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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.). 2006; 333(7580):1193. Her vitals are: HR 115, BP 120/80, Temp 102.8,

Clinic 99
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AuntMinnie 2006: How 64-slice CT saved my life: A radiologist's story

AuntMinnie

In 2006, our top article shared the story of a radiologist whose life was saved by a 64-slice CT scanner just installed at the hospital he worked at. Everyone knew the potential of this new technology, and we wanted to make sure we were in a position to capitalize on the new clinical functionality as soon as the scanner was ready.

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The Modified Valsalva Maneuver: Practical Treatment or Pointless Trick?

REBEL EM

Clinical Question: Does simultaneously performing the modified valsalva maneuver and administering intravenous adenosine, compared to either treatment alone, have greater success in achieving normal sinus rhythm in patients presenting to the ED with PSVT? Most secondary outcomes were disease-oriented with an unclear clinical significance.

Clinic 137
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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. Louis hospital. Accessed 3/5/2007.

Disease 116
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CMS Expands Access to Beta Amyloid PET for Medicare Beneficiaries

Imaging Technology

The American College of Radiology (ACR) has tracked the movement of this national coverage determination (NCD) as previously reported and has advocated for removing existing barriers and providing broader access to beta-amyloid PET imaging for Alzheimer's Disease (AD) diagnosis, management and evaluation of newly approved therapies.

Medicare 103
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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

REBEL EM

Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. MRI is key to diagnosis, obtain this imaging in all patients who raise clinical suspicion Patients with hemodynamic instability and neurologic compromise warrant empiric antibiotics.

Myelogram 104
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MRI radiomics help predict cervical cancer treatment outcomes

AuntMinnie

Jeong and colleagues conducted a study that included 252 locally advanced cervical cancer patients who underwent chemoradiotherapy between 2006 and 2019, dividing the group into training (167 patients) and test (85 patients) sets for a radiomics algorithm based on data from T1- and T2-weighted MR scans. Overall, the team found that 77.4%

MRI 81