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The evaluation and diagnosis of the child with a limp can be challenging for the emergency physician. The authors review common causes for the acutely limping child, with special attention to those etiologies that need emergent or urgent intervention and referral. Additionally, the authors offer clinical and historical clues to help decipher the cause.
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Hughes and colleagues in New Zealand took advantage of their geographic isolation to study air travel-related thromboembolism by enrolling volunteers traveling at least 4 hours by air who were going to return within 6 weeks.
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Since most forms of syncope involve an abnormal vasovagal response, Lu and colleagues tested the hypothesis that simple water ingestion would be preventative.
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Although there are reports that BNP is elevated in systolic as well as diastolic dysfunction, its diagnostic use for the latter is unclear. Thus, Mottram and associates prospectively studied 72 ambulatory patients with hypertension under treatment and exertional dyspnea.
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Sulfonamide Antibiotics and Sulfonamide Nonantibiotics; Autoantibodies
Before Onset of SLE; Prevention of VTE with Ximelagatran; Combined
Levothyroxine Plus Liothyronine Compared to Levothyroxine Alone in
Primary Hypothyroidism; Specific Site Involvement in Fixed Drug
Eruption; Anticoagulation Therapy for Stroke Prevention in Patients
with Atrial Fibrillation
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When Teresa C. Fugate, RN, BBA, CPHQ, CCM, developed the case management program for a hospital in which she worked, she included a provision promising that what the case managers saved by preventing extra days and avoiding denials would equal their salaries plus benefits.
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Before Hoag Memorial Hospital Presbyterian in Orange County, CA, started its collaborative care initiatives for case management and social work, the two disciplines often were at odds with each other.
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Every day, we are confronted by problems that need solving. The problem might present itself simply as a minor inconvenience, or the problem may be a significant variance from ideal clinical practices. Whatever challenges your organization faces, effective problem-solving skills are needed to deal with the issues.
