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A very small group of patients consume a significant portion of outpatient primary care physician time.
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The strong correlation between reduction of aura symptoms and migraine attacks stresses the potential role of aura-like events and possibly cortical spreading depression as a trigger for trigeminal vascular activation, and subsequently the development of migraine headaches.
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Cyclooxygenase 2 (COX 2) inhibitors may not be as safe as previously thought. These agents have a considerable risk of adverse gastrointestinal events. The concurrent use of ulcer-healing drugs appears to decrease this risk.
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The ECG in the Figure was obtained from a 35-year-old man. Is it abnormal? What do you want to know
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Risk of Death in Elderly Users of Conventional vs Atypical Antipsychotic Medications; Beta-Blockers to Prevent Gastroesophageal Varices in Cirrhosis Patients; Effects of Protein, Monounsaturated Fat, and Carbohydrate Intake on Blood Pressure and Serum Lipids
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The American Society for Microbiology Periodically publishes updates, called Cumitechs, to their recommendations regarding specific areas of clinical microbiology. The following is a brief summary, written primarily from a clinicians point of view, of their recent monograph on blood cultures. The recommendations, with the exception of the recommended volume of blood draws, apply to both children and adults.
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Synopsis: In these 2 studies, the quadrivalent measles, mumps, rubella, and varicella (MMRV) vaccine, with increased potency of varicella compared to the current monovalent varicella vaccine, provides a varicella response rate of 81% and 91% after 1 dose, and 99% and 100% after 2 doses.
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If you have scarce supplies of influenza vaccine, which health care workers (HCWs) would you immunize? Not an easy question, and the answers will certainly vary by institution.