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An 8-year-old girl from rural California who had been scratched by unvaccinated cats developed flaccid paralysis and rabies encephalitis. She was treated with a therapeutic coma protocol and survived after a 52-day hospitalization.
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This blinded, randomized, controlled trial reports a higher risk of mortality, need for renal replacement therapy, and blood product transfusion in patients treated with the colloid solution hydroxyethyl starch compared to those treated with the crystalloid solution Ringers acetate.
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Scenario: The ECG shown above was obtained from a patient whose blood pressure was dropping. How many reasons can you cite to support a diagnosis of ventricular tachycardia (VT)?
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Shah et al used an administrative database, the California State Inpatient Database from the Healthcare Utilization Project, to analyze the short and intermediate success and complication rates associated with catheter ablation for atrial fibrillation (AF).
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Wider use of noninvasive ventilation in managing severe COPD exacerbations has improved overall outcomes, but this study of a large nationwide database shows that increasing numbers of patients fail NIV and require intubation. This subset of patients has substantially higher mortality and hospital costs.
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28 surgical specimens from patients with necrotizing enterocolitis (NEC) were examined using multiplex real-time polymerase chain reaction (RT-PCR) to detect gastrointestinal pathogens. Infectious enteritis pathogens were not detected in any specimens.
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This clinical study evaluated patients with posterior reversible encephalopathy syndrome to determine the kind of seizures they experienced, abnormalities on EEG, and to correlate this with findings on neuroimaging (MRI).
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This retrospective study of all non-psychiatric patients admitted to an academic medical center found that although those placed in contact isolation from the time of admission had no increased risk for delirium, patients moved into isolation after admission were twice as likely to develop delirium during the hospital stay.
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Newer, more sensitive troponin assays have the potential to identify acute myocardial infarction (AMI) earlier, but some detect troponin in 50% of normal populations, which renders them clinically useless.
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A post hoc analysis of patients with bacteremia due to ESBL-producing E.coli (ESBL-EC) from 6 published cohorts was performed. Treatment with B-lactam/B-lactamase inhibitors (BLBI) vs. carbapenems did not show any difference in mortality or length of hospital stay.
