doctor's notebook
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Normal bilirubin metabolism
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Acute transfusion reaction
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Pulmonary embolism
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Proteinuria work up
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Cracked heels

Cracked heels are common and may be very painful.

They arise because the stratum corneum is thickened and dry.

Predisposition may be due to:

Dry skin

Atopic dermatitis

Juvenile plantar dermatosis

Psoriasis, especially palmoplantar psoriasis

Palmoplantar keratoderma

Systemic conditions, including diabetes and hypothyroidism.

The best form of treatment for cracked heel is to prevent cracks from occurring in the first place.

This can be achieved by simply rubbing the heels with a moisturising cream on a regular basis to keep the skin supple and hydrated.

Special heel balms are available that contain descaling (keratolytic) or water-retaining (humectant) agents, such as:

Urea

Salicylic acid

Alpha-hydroxy acids

Saccharide isomerate.
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AUTOANTIBODIES IN RHEUMATOLOGY
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SPEECH & LANGUAGE DELAY
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Ascites
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Neonatal Cheatsheet
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Guideline for unscheduled procedural sedations in ED - based on ACEP consensus
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Types of AV-block
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Vasopressors and Inotropes
Drug
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Arterial blood flow chart
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Cerebral Hemorrhages
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EVALUATION OF ABNORMAL LIVER TESTS
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PEDIATRIC TUBE SIZES
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ALLERGIC RHINITIS
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