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Stroke is the third leading cause of death in the United States, surpassed only by heart diseases and malignant neoplasms. Part 1 of this series will cover the differential diagnosis of stroke, stroke mimics, and risk factors and prevention. Part II will cover the physical examination, laboratory investigations, imaging, and treatment of stroke.
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The nonsequential rhythm strips shown in the Figure were obtained from a 71-year-old man with a history of congestive cardiomyopathy and renal insufficiency. The patient was admitted for an exacerbation of heart failure. Digoxin was among the many medications he was taking. Assessment of the bottom rhythm strip was 2:1 AV block, Mobitz Type II. Do you agree?
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For the clinician, the area of sports concussions and mild traumatic brain injury can be confusing due to the relative paucity of scientific evidence to support the clinical decision-making process in the emergency department and beyond. Good scientific research in this area has been hampered by an inconsistent definition of concussion, widely divergent injury mechanisms, poor means of measuring cognitive deficits, and inconsistent return to play guidelines.
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In this European study, researchers compared three different topical treatment regimens for patients with acute otitis externa: acetic acid alone, acetic acid with steroids (triamcinolone 0.1%), or antibiotic with steroids (neomycin/polymixin with dexamethasone).
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The authors of this study sought to characterize symptoms women experience in association with an acute myocardial infarction.
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They may not grab many headlines, but grievance policies and procedures are, nonetheless, a critical component of a thorough, effective quality improvement effort.
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This article will review the current literature about blast injuries. Explosions have the potential to cause multi-system injuries involving multiple patients simultaneously. The potential mechanisms of injury, early signs of these injuries, and the natural course of the problems caused by explosive blasts will be discussed.
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With passage of the Medicare Prescription Drug Improvement and Modernization Act of 2003 (HR 1) in the last days of November 2003, many of the issues that home health administration managers will be related to this legislation. This article introduces a few of the key issues addressed by this new legislation.
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Nurses should be restricted from working more than 12 hours at time or more than 60 hours per week to prevent error-producing fatigue, an Institute of Medicine panel recommended in a comprehensive review of the nursing work environment.
