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West Nile virus was of no concern to residents of North America until the summer of 1999, when it seemingly inexplicably struck in Queens, NY. The approximately 2700 cases of WNV meningoencephalitis reported through 2002 made it the largest such epidemic ever documented anywhere in the world.
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In practice, the ability of medical staff to detect delirium may not always be straightforward. In a typical busy emergency department, constraints on time can impair the collection of salient historical points and observation of the more subtle clinical signs. Therefore, delirium often is missed, overlooked as senescence, or incorrectly diagnosed as a psychiatric disorder or dementia.
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The addition of eplerenone to optimal medical therapy reduces morbidity and mortality among patients with acute myocardial infarction complicated by left ventricular dysfunction and heart failure.
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Some patients seem to develop chronic irritable bowel syndrome following an episode of gastroenteritis, possibly based on excessive mucosal serotonin release.
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Direct-to-consumer marketing of helical computed tomography (CT) screening for older adult smokers is not advisable.
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The ECG in the Figure was obtained from a 41-year-old woman with chest pain of suspected cardiac etiology. The tracing shows complete RBBB (right bundle branch block). How many additional ECG findings of potential concern can you identify that may be relevant in view of this patients clinical history?
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Pneumococcal Vaccine Ineffective at CAP Prevention; Flu Vaccine Limits
Hospitalization; Verapamil Not Up To Competition; International
Companies Unite Against SARS; New FDA Comissioner Brings Controversy;
Janssen: Dear Doctor Letter for Risperidone
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