Indications and Contraindications Radioiodine Treatment of Differentiated Thyroid Cancer (DTC)

Differentiated thyroid cancer (DTC) is defined as a carcinoma deriving from the follicular epithelium and retaining basic biological characteristics of healthy thyroid tissue, including expression of the sodium iodide symporter (NIS), the key cellular feature for specific iodine uptake.

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Clinical Indications and Contraindications to Percutaneous Coronary Intervention (PCI)

Percutaneous coronary interventions (PCI) include percutaneous transluminal coronary angioplasty (PTCA) with or without stenting. Primary indications are treatment of angina pectoris (stable or unstable), myocardial ischemia, and acute MI (particularly in patients with developing or established cardiogenic shock).

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Indications for the Six-Minute Walk Test (6MWT)

The American Thoracic Society Pulmonary Function Standards Committee developed guidelines for the 6MWT in clinical settings. The 6MWT was chosen because it is easier to administer, better tolerated, and better reflects activities of daily living than other walk tests.

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Current Indications for Use of the Swan-Ganz Catheter

The Swan-Ganz balloon flotation catheter was introduced  in clinical use by H. J. C. Swan and William Ganz in 1970. Since then, the catheter has been used in many kinds of clinical fields, such as critical care medicine, cardiovascular surgery, anesthesia, and cardiology, because of its useful functions.
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Indications and Recommendations for Intracranial Endovascular Neurointerventional Procedures

Intracranial endovascular cerebrovascular interventions treat cerebrovascular diseases by use of minimally invasive intravascular techniques.

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Indications and Contraindications for Targeted Temperature Management in Comatose Patients after Cardiac Arrest

Targeted temperature management should be implemented in the context of a broader strategy of critical care for a comatose patient with the post-cardiac arrest syndrome.

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Indications for Therapy and for Neurosurgery in Patients with Prolactinomas

In contrast to macroadenomas, for which therapy is routinely indicated, microadenomas do not always require treatment. For patients with microadenomas who do not have these indications, symptoms and prolactin levels can be monitored, and MRI can be used to follow the size of the tumor.

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Indications for Selective Operative Cholangiography

Preoperative Indications

  • Recent history of acute biliary pancreatitis
  • Recent history of jaundice
  • Recent history of cholangitis
  • Abnormal preoperative ultrasound demonstrating a dilated common bile duct or a defect (stone) in the common bile duct
  • Evidence of common bile duct obstruction on hepatobiliary iminodiacetic acid scan (HIDA Scan)
  • Increased serum bilirrubin
  • Increased serum alkaline phophatase
  • Increased serum amylase

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Indications of Dialysis in Renal Failure

Indications of dialysis in acute renal failure (ARF)

  • Severe fluid overload
  • Refractory hypertension
  • Uncontrollable hyperkalemia
  • Nausea, vomiting, poor appetite, gastritis with hemorrhage
  • Lethargy, malaise, somnolence, stupor, coma, delirium, asterixis, tremor, seizures,
  • Pericarditis (risk of hemorrhage or tamponade)
  • bleeding diathesis (epistaxis, gastrointestinal (GI) bleeding, etc.)
  • Severe metabolic acidosis
  • Blood urea nitrogen (BUN) > 70 – 100 mg/dl Continue reading

Indications and Contraindications for Tube Thoracostomy

Indications for chest drain insertion

  • Pneumothorax
    • in any ventilated patient
    • tension pneumothorax after initial needle relief
    • persistent or recurrent pneumothorax after simple aspiration
    • large secondary spontaneous pneumothorax in patients over 50 years Continue reading