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WikEM is wiki-based medical website and point-of-care phone application for emergency medicine clinicians. [1] WikEM is owned by OpenEM Foundation, a 501(c)(3) nonprofit organization. [ 2 ] WikEM initially started as a database created from notes and checklists passed from resident class to subsequent resident class at the Harbor-UCLA emergency ...
The dog's body weight should be determined and calculated once every two weeks using weight scale. [48] The daily caloric requirement by the dog's body and BCS should also be determined using a scale as part of dietary management in maintaining average body weight. The protein intake by the dog should also be considered and checked twice a month.
The cat is monitored frequently during the first few months of treatment; The cat eats a diet low in carbohydrates and high in protein. Cats may present with type 2 (insulin-resistant) diabetes, at least at first, but hyperglycemia and amyloidosis, left untreated, will damage the pancreas over time and progress to insulin-dependent diabetes.
WikEM is a wiki-based website and mobile application oriented towards emergency medicine clinicians. [16] It started as a database created from notes and checklists of residents at the Harbor-UCLA emergency medicine residency program, but is now open to all clinical providers. [17] [18] WikEM was launched in 2009. [17]
The major differential diagnosis is diabetic ketoacidosis (DKA). In contrast to DKA, serum glucose levels in HHS are extremely high, usually greater than 40-50 mmol/L (600 mg/dL). [6] Metabolic acidosis is absent or mild. [6] A temporary state of confusion (delirium) is also more common in HHS than DKA. HHS also tends to affect older people more.
Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. [1] Signs and symptoms may include vomiting , abdominal pain , deep gasping breathing , increased urination , weakness, confusion and occasionally loss of consciousness . [ 1 ]
The phrase "fight like cats and dogs" reflects a natural tendency for the relationship between the two species to be antagonistic. [8] [9] [10] Other phrases and proverbs include "The cat is mighty dignified until the dog comes by" and "The cat and dog may kiss, but are none the better friends." [11]
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