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From October 2003 to Jan. 9, 2004, the Centers for Disease Control and Prevention received reports of 93 influenza-associated deaths among children younger than 18 years. The demands the annual flu season places on emergency department and urgent care facilities and the voracity of the current years epidemic have overwhelmed many physicians.
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In February, the FDA approved a new monoclonal antibody for the treatment of metastatic colorectal cancer.
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Long-term treatment with aspirin is associated with a progressive diminution in platelet sensitivity to the drug.
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The common and increasing practice of opioid treatment for chronic pain is reviewed. Randomized trials support this therapy, however the risk benefit decision is complicated by new evidence of hazards making this practice more difficult.
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The use of serum procalcitonin helps to differentiate bacterial from viral lower respiratory infections and may reduce the use of unnecessary antibiotics.
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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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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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The ECG in the Figure was obtained from a 60-year-old man with a history of two prior myocardial infarctions. How would you interpret his most recent ECG in view of his clinical picture? What types of interventions might be most likely to prolong his survival?