\documentclass[10pt,a4paper]{article}

% Packages
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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{RoseCher}
\pdfinfo{
  /Title (cystic-fibrosis.pdf)
  /Creator (Cheatography)
  /Author (RoseCher)
  /Subject (Cystic Fibrosis Cheat Sheet)
}

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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
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% Header and Footer
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\fancyhead{} % Set header to blank
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Cystic Fibrosis Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{RoseCher} via \textcolor{DarkBackground}{\uline{cheatography.com/87410/cs/20230/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}RoseCher \\
  \uline{cheatography.com/rosecher} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 8th August, 2019.\\
   Updated 8th August, 2019.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
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% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{PATHOPHYSIOLOGY}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{A genetic disease that affects many organs and lethally impairs lung function. The underlying problem with CF is blocked chloride transport in the cell membranes. Poor chloride transport causes the formation of muscus that has little water content and is thick. The thick sticky mucus causes problems in lungs, pancreas, liver, salivary glands and tests. The mucus plugs up the airways in the lungs and the granular tissues in non-pulmonary organs, causing atrophy and organ dysfunction.} \tn 
% Row Count 10 (+ 10)
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\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{CF is most common among whites, and about 4\% are carriers. It is rare among African Americans and Asians. Males and females are affected equally. Family history is another {\emph{risk factor}}. \newline {\emph{CFTR Gene Mutation}} \newline {\emph{Autosomal Recessive}}}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{SIGNS \& SYMTOMS}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Salt tasting skin} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Persistent coughing} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Dyspnea} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Wheezing} \tn 
% Row Count 4 (+ 1)
% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Failure to pass Meconium} \tn 
% Row Count 5 (+ 1)
% Row 5
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\mymulticolumn{1}{x{5.377cm}}{Weight loss} \tn 
% Row Count 6 (+ 1)
% Row 6
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\mymulticolumn{1}{x{5.377cm}}{Frequent resp. infection} \tn 
% Row Count 7 (+ 1)
% Row 7
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\mymulticolumn{1}{x{5.377cm}}{clubbing of the fingers.} \tn 
% Row Count 8 (+ 1)
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\par\addvspace{1.3em}

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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{DIAGNOSTICS}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Chloride Sweat Test (\textgreater{}60)} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Chest X-Ray} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Genetic Screen (CFTR)} \tn 
% Row Count 3 (+ 1)
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\par\addvspace{1.3em}

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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{ASSESSMENT : NURSING}}  \tn
% Row 0
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{\bf{Nonpulmonary}} & {\bf{Pulmonary}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Abdominal distention & Chest congestion \tn 
% Row Count 2 (+ 1)
% Row 2
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Gastroesophageal reflux & Limited exercise tolerance \tn 
% Row Count 4 (+ 2)
% Row 3
\SetRowColor{white}
Rectal prolapse & Cough \& Sputum production \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Foul-smelling stools & Use of accessory muscles \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
Steatorrhea (excessive fat in stools) & Decreased pulmonary function \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{COMPLICATIONS}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Infection} \tn 
% Row Count 1 (+ 1)
% Row 1
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% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Diabetes (secondary)} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Intestinal obstruction} \tn 
% Row Count 4 (+ 1)
% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Kidney/Liver} \tn 
% Row Count 5 (+ 1)
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\mymulticolumn{1}{x{5.377cm}}{ABG studies show acidosis (low pH), greatly reduced aerial oxygen (PaO2) levels, increased arterial carbon dioxide (PaCo2) levels, and increase bicarbonate levels.  \newline With infection the patient has fever, an elevated white blood cell count, and decreased oxygen saturation.}  \tn 
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% Row 0
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{\bf{PHARM}} & {\bf{NON-PHARM}} \tn 
% Row Count 1 (+ 1)
% Row 1
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Digestive enzymes (vitamins A,D,E, \& K) & Aerobic exercise \tn 
% Row Count 3 (+ 2)
% Row 2
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Lung transplant & Chest \seqsplit{physiotherapy} \tn 
% Row Count 5 (+ 2)
% Row 3
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Mucolytics & Exacerbation therapy \tn 
% Row Count 7 (+ 2)
% Row 4
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\mymulticolumn{2}{x{5.377cm}}{Bronchodilators/Steroids} \tn 
% Row Count 8 (+ 1)
% Row 5
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% Row Count 9 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{EDUCATION}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Yearly FLU Vaccine} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{High Calorie \& Protein Diet} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Fluids} \tn 
% Row Count 3 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Genetic counseling prior to having a baby} \tn 
% Row Count 4 (+ 1)
% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Cystic Fibrosis Fondation (Resource)} \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Carrier Testing}}  \tn
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\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/rosecher_1565267018_Carrier-Testing-How-A-Person-Gets-CF-Graphic.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}