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Hypertensive disorders of pregnancy range from chronic pre-existing disease to life-threatening conditions such as HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) and eclampsia. They often represent a continuum from bad to worse. The emergency department physician is likely to evaluate a pregnant patient for many conditions unrelated to the pregnancy itself, and knowledge of abnormalities that warrant further assessment and follow-up is essential.
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The electrocardiogram (ECG) in the Figure was obtained from a 73-year-old man with documented coronary disease and heart failure. He now presents with a 10-day history of dyspnea. How would you interpret his ECG?
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Drug-drug interactions are a potentially hazardous pitfall of practicing medicine; physicians are confronted with new drugs and must become knowledgeable of their adverse effects as well as the potential for interactions with other medicines.
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The study was a prospective, randomized, single-blind placebo-controlled trial of consecutive adult ED patients presenting to a university teaching hospital with benign positional vertigo (BPV).
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Unnecessary prescriptions for antibiotics are the most important factor in the development of antimicrobial resistance, needlessly exposing patients to the risk of adverse drug reactions and dramatically increasing health care costs.
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The use of pelvic ultrasound (US) performed by emergency physicians has gained acceptance in many emergency departments for the evaluation of patients in their first trimester of pregnancy who present with symptoms referable to the pregnancy.