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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 103
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Short Course Antibiotics for Peds CAP: A Systematic Review and Meta-Analysis

REBEL EM

PMID: 35579504 Clinical Question: Is short-course antibiotic therapy, for 3–5 days, safe and effective in children with community-acquired pneumonia stable for outpatient management, compared to the current guidelines of 7–10 days? requiring inpatient treatment) Intervention: Shorter antibiotic treatment duration (3–5 days).

X-ray 52
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AuntMinnie 2007: Gadolinium: A 'necessary factor' in the development of NSF?

AuntMinnie

The ACR MR safety guidelines cited a Danish Medical Agency report from Denmark and Austria in which 5% of patients who underwent MRI with Omniscan were eventually diagnosed with NSF. But Berlin cautioned that the lack of definitive answers in NSF may make informed consent a moot point. It can't be a generic or a standing order.

Disease 116
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Pediatric UTIs: Short-Course vs. Standard-Course Antibiotics — Is It Time for a Change?

REBEL EM

Short-Course Therapy for Urinary Tract Infections in Children: The SCOUT Randomized Clinical Trial. What They Did: Study Design: Multicenter, randomized, double-blind, placebo-controlled, non inferiority clinical trial. Investigators assessed clinical outcomes via 2 in-person visits on days 11–14 and days 24–30. JAMA Pediatr.

IT 80
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Journal Scan – This Month in Other Journals, May 2023

AJNR

Main reasons for DAWN ineligibility were the absence of clinical-imaging-mismatch, low baseline NIHSS score (ie, <10 points), and premorbid functional disability (ie, mRS score >1 point). 14432 RCVS is a cerebrovascular phenomenon that presents clinically as recurrent TCHs predominantly affecting females. 2 figures, 4 tables 2.