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Doctor Station June Guide Collection

In June, which clinical guidelines have been updated in the past month, which can allow doctors and friends to charge and set off?

Let's take a look at the June must -read guide summarized by the webmaster. Friends who want to get the original text can download the doctor's station app and get the original text for free.

NICE: Diagnosis and Management Guide (2022)

Gout is a kind of arthritis that is formed by sodium uric acid monoclonal crystals inside and around the joints, causing sudden severe pain, fever and swelling. Any joints may be affected, but gout is most common in remote joints, such as big toes, knees, ankles and fingers. Almost 25%of patients with gout suffer from chronic kidney disease (CKD) 3 to 5 (glomerular filtration rate G3 to G5).

Gout was usually treated in primary health care without the participation of experts from rheumatism. Elit spots are usually treated with non -steroidal anti -inflammatory drugs, autumn pyrumine or corticosteroids. Patients can prevent drugs (such as allopurinol or non -Tibtan) that reduce blood uric acid levels.

However, only one -third of the useful use uses these drugs (reduced the level of blood uric acid to the target level). Patients with chronic kidney disease often have contraindications for drugs used to treat gout. It is necessary to improve the diagnosis and treatment of gout, and improve the quality of life of gout patients.

Monkey Acne diagnosis and treatment guide (2022 edition)

Monkey acne is a viral disease caused by human and beasts caused by Monkeypoxvirus (MPXV). It is clinically manifested in fever, rash, and lymphadenopathy. The disease is mainly popular in China and West Africa.

At present, there is no alienal anti -acne virus drug, which is mainly symptomatic support and complications.

(1) Symptomatic support treatment

Stay in bed, pay attention to supplement nutrition and water, and maintain water and electrolyte balance. For those with high body temperature, physical cooling is the main temperature, exceeding 38.5 ° C, which can be relieved of thermal analgesic drugs, but pay attention to prevent a lot of sweat from causing collapse. Keep the skin, oral, eye, and nose clean and moist to avoid scratching the skin of the rash to avoid secondary infections. When the rash part is severe, analgesic drugs can be given.

(2) Treatment of complications

Effective antibacterial drugs are given during secondary skin bacterial infection, and the separation identification and drug sensitivity results are adjusted according to pathogenic culture. It is not recommended to apply antibacterial drugs. When a corneal disease occurs, eye drops can be used, supplemented by vitamin A and other treatments. When encephalitis appears, it is given sedative, dehydration and threshold pressure, and protective airway.

(3) Psychological support treatment

Patients often have psychological problems such as nervousness, anxiety, depression, and should strengthen psychological support, guidance and related interpretations. Psychologists should be diagnosed and participated in disease diagnosis and treatment in time according to the condition.

Unknown causes of severe acute hepatitis diagnosis and treatment guidelines (trial)

On April 23, 2022, WHO issued a diagnostic suggestion, but because of the unknown cause, there was no recommendation on the treatment plan. There are no relevant case reports in my country. In order to effectively strengthen the early identification and standard diagnosis and treatment of the disease, and make every effort to improve the treatment effect, the National Health and Health Commission has formed the guide based on relevant reports and literatures and combined with hepatitis diagnosis and treatment.

In terms of treatment, comprehensive treatment of symptomatic and supporting treatment should be taken, and the disease changes should be closely observed, the mental state should be evaluated, the laboratory indicators are monitored, and complications are prevented. Patients with liver failure should be referred to hospitals with ability to treat.

CUA: Evaluation and Medical Management Guide of Kidney Stone (2022)

Although the surgical treatment of urinary stones has made progress, and the patient's incidence is significantly reduced, the formation and recurrence of new stones are still a major health problem. Essence

(1) For patients with kidney stones, under the participation of the registered nutritionist, a specific diet assessment and suggestion should be performed (Le3, C -level proposal);

(2) For patients with different ingredients caused by metabolic abnormalities, individualized treatment is required;

(3) For patients with the risk of recurrent kidney stones, detailed medical evaluation and personalized diet and drug prevention methods are important factor in nursing. The literature does not clearly define the frequency of follow -up and the necessity of repeated metabolic tests, so it must be individualized;

(4) For patients with small asymptomatic stones, it is also recommended to check regularly.

The consensus of the diagnosis and treatment of Bronobacteria spinalitis

In recent years, Brocobilis spinalitis has continued to increase. Due to its low diagnosis rate, the phenomenon of misdiagnosis is often doubled, resulting in the difficulty of later treatment, and patients are disabled.

The treatment method is mainly drug treatment and surgical treatment.

1. Drug treatment

When Bronobacteria spinalitis is mainly manifested in the symptoms of poisoning, fatigue and joint pain and other infection, mainly combined with conservative treatment of antibiotics, and combined with Doxin, Lifepipin, etc. better.

At present, the drug treatment of Bronobacteria spinalitis is mainly used by antibiotics, including Lifepine, Levofloxacin, Dopsein, cephalosporte, splitterromycin, etc. Good results; cure or severe patients can be used on the basis of the original treatment plan. The diagnosis and treatment of drug -resistant broccoli spinalitis is also one aspect that needs to be paid attention to in clinical work in the future. Second, surgical treatment

On the basis of strictly grasping surgical indications, move the time forward to reduce the pain of patients early in the early stage, improve the quality of life, and shorten the treatment treatment. When the spinal cord, nerve root, ponytail god suffer from abscess or granulation tissue compression of the corresponding symptoms of neurotomy, conservative treatment may not achieve the corresponding expected effect. Surgical intervention may be extremely important.

Studies have found that surgical indications include vertebral abscess or lumbar muscle abscess, intervertebral dish destruction, spine instability, spinal cord and nerve root pressure, and mixed infection. Following the above surgery indicators, it can be seen that the simple lesions and nerve decompression surgery are treated, and the spine stability cannot be restored or recovered immediately.

SICVE: Management Guide for Abdominal Activity (2022)

The guide outlines the correct treatment of patients with abdominal aortic anesthesia in screening and monitoring, and discussed the medical management and indications of surgery, as well as preoperative evaluation and surgical risk assessment of the patient background.

Once the indication of surgery is determined, patients with abdominal aorta rupture describe and compare the choice of traditional open surgery and internal surgery. The latest evidence in the literature has been able to confirm and may modify the previous suggestions, and put forward new suggestions on the relevant topics.

EAU: Male Ureomotic Deuttering Guide (2022)

Urine incontinence is a senior urinary incontinence can be divided into stress urinary incontinence (SUI), urgent urinary incontinence (UUI), and mixed urinary incontinence. Simple clinical intervention, behavior and physical adjustment, and drug treatment constitute a preliminary management of all types of urinary incontinence. SUI's surgery includes an expansion, a male suspender and a pressure device.

The UUI surgery includes the bladder wall injection of type A botulinum toxin, stimulating sacral nerves, and bladder forming/urinary flow diversion. This is a common disease of men, which leads to a serious deterioration of life, and brings huge costs to patients and health systems. The guide provides the latest information about the definition of male urinary incontinence, pathophysiology, diagnosis and treatment of male urinary incontinence.

AHA: Scientific Statement for Blood Transportation of Renal Vascular Diseases (2022)

Renal vascular disease is the main pathogenic factor of secondary hypertension and renal ischemia. However, several forward -looking random trials for atherosclerosis diseases failed to prove that renal blood transportation was more effective than drug treatment. These results greatly reduced the general diagnosis and use of renal reconstruction of kidney blood.

In this scientific statement for healthcare professionals and the general public, we reviewed the advantages and disadvantages of random trials of blood transport reconstruction, and emphasized (1) when to refer to diagnostic examination and treatment; (2 ) Evidence/Basic principles of these selective scenarios; (3) Interopping and surgical techniques for reconstruction of effective blood transportation; (4) Research fields that do not meet the demand.

ELSO: Provided and evaluated guidelines for Nutritional Nutrition Support for Newborn and Children (2022)

This guide discusses the nutritional support of neonatal and pediatric patients that requires outer oleat oxygen (ECMO). ECMO has little data on nutrition transportation and its effects on the results during support. Therefore, practice may be different, and the guide based on evidence is limited.

The nutritional supply during the ECMO period may be hindered by worrying that patients are unstable, capacity restrictions, and internal organs ischemia that may cause intracense nutrition (EN) tolerance. These guidelines include evidence -based, available, or consensus -based newborns and the best practical suggestions in the five areas of nutritional delivery in patients with Pediatric ECMO patients.

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