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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. BMJ (Clinical research ed.). 2001; 111(5):367-74. Her vitals are: HR 115, BP 120/80, Temp 102.8,

Clinic 99
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Breast imaging features tied to pathological findings in young women

AuntMinnie

Imaging features are tied to pathological findings in breast cancer among young women, a study published January 26 in Clinical Imaging found. In its retrospective study, the team reviewed a database consisting of 342 cases of primary breast cancer collected between 2001 and 2020. The study can be found in its entirety here.

Imaging 119
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Meet the Minnies 2024 finalists

AuntMinnie

Most Influential Radiology Researcher Erik Middlebrooks, MD, Mayo Clinic, Jacksonville, FL Erik Middlebrooks, MD. One of this year's nominations for Most Influential Radiology Researcher is Erik Middlebrooks, MD, of the Mayo Clinic in Jacksonville, FL. But we're still just scratching the surface."

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AuntMinnie 2007: Gadolinium: A 'necessary factor' in the development of NSF?

AuntMinnie

Imagine going in for a diagnostic MRI scan and coming out with a progressive, irreversible, and potentially fatal disease. It certainly doesn't help matters that the disease has been linked to gadolinium-based contrast agents, a ubiquitous tool in the MR armamentarium. In 2006 the U.S. report of NSF in 33 dialysis patients at a St.

Disease 116
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An Herbal Hope: Is XBJ A Game-Changer in Sepsis Management?

REBEL EM

Effect of an Herbal-Based Injection on 28-Day Mortality in Patients With Sepsis: The EXIT-SEP Randomized Clinical Trial. PMID: 37126332 Clinical Question: In adult patients diagnosed with sepsis, does XBJ reduce 28-day mortality when added to standard care compared to placebo? Article: Liu S, Yao C, Xie J, et al. JAMA Intern Med.

Clinic 98
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The Needle Vs. The Knife for Spontaneous Pneumothorax: A Closer Look at the EXPRED Study

REBEL EM

PMID: 36693146 Clinical Question: In patients aged 18-50 years with primary and complete pneumothorax, is simple aspiration non-inferior to chest tube drainage for rates of pulmonary re-expansion within 24 hours? Recruitment from only emergency departments may not represent the broader clinical context. Am J Respir Crit Care Med.

Hospital 105
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REBEL Core Cast 89.0 – Spontaneous Bacterial Peritonitis

REBEL EM

mg/dL, BUN > 30 mg/dL or Total bilirubin > 4 mg/dL) Read More Oyama LC: Disorders of the liver and biliary tract, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. Dig Liver Dis 2001; 33(1): 41-48. grams/kg within 6 hours 1.0 Louis, Mosby, Inc.,