Patient Management

In simple, promptly diagnosed actinomycotic infections such as dental abscesses following surgery, a short course of antimicrobial therapy may be curative. Actinomyces spp. are highly susceptible to a wide range of agents and the pharmacokinetics of penicillin has made this the drug of choice. Various other agents may be used in penicillin-allergic patients, or where broad-spectrum cover for concomitant organisms is required. In advanced cases of actinomycosis, surgical debridement (ranging from drainage of abscesses to removal of major organs) together with long-term (for months or years) antimicrobial therapy and careful monitoring of signs and symptoms may be necessary to effect a cure. Relapses are not infrequent. In cases of lacrimal canaliculitis, manipulation or incision to remove the physical blockage and systemic antimicrobial therapy may be necessary.

Patients with IUCDs should be made aware of the symptoms of pelvic inflammatory disease and advised to consult their doctor if these arise. Asymptomatic patients should be monitored regularly and IUCDs replaced as recommended.

Getting Started With Dumbbells

Getting Started With Dumbbells

The use of dumbbells gives you a much more comprehensive strengthening effect because the workout engages your stabilizer muscles, in addition to the muscle you may be pin-pointing. Without all of the belts and artificial stabilizers of a machine, you also engage your core muscles, which are your body's natural stabilizers.

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