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Total 427 results found since Jan 2013.

What Is This International Traveler's Diagnosis?
​BY GREGORY TAYLOR, DO; DAWN ZELENKA-JOSHOWITZ, DO; & ANDREW TAECKER, DOA 34-year-old man presented with intermittent fever and body aches for 10 days. He had been visiting family in India, and the symptoms began when he returned home. His fever had been as high as 104°F, and he was experiencing nausea, two episodes of bilious emesis, body aches, nonspecific abdominal pain, and multiple episodes of watery, nonbloody diarrhea.He said he knew of no tuberculosis exposure or ill contacts, and he was current on his routine influenza and hepatitis A vaccines. His temperature was 101.4°F (he had taken acetaminophen three ...
Source: The Case Files - December 12, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Otitis Media: Rapid Evidence Review.
Abstract Acute otitis media (AOM) is the most common diagnosis in childhood acute sick visits. By three years of age, 50% to 85% of children will have at least one episode of AOM. Symptoms may include ear pain (rubbing, tugging, or holding the ear may be a sign of pain), fever, irritability, otorrhea, anorexia, and sometimes vomiting or lethargy. AOM is diagnosed in symptomatic children with moderate to severe bulging of the tympanic membrane or new-onset otorrhea not caused by acute otitis externa, and in children with mild bulging and either recent-onset ear pain (less than 48 hours) or intense erythema of the t...
Source: American Family Physician - September 14, 2019 Category: Primary Care Authors: Gaddey HL, Wright MT, Nelson TN Tags: Am Fam Physician Source Type: research

Janssen Showcases Commitment to Advancing Scientific Innovation in Pulmonary Arterial Hypertension (PAH) at CHEST 2021 Annual Meeting
TITUSVILLE, N.J. – October 14, 2021 – The Janssen Pharmaceutical Companies of Johnson & Johnson announced today 11* abstracts highlighting data from its pulmonary hypertension (PH) portfolio will be presented at CHEST 2021, the annual meeting of the American College of Chest Physicians, held virtually October 17-20.Data presentations from eight abstracts will provide additional evidence supporting the role of objective multiparameter risk assessment approaches in helping to optimize treatment and care for pulmonary arterial hypertension (PAH), as well as the impact of earlier and comprehensive therapy with UPTRAVIÂ...
Source: Johnson and Johnson - October 14, 2021 Category: Pharmaceuticals Tags: Innovation Source Type: news

NYC Mayor is Calling a Meeting to Force Vaccinate Under 5′s With Two Dangerous Vaccines
Conclusion Surely, unless the mayor of New York City is a qualified doctor or scientist, he should not be recommending the force-vaccination of children as young as six months, no matter how good his intentions are, especially since the two vaccinations he is recommending are possibly completely incompatible with one another and could possibly lead to multiple child deaths in New York City and across America. This is absolutely unforgivable, and in my opinion, he should be severely reprimanded for his actions. I suggest that the public of America join forces and either attend this meeting in person to voice an opinion or s...
Source: vactruth.com - October 21, 2013 Category: Health Medicine and Bioethics Commentators Authors: Christina England Tags: Christina England Top Stories Flumist Fluzone force vaccination Mandatory Vaccination Michael Bloomberg Pneumococcal vaccine mandate Source Type: blogs

Evidence Based Medical Decision Making Notes and Templates
by miamidoc13 (Posted Wed Dec 04, 2013 11:48 pm)Examples:Pediatric Head Trauma@AGE@ @SEX@ presenting with head trauma. Patient's neurological exam was non-focal and unremarkable. Canadian Head CT Rule was applied and patient did not have any of the following; GCS score
Source: Med Student Guide - December 5, 2013 Category: Medical Students Source Type: forums

Needle size for vaccination procedures in children and adolescents.
CONCLUSIONS: Using 25 mm needles (either 23 G or 25 G) for intramuscular vaccination procedures in the anterolateral thigh of infants using the WHO injection technique probably reduces the occurrence of local reactions while achieving a comparable immune response to 25 G 16 mm needles. These findings are applicable to healthy infants aged two to six months receiving combination DTwP vaccines with a reactogenic whole-cell pertussis antigen component. These vaccines are predominantly used in developing countries. The applicability of the findings to vaccines with acellular pertussis components and other vaccines with differe...
Source: Cochrane Database of Systematic Reviews - June 18, 2015 Category: Journals (General) Authors: Beirne PV, Hennessy S, Cadogan SL, Shiely F, Fitzgerald T, MacLeod F Tags: Cochrane Database Syst Rev Source Type: research

The Case Files: Patient with Sore Throat, Difficulty Swallowing, and Fever
By Joseph Hourizadeh, DO; Richard D. Susi, MD; Joseph Kelly, MD; & Afaq Sharieff, MD A 56-year-old man arrived by car to the emergency department complaining of sore throat, difficulty swallowing, and fever. The patient was previously healthy and up to date with his immunizations. He reported that the pain had started roughly 14 hours earlier and had intensified. He had taken ibuprofen and acetaminophen with no relief. He mentioned that he had pain in his throat, increasing dysphagia, and increasingly difficulty swallowing. He did not complain of any shortness of breath or difficulty breathing. Oral temperature take...
Source: The Case Files - October 15, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Post-licensure surveillance of quadrivalent inactivated influenza (IIV4) vaccine in the United States, Vaccine Adverse Event Reporting System (VAERS), July 1, 2013-May 31, 2015.
CONCLUSIONS: In our review of VAERS reports, IIV4 had a similar safety profile to IIV3. Most of the reported AEs were non-serious. Our findings are consistent with data from pre-licensure studies of IIV4. PMID: 27015735 [PubMed - as supplied by publisher]
Source: Vaccine - March 21, 2016 Category: Allergy & Immunology Authors: Haber P, Moro PL, Lewis P, Woo EJ, Jankosky C, Cano M Tags: Vaccine Source Type: research

When Is the Clinical Nadir for Guillain-Barr é Syndrome?
Discussion Guillian-Barré syndrome (GBS) is an acquired, acute, inflammatory, demyelinating polyneuropathy. It is the most common cause of acute and subacute flaccid paralysis in children. GBS causes about 0.4-1.3 cases per 100,000 persons/year in children. It can occur in any age group and the incidence increases among all age groups until a peak in the 50s. Both genders are affected and there may be a slight increase in males. GBS usually occurs 2-4 weeks after a prodromonal gastroenteritis or respiratory illness. It is most often associated with Campylobacter jejunae, Haemophilus infuenza, Mycoplasma pneumoniae,...
Source: PediatricEducation.org - August 8, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news

Patient with Sore Throat, Difficulty Swallowing, and Fever
By Joseph Hourizadeh, DO; Richard D. Susi, MD; Joseph Kelly, MD; & Afaq Sharieff, MDA 56-year-old man arrived by car to the emergency department complaining of sore throat, difficulty swallowing, and fever. The patient was previously healthy and up to date with his immunizations. He reported that the pain had started roughly 14 hours earlier and had intensified.He had taken ibuprofen and acetaminophen with no relief. He mentioned that he had pain in his throat, increasing dysphagia, and increasingly difficulty swallowing. He did not complain of any shortness of breath or difficulty breathing. Oral temperature taken at ...
Source: The Case Files - October 15, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Pathological Findings of Epineurial Microvasculitis in Neuralgic Amyotrophy (P6.123)
Conclusions:A number of asymmetric sudden onset neuropathies in diabetics as well as non-diabetics, including neuralgic amyotrophy, have been shown to be immune mediated and related to ischemic injury from epineurial vasculitis or microvasculitis. Our case highlights the importance of doing nerve biopsy and convincingly shows evidence for microvasculitis in this case. Role of immunosuppression is not clear but may play a role in expediting favorable outcomes.Disclosure: Dr. Mozaffar has received personal compensation for activities with Sanofi Genzyme, Grifols, Amicus, Biomarin, Idera Pharmaceuticals and Ultragenyx. Dr. Mo...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mozaffar, T., Lai, T., Goyal, N. Tags: Neuromuscular and Clinical Neurophysiology (EMG): Peripheral Neuropathy III Source Type: research

Patient with Sore Throat, Difficulty Swallowing, and Fever
By Joseph Hourizadeh, DO; Richard D. Susi, MD; Joseph Kelly, MD; & Afaq Sharieff, MDA 56-year-old man arrived by car to the emergency department complaining of sore throat, difficulty swallowing, and fever. The patient was previously healthy and up to date with his immunizations. He reported that the pain had started roughly 14 hours earlier and had intensified.He had taken ibuprofen and acetaminophen with no relief. He mentioned that he had pain in his throat, increasing dysphagia, and increasingly difficulty swallowing. He did not complain of any shortness of breath or difficulty breathing. Oral temperature taken at ...
Source: The Case Files - October 15, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Funtabulously Frivolous Friday Five 233
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old fashioned medical trivia FFFF…introducing Funtabulously Frivolous Friday Five 233. Readers can subscribe to FFFF RSS or subscribe to the FFFF weekly EMAIL Question 1: Who popularised museli? + Reveal the Funtabulous Answer expand(document.getElementById('ddet201504324'));expand(document.getElementById('ddetlink201504324')) Dr Maximilian Birc...
Source: Life in the Fast Lane - April 6, 2018 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five Bircher Bircher Museli Clare Stanton Ekbom syndrome II Ernest W Goodpasture Essex Lopresti Goodpastures disease hugo flecker irukandji irukandji syndrome jack barnes John Range Maximilian Bircher-Benner Pa Source Type: blogs

Needle size for vaccination procedures in children and adolescents.
CONCLUSIONS: Using 25 mm needles (either 23 G or 25 G) for intramuscular vaccination procedures in the anterolateral thigh of infants using the WHO injection technique probably reduces the occurrence of local reactions while achieving a comparable immune response to 25 G 16 mm needles. These findings are applicable to healthy infants aged two to six months receiving combination DTwP vaccines with a reactogenic whole-cell pertussis antigen component. These vaccines are predominantly used in low- and middle-income countries. The applicability of the findings to vaccines with acellular pertussis components and other vaccines ...
Source: Cochrane Database of Systematic Reviews - August 9, 2018 Category: General Medicine Authors: Beirne PV, Hennessy S, Cadogan SL, Shiely F, Fitzgerald T, MacLeod F Tags: Cochrane Database Syst Rev Source Type: research