RESUMEN
There are many rural areas where obstetric care is predominately performed by family medicine physicians. As such, it is important for family medicine physicians to stay up to date with the latest obstetric guidelines. Preeclampsia is a well-established disorder and the guidelines for screening and treatment are well known. However, atypical presentations of preeclampsia have been less studied. Notably, what constitutes atypical preeclampsia and when to be concerned for increased morbidity and mortality in the mother and neonate. This report describes a unique case in which a woman with proteinuria of pregnancy developed atypical preeclampsia with severe features. This report discusses the care that was given by a practicing family medicine physician and the reasoning behind it.
Asunto(s)
Instituciones de Atención Ambulatoria/organización & administración , Enfermedades Pulmonares/terapia , Asma/terapia , Hospitales Universitarios/organización & administración , Humanos , Enfermedades Pulmonares/tratamiento farmacológico , Grupo de Atención al Paciente , Servicio de Farmacia en Hospital/organización & administración , Prevalencia , Enfermedad Pulmonar Obstructiva Crónica/terapia , Derivación y Consulta , Cese del Hábito de Fumar , Tennessee/epidemiologíaAsunto(s)
Bencimidazoles/efectos adversos , Creatinina/metabolismo , Epistaxis/inducido químicamente , Epistaxis/diagnóstico , Tasa de Depuración Metabólica/efectos de los fármacos , beta-Alanina/análogos & derivados , Anciano de 80 o más Años , Dabigatrán , Femenino , Humanos , Tasa de Depuración Metabólica/fisiología , beta-Alanina/efectos adversosRESUMEN
OBJECTIVE: To examine readability characteristics of step-by-step directions presented in "How to Use" sections of over-the-counter (OTC) nicotine replacement therapy (NRT) products. METHODS: Step-by-step directions of all (n=6) currently available OTC NRTs were assessed on reading grade level, text point size, dimensions, and illustrations. RESULTS: The mean readability was at grade level 10.5+/-0.8, whereas the average text point size was 9.2+/-1.3. Two OTC NRT products provided illustrations to supplement step-by-step directions. CONCLUSION: As currently presented, the readability characteristics of "How to Use" sections of OTC NRTs do not facilitate consumer understanding.