© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topDynaMed and Micromedex with Watson is an all-in-one solution that provides evidence-based insights designed to accelerate clinical decisions and improve efficiency at the …Definitions. dizziness traditionally classified into 4 categories based on patient report. 1. , 2. vertigo - sense of spinning or movement of self or environment. presyncope - sense of being about to faint. dysequilibrium - feeling of unsteadiness that is less well defined than vertigo, also known as wooziness. light-headedness.Reference - Circulation 2024 Jan 2;149 (1):e1. Stage 3: Atrial Fibrillation. in stage 3 atrial fibrillation, patients may transition between 4 substages (3A-3D) stage 3A is paroxysmal AF, which is characterized by all of the following: AF that is intermittent. AF is short-lived, terminating within 7 days of onset.Users can search DynaMed for a wide variety of information on specific Diseases. DynaMed will return any Topic Overviews, Conditions, Drugs, Labs, Images, and Calculators that are relevant to the searched Disease.DynaMedex: Delivering the Most Current and Comprehensive Clinical Information Available. Video | 30 October 2023 Updated up to six times a day, DynaMedex keeps you in the know. Built on transparency and a rigorous evidence-based methodology, DynaMedex means confidence in clinical decision-making. You might also be interested in ...© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topWhen viewing drug monographs in DynaMedex, you have the option to view a Quick Answers version of the monograph or view the full In-Depth answers version. Navigating Quick Answers. When navigating Quick Answers in a Drug Monograph: You can jump to a specific section of a monograph by clicking the table of contents links in the column on the left.Medication for the treatment of alcohol use disorder: a brief guide. Health and Human Services publication (SMA) 15-4907. 2015 PDF. Yang W, Singla R, Maheshwari O, Fontaine CJ, Gil-Mohapel J. Alcohol Use Disorder: Neurobiology and Therapeutics. Biomedicines. 2022 May 21;10 (5):1192.DynaMedex delivers fast access to information so ACP members can make the best decisions possible at the point of care. DynaMedex provides ACP members with: a mobile app that is available through an iOS App Store or Google Play Store, advanced clinical decision support, patient engagement tools, and access to shared decision-making tools with ...4. typical celiac disease presentation includes gastrointestinal symptoms such as diarrhea, abdominal pain, bloating, nausea, and vomiting, and loss of appetite, often accompanied by malabsorption, weight loss, or other signs of nutrient or vitamin deficiency. atypical celiac disease presentation includes minimal gastrointestinal complaints ...© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top DynaMed is a clinician-focused tool designed to facilitate efficient and evidence-based patient care. Rigorous and daily review of medical literature by our physician and specialist staff ensures that timely and objective analysis, synthesis and guidance are at our users’ fingertips. Physicians who are “on-the-go” can take advantage of ... Dehydration: Isonatremic, Hyponatremic, and Hypernatremic Recognition and Management. Pediatr Rev 2015 Jul;36 (7):274-283. Manzanares W, Aramendi I, Langlois PL, Biestro A. Hyponatremia in the neurocritical care patient: An approach based on current evidence. Med Intensiva 2015 May;39 (4):234-243.© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topA Cost-Efficient Solution. Through a streamlined buying process, DynaMedex can help reduce the total cost of ownership via one contract and invoice. Discover the benefits of combining top evidence-based drug and disease information in a single solution to support clinicians' information needs at the point of care.Fazeli Farsani S, Brodovicz K, Soleymanlou N, Marquard J, Wissinger E, Maiese BA. Incidence and prevalence of diabetic ketoacidosis (DKA) among adults with type 1 diabetes mellitus (T1D): a systematic literature review. BMJ Open 2017 Aug 1;7 (7):e016587. Cardoso L, Vicente N, Rodrigues D, Gomes L, Carrilho F. Controversies in the management of ...DynaMed and Micromedex with Watson is an all-in-one solution that provides evidence-based insights designed to accelerate clinical decisions and improve efficiency at the point of care. Features include: Comprehensive, current disease and drug content, curated using rigorous evidence-based editorial principles, with daily updates. Mobile.American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea. Practice guidelines for the perioperative management of patients with obstructive sleep apnea: an updated report. Anesthesiology. 2014 Feb;120 (2):268-86, commentary can be found in Anesthesiology 2014 Sep;121 (3):664.Reference - Circulation 2024 Jan 2;149 (1):e1. Stage 3: Atrial Fibrillation. in stage 3 atrial fibrillation, patients may transition between 4 substages (3A-3D) stage 3A is paroxysmal AF, which is characterized by all of the following: AF that is intermittent. AF is short-lived, terminating within 7 days of onset.1. rhinosinusitis. symptomatic inflammation of paranasal sinuses and nasal cavity. "rhinosinusitis" preferred over "sinusitis" because nasal cavity almost always involved when sinus is inflamed. it is recognized that rhinitis and rhinosinusitis may each occur in isolated fashion, although rhinosinusitis without rhinitis is rare.Get to know DynaMedex. DynaMedex is the all-in-one resource for evidence-based clinical information, bringing together two award-winning solutions: drug and interaction insights from Micromedex and disease and condition information from DynaMed, supporting the whole care team with medication safety and patient care.pyoderma gangrenosum is a rare neutrophilic inflammatory dermatosis, characterized by painful necrotic skin ulceration, typically occurring on the lower extremities. 1. , 4. more than half of patients with pyoderma gangrenosum have an underlying systemic condition, most commonly inflammatory bowel disease ( Crohn disease or ulcerative colitis ...DynaMed is a clinician-focused tool designed to facilitate efficient and evidence-based patient care. Rigorous and daily review of medical literature by our physician and specialist staff ensures that timely and objective analysis, synthesis and guidance are at our users' fingertips. Physicians who are "on-the-go" can take advantage of ...© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topDehydration: Isonatremic, Hyponatremic, and Hypernatremic Recognition and Management. Pediatr Rev 2015 Jul;36 (7):274-283. Manzanares W, Aramendi I, Langlois PL, Biestro A. Hyponatremia in the neurocritical care patient: An approach based on current evidence. Med Intensiva 2015 May;39 (4):234-243.pulmonary hypertension refers to a group of conditions with increased mean pulmonary arterial pressure (mPAP) > 20 mm Hg at rest as measured by right heart catheterization, while PAH described a subgroup of patients with PH that is generally characterized by presence of precapillary PH. 1. European Society of Cardiology/European Respiratory ...ulcerative colitis - inflammation restricted to colonic mucosa. Crohn disease - transmural inflammation of any part of gastrointestinal tract. Reference - Front Med (Lausanne) 2014;1:24. "inflammatory bowel disease unclassified" may be used when ulcerative colitis and Crohn disease cannot be differentiated ( World J Gastroenterol 2015 Jan 7;21 ...5. stage 1 hypertension if clinic SBP/DBP ≥ 140/90 mm Hg and ≤ 159/99 mm Hg with subsequent ambulatory daytime mean BP or home mean BP ≥ 135/85 mm Hg and ≤ 149/94 mm Hg. stage 2 hypertension if clinic SBP/DBP ≥ 160/100 mm Hg and < 180/120 mm Hg with subsequent ambulatory daytime mean BP or home mean BP ≥ 150/95 mm Hg.© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topWith the DynaMed app, clinicians can use the tools everywhere they go. One-time authentication is easy. Users can follow relevant content, earn and redeem CME and MOC credit, and email topics right from within both apps. The DynaMed app is free with every subscription. Download it now from the App Store or on Google Play .© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top DynaMed is a clinician-focused tool designed to facilitate efficient and evidence-based patient care. Rigorous and daily review of medical literature by our physician and specialist staff ensures that timely and objective analysis, synthesis and guidance are at our users’ fingertips. Physicians who are “on-the-go” can take advantage of ... DynaMedex is a mobile tool for evidence-based patient care, with disease and medication content curated by physicians and specialists. The app has low ratings and reviews, and may have issues with data sharing and installation.DynaMedex is a free app for iPhone and iPad that provides evidence-based disease and medication content for clinicians. Users can access comprehensive and curated information, sync between desktop and mobile devices, and log in with their credentials.The next generation of DynaMed combines the highest quality evidence-based information with a user-friendly, personalized experience that delivers accurate answers fast. If you need to reach customer support, our customer support representatives are available 24 hours a day, 7 days a week and can be reached by calling us at 800-758-5995.Try a FREE 30-Day individual trial. No credit card required. Fast & easy sign up. Full and free access to DynaMedex for 30 days. Includes access via the app (iOS and Android)acute or subacute episode of progressive increase in asthma symptoms and decrease in lung function. 2. symptoms may include. 2. shortness of breath. cough. wheezing. chest tightness.brown pigment stones - forms in infected bile. contains unpolymerized calcium bilirubinate plus calcium fatty acid soaps resulting from bacterial hydrolysis of biliary lecithin. more likely to develop in bile ducts than gallbladder. Reference - Gastroenterol Clin North Am 1999 Mar;28 (1):75, Recenti Prog Med 1992 Jul-Aug;83 (7-8):379. DynaMedex. We're Sorry! This page is temporarily unavailable. We are working on resolving the problem. With DynaMedex, clinicians can easily search, browse, and follow the topics and specialties that matter most to them and get both quick and in-depth answers to their drug-related questions. DynaMed Decisions offers a robust collection of shared decision-making aids that enable patients and providers to have meaningful and informed conversations that …DynaMed Decisions for advanced clinical decision support, patient engagement, and shared decision making. experience for clinicians and patients. Single Sign-On (SSO) …DynaMedex offers the power of combining two award-winning disease and drug solution suites — DynaMed and Micromedex — into one seamless experience. DynaMed quickly surfaces peer-reviewed clinical content, with recommendations supported by the latest clinical evidence from comprehensive disease topics, health conditions, and abnormal ...DynaMedDynaMedex seamlessly combines two sources of extensive, evidence-based clinical information — disease and condition information from DynaMed and drug and interaction insights from Micromedex — to create an all-in-one solution for an optimal clinician experience. Both DynaMed (2021, 2022, 2024) and Micromedex (2023) have been awarded Best in ...We are a leading company in South India dealing with imported implants, instruments and capital equipments from various countries like Germany, Taiwan, UK, USA, Japan, mainly into Orthopedic and Neurosurgeries. The company got established on 9th June 2006 with its headquarters in Chennai, Tamil Nadu. Mission of the company is "Committed to ...Approach to acute headache in adults. Am Fam Physician. 2013 May 15;87 (10):682-7, editorial can be found in Am Fam Physician 2013 May 15;87 (10):672-673. Levin M. Approach to the Workup and Management of Headache in the Emergency Department and Inpatient Settings. Semin Neurol. 2015 Dec;35 (6):667-74.© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topFazeli Farsani S, Brodovicz K, Soleymanlou N, Marquard J, Wissinger E, Maiese BA. Incidence and prevalence of diabetic ketoacidosis (DKA) among adults with type 1 diabetes mellitus (T1D): a systematic literature review. BMJ Open 2017 Aug 1;7 (7):e016587. Cardoso L, Vicente N, Rodrigues D, Gomes L, Carrilho F. Controversies in the management of ...Access DynaMedex from your institution and click the icon in the top toolbar of the screen. Click the Create Account button in the box that appears. On the Register for a Personal Account screen, enter an Email Address and password to be used as your log in credentials. Complete the fields with your information, check the box to agree to the ...The DynaMedex Difference means a superior experience for clinicians and patients. In collaboration with • Confidence: Robust coverage of 300+ internal medicine topics, daily content updates, and customizable alerts including those that are potentially practice changing© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top What We Publish. DynaMed publishes clinically organized topics which are continuously updated as new information indicates a need for change in practice or improved understanding of the body of knowledge. DynaMed content ranges from comprehensive reviews of diseases, conditions, and abnormal findings to highly focused topics on evaluation ... © 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topPromote Evidence-Based Practice. As described by Izet Masic, Milan Miokovic and Belma Muhamedagic, evidence-based medicine (EBM) is, "the conscientious, explicit, judicious and reasonable use of modern, best evidence in making decisions about the care of individual patients. EBM integrates clinical experience and patient values with the best ...Type II is defined as a normally located femoral head with varying degrees of dysplasia of the acetabulum. Type IIa is defined as an immature hip with a rounded acetabulum promontory and an alpha angle 50-59 degrees in a child < 3 months old. Alpha angle between 50 and 54 degrees indicates type IIa-. Alpha angle between 55 and 59 degrees ...Early-onset dementia (EOD) in adults is a dementia syndrome affecting behavior and cognition, with onset in persons < 65 years old. EOD typically begins in persons aged 45-65 years. The global age-standardized prevalence of EOD is reported to be 119 per 100,000 individuals in persons aged 30-64 years. Alzheimer disease is reported to account ...© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topDynaMedex™, an evidence-based clinical decision support tool, combines two disease and drug solutions — DynaMed and Micromedex — to benefit all clinicians. Ipswich, MA dynamedex.com Joined September 2009. 4,598 Following. 3,849 Followers. Tweets. Replies. Media. Likes.© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topbiomarkers to aid diagnosis must be rapid due to the urgency of stroke evaluation and acute management. biomarkers evaluated for guidance of acute stroke treatment. for estimation of time of onset, biomarkers such as interleukin 10 (IL-10) and glutamate. for prediction of recanalization after thrombolysis, biomarkers such as PAI-1 and ADAMTS13.Create one by accessing DynaMed on the web through your institution and then selecting the Sign In link in the top right-hand corner of the screen. Log in via your institution's network. Tap Institutional Network and then tap Authenticate to log in to the app if you are connected to your institution's Internal Network or Local Internet via Wi-Fi.chronic hypertension is hypertension that predates pregnancy or detected before 20 weeks gestation. reported in 0.9%-1.5% of pregnant women. may not be diagnosed until well into postpartum period. preeclampsia superimposed on chronic hypertension, defined as preeclampsia with history of hypertension before pregnancy or < 20 weeks gestation.Description. group A Streptococcus (GAS) is a ubiquitous human pathogen associated with a broad spectrum of clinical illnesses, including pharyngitis, skin and soft tissue infections (such as cellulitis), and severe invasive or systemic infections (such as toxic shock syndrome) infection with GAS may lead to local suppurative complications such ...Andrew Jenkins, MD. Third-Year Medical Student, Boston University School of Medicine. Mr. Jenkins serves as a third-year medical student on the DynaMed Executive Board. He graduated summa cum laude in 2015 from Middlebury College with a degree in Molecular Biology and Biochemistry. After graduation, he spent a year teaching middle school math ...A Cost-Efficient Solution. Through a streamlined buying process, DynaMedex can help reduce the total cost of ownership via one contract and invoice. Discover the benefits of combining top evidence-based drug and disease information in a single solution to support clinicians’ information needs at the point of care.Oct 16, 2023 Knowledge. If your institution subscribes to DynaMedex, you can claim your CME/CE/CPD/MOC credits/contact hours using the following steps. To claim your Continuing Medical Education credits/contact hours: Sign into DynaMedex with your Personal Account credentials. Note: If you do not have a Personal Account, please first complete ...There are no direct links to Micromedex; it is only available through the new DynaMedex point-of-care clinical reference. DynaMedex is an upgrade of DynaMed to include Micromedex and NeoFax neonatal and pediatric drug database.Heel pain-plantar fasciitis: revision 2014. J Orthop Sports Phys Ther. 2014 Nov;44 (11):A1-33. Young C. In the clinic. Plantar fasciitis. Ann Intern Med. 2012 Jan 3;156 (1 Pt 1). Orchard J. Plantar fasciitis. BMJ. 2012 Oct 10;345:e6603, editorial can be found in BMJ 2012 Oct 30;345:e7252. Schwartz EN, Su J. Plantar fasciitis: a concise review.© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topTo browse DynaMedex topics by specialty: Click the Specialties menu link. Choose a specialty to browse. Note: When signed in with your personal account, you can select to follow an entire specialty by clicking the Follow button. Continue making selections until you find a topic to read.To search the DynaMedex app: Open the app and tap the search box on the screen to begin typing your terms. As you type, topics matching your terms appear. Select a DynaMedex topic under Go To to go directly to the topic or select a search term under Search For to view a result list. You can also tap the magnifying glass at the left of the ...opioid misuse. 2. use of opioid medications in a manner other than as directed by a prescriber. use of any opioid in a manner, situation, amount, or frequency that can cause harm to self or others. psychological dependence - subjective need for a substance to experience its positive effects or avoid negative effects associated from its absence. 1.DynaMedex™ is the new name for DynaMed and Micromedex with Watson™, a solution that combines drug and disease content into a single-source for evidence-based insights. DynaMedex offers peer-reviewed clinical content, recommendations, and tools for diagnosis, treatment, and shared decision-making.KDIGO 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease. Kidney Int. 2020 Oct;98 (4S):S1-S115, executive summary can be found in Kidney Int 2020 Oct;98 (4):839, update can be found in Kidney Int 2022 Nov;102 (5):990. A/L B Vasanth Rao VR, Tan SH, Candasamy M, Bhattamisra SK. Diabetic nephropathy: An update on ...DynaMed Decisions is a groundbreaking clinical decision support solution designed to enhance clinical decision-making, decrease the burden on providers, and drive meaningful patient engagement. The solution includes tools that provide individualized clinical guidance based on the specifics of the patient being seen, as well as Option Grid ...What is DynaMedex? DynaMedex "combines the clinical expertise and extensive, curated disease content of DynaMed with the comprehensive view into treatment options, depth and breadth of drug information and advanced search capabilities of Micromedex" ().In short, it is a point-of-care tool to support decision-making and patient education.© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. toprefers to DVT where the highest part of the thrombus extends into the popliteal vein (formed by trifurcation of peroneal, posterior tibial, and anterior tibial veins) or more proximally. reported in 80% of all diagnosed DVT. most symptomatic DVT are thought to start in the calf. mainstay of treatment is anticoagulation.DynaMed is a clinician-focused tool designed to facilitate efficient and evidence-based patient care. Rigorous and daily review of medical literature by our physician and specialist staff ensures that timely and objective analysis, synthesis and guidance are at our users’ fingertips. Physicians who are “on-the-go” can take advantage of ...Moderate to Severe Traumatic Brain Injury - DynaMedex. Condition. Updated 05 Mar 2024.DynaMedex is a solution that combines the clinical expertise and disease content of DynaMed with the drug information and search capabilities of Micromedex. Clinicians can access evidence-based insights, treatment options, and drug information for optimal clinical decision-making and improved patient outcomes.Definitions. subclinical vitamin B12 deficiency. 4. state of low or marginal vitamin B12 level. stage of vitamin B12 inadequacy that lies between vitamin B12 level normalcy and clinical deficiency. characterized by increased blood and tissue methylmalonic acid and homocysteine levels and decreased fraction of transcobalamin bound vitamin B12 ...The DynaMedex Difference means a superior experience for clinicians and patients. In collaboration with • Confidence: Robust coverage of 300+ internal medicine topics, daily content updates, and customizable alerts including those …DynaMedex is a free app for iPhone and iPad that provides evidence-based disease and medication content for clinicians. Users can access comprehensive and curated information, sync between desktop and mobile devices, and log in with their credentials.
© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top. Frost treasury connect
DynaMedex combines the expert, curated disease content with the depth and breadth of drug information and advanced search capabilities of Micromedex by Merative #advancedCDS #HIMSS24 #MicromedexDescription. thyrotoxicosis is a clinical state characterized by excessive thyroid hormone levels. 1. , 3. hyperthyroidism is defined as thyrotoxicosis resulting from inappropriately high synthesis and secretion of thyroid hormone (s) by the thyroid gland (excludes thyrotoxicosis from exogenous sources such as excessive exogenous thyroid ...The EBSCO Health & Medical Open Day is all about sharing best practice. There will be talks from librarians and EBSCO experts on how to identify and use knowledge to support education and clinical practice using EBSCOhost, the Knowledge & Library Hub, and DynaMed.1. COPD exacerbation - increased dyspnea and/or cough and sputum production that worsens in < 14 days, may be accompanied by tachypnea or tachycardia, and is often associated with increased inflammation due to infection, pollution, or other airway insult. 1. (see also Acute Exacerbation of COPD) © 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top © 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topThe generalized rash: part I. Differential diagnosis. Am Fam Physician. 2010 Mar 15;81 (6):726-34. Ely JW, Seabury Stone M. The generalized rash: part II. Diagnostic approach. Am Fam Physician. 2010 Mar 15;81 (6):735-9. Rayala BZ, Morrell DS. Common Skin Conditions in Children: Neonatal Skin Lesions. FP Essent. 2017 Feb;453:11-17.© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. topNational Institute for Health and Clinical Excellence (NICE) guidelines. 5. stage 1 hypertension if clinic SBP/DBP ≥ 140/90 mm Hg and ≤ 159/99 mm Hg with subsequent ambulatory daytime mean BP or home mean BP ≥ 135/85 mm Hg and ≤ 149/94 mm Hg. stage 2 hypertension if clinic SBP/DBP ≥ 160/100 mm Hg and < 180/120 mm Hg with subsequent ...Pilot DynaMedex for your organization and let your clinicians explore the wealth of evidence-based content firsthand. Request trial. Individual Free Trial . Make DynaMedex part of your clinical practice and see for yourself how quickly it can answer your clinical questions at the point of care. Start trial. Footer links.Description. thyrotoxicosis is a clinical state characterized by excessive thyroid hormone levels. 1. , 3. hyperthyroidism is defined as thyrotoxicosis resulting from inappropriately high synthesis and secretion of thyroid hormone (s) by the thyroid gland (excludes thyrotoxicosis from exogenous sources such as excessive exogenous thyroid ...39% women were sexually active. 65% reported at least 1 of 5 sexual problems (lack of interest, inability to relax, difficulty in arousal, difficulty in orgasm, discomfort with sex) each of these 5 problems individually were reported by 16%-23% of sexually active women. Reference - Obstet Gynecol 2005 Jul;106 (1):121.IPSWICH, Mass. — February 2, 2021 — DynaMed ®, an EBSCO Clinical Decisions resource, was named the top performing point-of-care clinical reference tool in the 2021 Best in KLAS: Software and Services report. KLAS, a research firm that specializes in monitoring and reporting the performance of healthcare vendors, found that DynaMed was ranked the number one clinical decision support point ...Rabi DM, McBrien KA, Sapir-Pichhadze R, et al. Hypertension Canada's 2020 Comprehensive Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension in Adults and Children. Can J Cardiol. 2020 May;36 (5):596-624. National Institute for Health and Care Excellence (NICE).DynaMed Solutions provide users with one-click links to primary literature. An example of a link to the primary literature in DynaMed. The DynaMed Solutions suite is part of EBSCO Clinical Decisions. In addition to clinical decision support solutions, EBSCO offers a robust collection of medical, nursing and allied health databases, e-books, and ...sepsis-induced hypotension defined as 1 of. systolic blood pressure < 90 mm Hg. mean arterial pressure < 70 mm Hg. systolic blood pressure decrease > 40 mm Hg. systolic blood pressure > 2 standard deviations below normal for age in absence of other causes of hypotension. elevated lactic acid (lactate) level.Sjogren syndrome is a chronic autoimmune disorder characterized by exocrine gland dysfunction and dryness of mucosal surfaces (sicca symptoms) 1. , 2. , 3. usually affects eyes and mouth, but may affect other mucosal surfaces including the nose, pharynx, larynx, and vagina. may occur as a primary disorder (primary Sjogren syndrome) or with ...Create one by accessing DynaMed on the web through your institution and then selecting the Sign In link in the top right-hand corner of the screen. Log in via your institution's network. Tap Institutional Network and then tap Authenticate to log in to the app if you are connected to your institution's Internal Network or Local Internet via Wi-Fi.© 2024 EBSCO Industries, Inc. All rights reserved. Feedback. top.