Up to 20 percent of recognized pregnancies end in spontaneous abortion. Clinical presentations include acute hemolytic anemia, chronic hemolytic anemia, and neonatal hyperbilirubinemia.ĬAM Used since ancient times to treat liver and gallbladder disease, this herb has been investigated as a cytoprotectant for the treatment and prevention of cancer and as a supportive treatment for Amanita phalloides poisoning.ĬRAIG P. This enzyme deficiency is an X-linked inherited disorder that can cause a spectrum of disease but is rarely fatal. Family physicians can help integrate medical knowledge, individual values, and cultural influences into end-of-life care.ĭiagnosis and Management of G6PD Deficiency DOUKASĭespite widespread support for advance care planning, few Americans have living wills or other advance directives. Respecting End-of-Life Treatment Preferences Some patients may require fiberoptic bronchoscopy or high-resolution computed tomography. True hemoptysis usually can be differentiated from pseudohemoptysis and hematemesis by a history and focused physical examination. Inpatient management is necessary for patients who need intravenous fluids, or antibiotics, bowel rest, and aggressive management of symptoms. Outpatient management is appropriate for clinically stable, uncomplicated diverticulitis. Diverticular Disease: Diagnosis and Treatment
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