEO
https://www.youtube.com/channel/UCINcUe475Y3c3BvXHvZ8wEw
Haematuria is RBC in urine. It can be gross haematuria or microscopic haematuria. According to the site affected haematuria can be devided in to glomerular haematuria and non glomerular haematuria. Urinary tract infections, Glomerulonephritis, Systemic lupus erythematosus, Hemorrhagic uremic syndrome, IgA nephropathy, Alport syndrome, Vasculitis, Renal vein thrombosis, Henoch schonlein purpura, Hypercalciuria, Polycystic kidney disease, Bladder carcinoma, Urethral trauma and Inherited diseases like Bleeding disorders, Renal calculi formation, Sickle cell disease can cause haematuria. Investigations help to make a differential diagnosis.
This is a lecture by Dr. Joseph House from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Joseph House from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Blood in urine is known as haematuria. It can be visible or non-visible. There are many causes for this. It is essential to differentiate haematuria from other causes of red colour in urine.
HELLO FRIENDS HERE CAUSES OF HEMATURIA IS HERE MANAGEMENT IN NEXT PRESENTATION ...YOU CAN SEE AND SUBSCRIBE OVER YOU TUBE ...LEARN UROLOGY IS CHANNEL NAME
FOLLOW THE YOU TUBE CHANNEL FOR FUTURE UROLOGY VIDEO
https://www.youtube.com/channel/UCINcUe475Y3c3BvXHvZ8wEw
Haematuria is RBC in urine. It can be gross haematuria or microscopic haematuria. According to the site affected haematuria can be devided in to glomerular haematuria and non glomerular haematuria. Urinary tract infections, Glomerulonephritis, Systemic lupus erythematosus, Hemorrhagic uremic syndrome, IgA nephropathy, Alport syndrome, Vasculitis, Renal vein thrombosis, Henoch schonlein purpura, Hypercalciuria, Polycystic kidney disease, Bladder carcinoma, Urethral trauma and Inherited diseases like Bleeding disorders, Renal calculi formation, Sickle cell disease can cause haematuria. Investigations help to make a differential diagnosis.
This is a lecture by Dr. Joseph House from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Joseph House from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC - Gastrointestinal Bleeding in the Pediatric PatientOpen.Michigan
This is a lecture from the Ghana Emergency Medicine Collaborative (GEMC). To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC - Emergency Management of Ano-Rectal Disorders - Resident Training Open.Michigan
This is a lecture by Dr. Joseph Hartmann from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Emergency Management of Ano-Rectal Disorders: Resident TrainingOpen.Michigan
This is a lecture by Dr. Joseph Hartmann from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Joseph Hartmann from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Sepsis in the ED: Resident TrainingOpen.Michigan
This is a lecture by Dr. Vijay Kairam from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Right Upper Quadrant Ultrasound- Resident TrainingOpen.Michigan
This is a lecture by Jeff Holmes from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC - Musculoskeletal Emergencies - for NursesOpen.Michigan
This is a lecture by Katherine A Perry from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Adrenal Insufficiency Crisis- for ResidentsOpen.Michigan
This is a lecture by Andrew Wong from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Collagen Vascular Disease: Considerations for Emergent Management: Resi...Open.Michigan
This is a lecture by Dr. Joseph Hartmann from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Oral and Facial Infections- Resident TrainingOpen.Michigan
This is a lecture by Dr. Shannon Langston from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Jessica Holly from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Pamela Fry from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
The lupus nephritis biologics market, as of the current year (2019), stands at USD $243.07 million, with an anticipated growth rate of 9.0% for the period 2020 to 2026. In parallel, the market for the targeted biologic molecule X was valued at USD $24.31 million in 2019, and it is projected to experience a significant growth rate of 20.0% from 2020 to 2026.
Within the population of lupus nephritis patients, approximately 0.39 million individuals are affected, with 0.08 million of them opting for biologic treatments. In the case of the targeted biologic molecule X, it is chosen by 0.01 million patients suffering from lupus nephritis.
Notably, there are 152 ongoing clinical studies dedicated to the condition of lupus nephritis. Leading players in these clinical studies include F. Hoffmann-La Roche Ltd, Astellas Pharma Inc, Novartis, Bristol-Myers Squibb, and Aurinia Pharmaceuticals Inc.
Introduction:
Lupus nephritis is a chronic complication arising from systemic lupus erythematosus (SLE) and primarily affects the kidneys. SLE, an autoimmune disease where the body's immune system targets healthy cells and organs, is the underlying cause. Lupus nephritis is more prevalent in women, often occurring during their childbearing years.
Symptoms of lupus nephritis include foamy urine, edema (swelling, especially in areas with excess fluid, like legs, ankles, and feet), and the presence of blood in the urine.
Diagnosis:
Diagnosing lupus nephritis involves urine tests, blood tests, kidney biopsies, and ultrasound examinations.
Lupus Nephritis Patient Pool:
In the United States, there are approximately 0.58 million patients afflicted with Systemic Lupus Erythematosus, with 0.39 million of them experiencing lupus nephritis. Systemic Lupus Erythematosus has a prevalence rate of 150 cases per 100,000 and an incidence rate of 25 cases per 100,000. The prevalence rate for lupus nephritis is 20 cases per 100,000 persons.
GEMC - Infectious Disease Overview - for NursesOpen.Michigan
This is a lecture by Katherine A Perry from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC - Abdominal Emergencies- For NursesOpen.Michigan
This is a lecture by Elizabeth Tamm from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Slideshow is from the University of Michigan Medical School's M1 Patients and Populations: Medical Decision-Making Sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1PatientsPopulations
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Jim Holliman, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Alterations in Body Temperature: The Adult Patient with a Fever- Reside...Open.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Rapid Sequence Intubation & Emergency Airway Support in the Pediatric E...Open.Michigan
This is a lecture by Michele Nypaver, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Disorders of the Pleura, Mediastinum, and Chest Wall- Resident TrainingOpen.Michigan
This is a lecture by Andrew Barnosky, DO from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Dental Emergencies and Common Dental Blocks- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Arthritis and Arthrocentesis- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Bursitis, Tendonitis, Fibromyalgia, and RSD- Resident TrainingOpen.Michigan
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Joe Lex, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: Nursing Process and Linkage between Theory and PracticeOpen.Michigan
This is a lecture by Jeremy Lapham from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
2014 gemc-nursing-lapham-general survey and patient care managementOpen.Michigan
This is a lecture by Dr. Jeremy Lapham from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC: The Role of Radiography in the Initial Evaluation of C-Spine TraumaOpen.Michigan
This is a lecture by Dr. Stephen Hartsell from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
This is a lecture by Dr. Jim Holliman from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Sickle Cell Disease: Special Considerations in Pediatrics- Resident Tra...Open.Michigan
This is a lecture by Hannah Smith, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
GEMC- Ghana Grab Bag Pediatric Quiz- Resident TrainingOpen.Michigan
This is a lecture by Hannah Smith, MD and Ruth S. Hwu, MD from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
1. Project: Ghana Emergency Medicine Collaborative
Document Title: Evaluation of Hematuria
Author(s): Rodney Smith (University of Michigan), MD. 2012
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3. Evalua)on
of
Hematuria
Rodney
Smith,
MD
University
of
Michigan
Department
of
Emergency
Medicine
St.
Joseph
Mercy
Hospital
3
4. Objec)ves
• Describe
the
evalua)on
and
management
of
gross
hematuria
• Describe
the
evalua)on
and
management
of
microscopic
hematuria
4
5. Case
Presenta)on
• 34
year
old
female
presents
with
depression
and
suicidal
idea)on
– Recent
divorce,
not
sleeping
well
– Otherwise
healthy
– Normal
physical
exam
– CBC,
Basic,
UDS
all
normal
5
6. Case
Presenta)on
• Urinalysis
– Normal
except
• 1+
blood
• Tr
protein
• 2
WBC
• 12
RBC
• 2
epi
• No
bacteria
6
7. • Is
this
pa)ent
medically
cleared
for
psych
admission?
• What
further
evalua)on
is
necessary
7
8. Does
this
pa)ent
have
hematuria?
• Hematuria
• >2-‐3
RBCs
per
HPF
• Microscopic
hematuria
– Yellow
urine
– Concentra)on
• Gross
hematuria
– Red/brown
urine
– 1
ml
blood
– Presence
of
clots
=
post
glomerular
disease
8
9. Does
this
pa)ent
have
hematuria?
Centrifuge
Result
Sediment
Red
Hematuria
Supernatant
Red
Nega%ve
Dips)ck
H=heme
Beeturia
Phenazopyridine
Porphyria
Posi%ve
Myoglobin
Hemoglobin
Clear
Myoglobinuria
Plasma
Color
Red
Hemoglobinuria
9
10. Evalua)on
of
hematuria
• Clues
from
history
and
physical
• Glomerular
vs.
Extraglomerular
• Transient
vs.
Persistent
10
11. History
• Infec)on
symptoms?
– Cys))s:
dysuria,
frequency
– Pyelonephri)s:
flank
pain,
fever
– Recent
URI?
• Flank
pain,
especially
unilateral
– Stone
– Blood
clot
– Malignancy
11
12. History
• Symptoms
of
prosta)c
obstruc)on
– BPH
– Malignancy
• Coagulopathy
– Therapeu)c
range
– Culclaure
TF
Arch
Intern
Med
1994
• Rate
of
hematuria
in
treated
and
controls
equal
• 81%
with
hematuria
had
iden)fiable
cause
12
13. History
• Rela)onship
with
menstrua)on
– Endometriosis
– Contamina)on
• Collec)on
of
urine
specimen
• Sickle
cell
disease/trait
• Hereditary
disorders
– Polycys)c
kidney
disease
– Hereditary
nephri)s
13
14. Glomerular
vs.
Extraglomerular
• Urinalyis
– Red
cell
casts
– Proteinuria
• >
1+
• Not
seen
in
gross
hematuria
– Red
cell
morphology
• Deformed
as
they
pass
thru
basement
membrane
• Osmo)c
injury
in
nephron
– Urine
color
• Smoky
brown
=
methemoglobin
– Blood
clots
14
15. Transient
vs.
Persistent
• Transient
usually
benign
– Infec)on
– Stones
– Exercise
• May
be
seen
in
pa)ents
with
malignancy
15
16. Risk-‐factors
for
Malignancy
• Age
>
40
• Smoking
history
• Occupa)onal
exposures
– Printers,
painters,
chemical
plant
workers
•
•
•
•
Gross
hematuria
Chronic
irrita)ve
voiding
symptoms
History
of
pelvic
irradia)on
Analgesic
abuse
16
17. Case
1
• 22
yo
female
– 2
days
of
dysuria,
frequency,
urgency
– Now
with
hematuria
– No
fever,
no
flank
pain
– LMP
2
weeks
ago,
not
sexually
ac)ve
– Normal
VS
– Suprapubic
tenderness
on
exam
17
21. Urinary
Tract
Infec)on
• Urine
culture
in
– Relapse
– Suspicion
for
pyelonephri)s
• Flank
pain
• Fever
• Treatment
– Phenazopyridine
– An)bio)cs
• 3
days
• 7
days
21
22. Case
2
• 43
yo
male,
previously
healthy
• Gross
hematuria
2
days
ago
• Acute
onset
of
severe
right
flank
pain
– Radiates
to
groin
– Diaphoresis,
nausea,
emesis
X
1
– Can’t
find
comfortable
posi)on
– Mild
right
CVA
tenderness
22
24. Case
2
• Ini)al
treatment
– IV
toradol,
an)-‐eme)cs,
narco)cs
prn
– Urinalysis
• 1+
blood
• 12
RBC
• No
WBC,
bacteria
– IV
fluid
bolus?
24
25. Renal
Colic
• Passage
of
stone
from
kidney
to
bladder
• Localiza)on
of
pain
oken
related
to
site
of
stone
– Lower
ureter/UVJ
groin
•
•
•
•
Family
history
Recurrence
Concomitant
infec)on
Mimics
– AAA
– Ectopic
pregnancy
25
26. Renal
Colic
• Non-‐contrast
CT
– Sensi)vity
95%
– Specificity
99-‐100%
– Other
diagnosis
– Use
with
KUB
• USN
– Obstruc)on
– In
ability
to
give
contrast
– Recurrent
stone
26
28. Case
3
• 73
yo
male
– Gross
hematuria
for
2
days
– Unable
to
void
for
past
8
hours
– Mildly
hypertensive
– Obvious
distress
– Bladder
disten)on
on
physical
exam
– Foley
catheter
• Bloody
urine
• Blood
clots
28
31. Gross
Hematuria
•
•
•
•
Infec)on
25%
Stone
20%
VS
seldom
unstable
Assure
urinary
drainage
– History
of
blood
clots
– Size
of
clots
– Ease
of
passage
of
urine
31
32. Gross
Hematuria
• Clot
reten)on
– Foley
catheter
• 16
F
or
larger
• Three-‐way
catheter
• Discharge
with
catheter
vs.
removal
• Followup
32
33. Case
4
•
•
•
•
31
yo
male
Completed
first
marathon
Blood
in
urine
U/A
– Red
urine
– >150
RBC
– No
WBC,
bacteria,
protein
33
36. Exercise-‐induced
Hematuria
• Rule-‐out
myoglobinuria
• Followup
– Clears
within
one
week
– Consider
full
workup
with
risk
factors
for
malignancy
36
37. Case
5
• 34
yo
female
with
1
week
of
progressive
swelling
in
the
lower
extremi)es
• No
chest
pain,
dyspnea,
orthopnea,
abdominal
pain
or
disten)on
• VS
148/92
88
14
98.3
99%
• Exam
normal
except
for
2+
pre-‐)bial
pimng
edema
37
38. Case
5
• CBC
normal
• Basic
normal
except
BUN
24
Creat
1.42
• U/A
– 3+
protein
– 12
RBCs
– No
WBCs,
bacteria
38
39. Glomerulonephropathy
• ED
care
is
usually
suppor)ve
– Treat
hypertension
if
emergency/urgency
– Close
followup
– Admission
criteria
• Acute
renal
failure
• Hypertensive
emergency/urgency
• Oliguria/anuria
• Electrolyte
abnormali)es
• CHF/volume
overload
39