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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. Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ).

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Tributes pour in for CT pioneer Willi Kalender

AuntMinnie

He is the father of contemporary CT imaging -- and thus of clinical radiology as we know it today," Christiane Kuhl, MD, PhD, told AuntMinnie.com on November 4. Willi was the one to invent helical CT, the type of CT which is used today for all whole-body applications of clinical radiology," she said. Willi Kalender, PhD.

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Widespread Staff Shortages Exacerbate Pressures Facing Radiation Oncology Clinics; ASTRO Advocacy Day Calls for Action

Imaging Technology

milla1cf Tue, 05/23/2023 - 11:36 May 23, 2023 — More than 9 in 10 radiation oncologists report that their practices face clinical staff shortages , according to a new national survey from the American Society for Radiation Oncology ( ASTRO ). Radiation oncologists from across the country are in Washington, D.C.

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iCAD Highlights Promising Clinical Data Demonstrating Ability to Reduce Breast Interval Cancer Rates and Decrease Recall Rates at ECR 2024; Showcases Additional Platform Offerings

Imaging Technology

a global leader in clinically proven AI -powered solutions that enable medical providers to accurately and reliably detect cancer earlier and improve patient outcomes, will highlight scientific presentations, including an award-winning poster at the European Congress of Radiology ( ECR ) annual meeting in Vienna, Austria, Feb 28 – March 3, 2024.

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REBEL Core Cast 132.0 – Recent-Onset AFib

REBEL EM

MD Calc: CHA2DS2-VASc for Atrial Fibrillation Stroke Risk References Yealy D, Kosowsky JM: Dysrhythmias, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. 2010, (Ch) 79: p 1034-63. CJEM 2010; 12(3): 181-91. Acad EM 2010; 17: 408-15. NEJM 2010; 362: 1363-73.

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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.

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CT shows effects of sarcopenia on liver cancer survival

AuntMinnie

The work included 83 patients with liver cancer who had surgery and preoperative abdominal CT between January 2010 and December 2020; the team identified sarcopenia by assessing skeletal muscle mass of the third lumbar vertebra using CT imaging and software analysis. Cutoffs for skeletal muscle index were 43.75 cm 2 /m 2 for men and 41.10

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