Sandbox:YK

Afib and Heart failure

Class I

"1. RECOMMENDATION 1 HERE(Level of Evidence: A)"

"2. RECOMMENDATION 2 HERE(Level of Evidence: B)"

Class III (Harm)

"1. RECOMMENDATION 1 HERE (Level of Evidence: C)"

"2. RECOMMENDATION 2 HERE (Level of Evidence: C)"

Class III (No Benefit)

"1. RECOMMENDATION 1 HERE (Level of Evidence: C)"

"2. RECOMMENDATION 2 HERE (Level of Evidence: C)"

Class IIa

"1. RECOMMENDATION 1 HERE (Level of Evidence: C)"

"2. RECOMMENDATION 2 HERE (Level of Evidence: C)"

Class IIb

"1. RECOMMENDATION 1 HERE (Level of Evidence: C)"

"2. RECOMMENDATION 2 HERE (Level of Evidence: C)"

Fournier's gangrene

Physiologic Variables	High Abnormal Values				Normal	Low Abnormal Values
	+4	+3	+2	+1	0	+1	+2	+3	+ 4
Temperature	>41	39-40.0		38.5-39	36-38.4	34-35.9	32-33.9	30-31.9	<29.9
Heart Rate	>180	140-179	110-139		70-109		55-69	40-54	<39
Respiratory Rate	>50	35-49		25-34	12-24	10-11	6-9		<5
Serum Sodium (mmol/L)
Serum Potassium (mmol/L)
Serum Creatinine (mg/100/ml*2 for acute renal failure)
Hematocrit
WBC (Total/mm*1000)
Serum Bicarbonate (Venous,mmol/l)

Region	Gender	Incidence/100,000	Prevalence/100,000
Region 1	M	Incidence	Prevalence
	F	Incidence	Prevalence
Region 2	M	Incidence	Prevalence
	F	Incidence	Prevalence
Region 3	M	Incidence	Prevalence
	F	Incidence	Prevalence
Region 4	M	Incidence	Prevalence
	F	Incidence	Prevalence
Region 5	M	Incidence	Prevalence
	F	Incidence	Prevalence

Zika Prevention

How Long to Wait Before Attempting to Have a Baby in Zika Endemic areas
Presence of Symptoms	Women	Men
Zika symptoms	At least 8 weeks after symptoms start	At least 6 months after symptoms start
No Zika symptoms	Talk with doctor or healthcare provider	Talk with doctor or healthcare provider

Zika sexual transmission

For People Who Have Traveled to an Area with Zika
If you are pregnant	Pregnant women should not travel to areas with Zika. If you must travel to an area with Zika, talk to your healthcare provider.
If your partner is pregnant	Use condoms correctly, every time you have vaginal, anal, or oral sex or do not have sex for the entire pregnancy.
If you and your partner are planning a pregnancy	Discuss your plans for pregnancy with a healthcare provider to determine your risk and the options available.
If you or your partner are not pregnant and are not planning a pregnancy	Men - consider using condoms or not having sex for at least 6 months after travel (if you don’t have symptoms) or for at least 6 months from the start of symptoms (or Zika diagnosis) if you develop Zika. Women- consider using condoms or not having sex for at least 8 weeks after travel (if you don’t have symptoms) or for at least 8 weeks from the start of symptoms (or Zika diagnosis) if you develop Zika.

For People Living in an Area with Zika
If you or your partner are pregnant	Use condoms from start to finish, every time you have vaginal, anal, or oral sex or do not have sex for the entire pregnancy. It is also very important to see a healthcare provider to discuss your options during pregnancy
If you and your partner are planning a pregnancy	Discuss your plans for pregnancy with a healthcare provider to determine your risk and the options available.
If you or your partner are not pregnant and are not planning a pregnancy	Consider using condoms or not having sex as long as there is Zika in the area. If either you or your partner develop symptoms of Zika or have concerns, talk to a healthcare provider and follow the guidelines on the left.

Hand foot and mouth disease

Viruses	Serotypes
Coxsackieviruses	A2, A4 to A10, A16, B2, B3, B5
Echoviruses	1, 4, 7, 19
Enteroviruses	A71

HFMD

Infection	Presentation
Herpes simplex virus stomatitis	• Associated with high grade fever, acute gingivitis and oral ulcerations • The vesicles are small, grouped together and on an erythematous base • Absence of rash on palms and soles • A Tzanck test shows multinucleated giant cells and direct fluorescent antigens test can also help to differentiate hand-foot-and-mouth disease from herpes simplex virus infection
Herpangina	Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline
Bacteremia and sepsis	Leucocytosis >15,000 cells/mL OR serum creatinene level >1.5 times baseline or abdominal tenderness and serum albumin < 3 g/dL
Chickenpox	Hypotension or shock, ileus, megacolon, leucocytosis >20,000 cells/mL OR leucopenia <2,000, lactate >2.2 mmol/L, delirium, fever ≥ 38.5 °C, organ failure
Measles	Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline
Pharyngitis	Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline
Stevens-Johnson syndrome or Erythema multiforme	Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline
Henoch-Schönlein purpura	Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline
Kawasaki disease	Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline
Behcet's disease	Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline
Pemphigus vulgaris	Raised white cell count but <15,000 cells/mL and serum creatine <1.5 times baseline