Broad market investments can be a sound financial investment. Broad indexes beat most financial managers. The total stock market indexes offer broader diversification than the S and P 500. They invest in 2000 to 5000 stocks.
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For international diversification and to invest broadly, consider PowerShares FTSE RAFI 1000 Index ETF (PXH) or FTSE RAFI All World 3000. International markets may perform better than the United States at certain times. PXH has a 2.7% yield also.
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Vanguard offers international diversification. However, it has had a volatile past. 10,000 invested in 2004 had gone up to 21,000 then crashed down to 8,722 by 2008 during the financial crisis. It has rebounded to 20,000. Total market funds have performed well since the crisis, and international funds provide diversification beyond the United States.
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Hematochezia - differential diagnosis includes bleeding from hemorrhoids, diverticulosis, arteriovenous malformation, and less likely from colon cancer. Risks and benefits of colonoscopy including bleeding, infection, perforation, and death discussed with patient. Patient agreeable to proceed with colonoscopy. PT/INR and Golytely ordered. NPO after midnight.
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Hematochezia - Differential diagnosis includes hemorrhoids, arteriovenous malformation, diverticular bleed, and less likely colon cancer. Risks/benefits of colonoscopy discussed with patient and family including bleeding, infection, perforation, and death. Patient agreeable to proceed with colonoscopy.
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Hematochezia - Differential diagnosis includes diverticular bleed, hemorrhoids, arteriovenous malformation, peptic ulcer disease and less likely colon cancer. Risks/benefits of colonoscopy and possible upper endoscopy discussed with patient and family[] including bleeding, infection, perforation, and death. Patient agreeable to proceed with colonoscopy and possible upper endoscopy.
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Hematochezia - differential diagnosis includes hemorrhoids, diverticulosis, arteriovenous malformation, and less likely colon cancer. Risks and benefits of colonoscopy including bleeding, infection, perforation, and death discussed with patient[]. Patient agreeable to proceed with colonoscopy.
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Five main types of choledochal cysts according to Todani classification, type I: ◦Ia: dilatation of extrahepatic bile duct (entire) ◦Ib: dilatation of extrahepatic bile duct (focal segment) ◦Ic: dilatation of the common bile duct portion of extrahepatic bile duct •type II: true diverticulum from extrahepatic bile duct •type III: dilatation of extrahepatic bile duct within the duodenal wall (choledochocoele) •type IV: next most common◦IVa: cysts involving both intra and extrahepatic ducts ◦IVb: multiple dilatations/cysts of extrahepatic ducts only •type V: multiple dilatations/cysts of intrahepatic ducts only (Caroli disease)
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Diverticulitis - []. Intravenous antibiotics followed by outpatient oral antibiotics. Colonoscopy in two months due to a small risk of colon cancer.
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December 2019 - The SPY tracks the Standard and Poors 500 Index. Microsoft, Apple, Google, Facebook, and Amazon currently make up 15% of the index. This might not be enough diversification for some investors and these companies may decrease in value in the future. Midcap and small cap index funds are also available. Vanguard's VB small cap index ETF has an expense ratio of 0.05%. #stocks
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