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Acute cholangitis
DIAGNOSIS
Clinical signs and symptoms
Fever
Jaundice
Abdominal pain
Laboratory markers
White blood cell
C-reactive protein
Total bilirubin
Direct bilirubin
Alkaline phosphatase
Gamma-glutamyl transpeptidase
Aspartate aminotransferase
...
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Principles of antibiotic prophylaxis in surgery
Principles of appropriate antibiotic prophylaxis in surgery
1. Antibiotics alone are unable to prevent surgical site infections. Strategies to prevent surgical site infections should always...
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FASHION AND TRENDS
Modified early warning score
Criteria
Point Value
Systolic Blood pressure (mmHg)
<45% down
3
30% down
2
15% down
1
Normal for patient
0
15% up
1
30% up
2
>45% up
3
Heart rate (bpm)
<40
2
41–50
1
51–100
0
101–110
1
111–129
2
≥130
3
Respiratory rate (bpm)
<9
2
9–14
0
15–20
1
21–29
2
≥30
3
Temperature (°C)
<35
2
35–38.4
1
≥38.5
2
AVPU score
Alert
0
Reacting to Voice
1
Reacting to Pain
2
Unresponsive
3
A score...
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