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Hypertensive disorders of pregnancy range from chronic pre-existing disease to life-threatening conditions such as HELLP syndrome (hemolysis, elevated liver enzymes, low platelets) and eclampsia. They often represent a continuum from bad to worse. The emergency department physician is likely to evaluate a pregnant patient for many conditions unrelated to the pregnancy itself, and knowledge of abnormalities that warrant further assessment and follow-up is essential.
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Inhaled corticosteroids are the most effective pharmacologic agents in reducing exacerbations in asthmatics.
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The newer, more potent, statin drugs are capable of reducing LDL cholesterol safely and tolerably in most patients thus making a target LDL of 50-70 mg/dL a practical goal, but how low is too low?
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An NIH Consensus Panel has announced new recommendations for the diagnosis of celiac disease using new serologic testing.
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Peripheral arterial disease may be stratified in severity by the ankle-brachial index, measured by dividing the ankle systolic BP by the brachial systolic BP.
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Brinker F. Coming clean on supplements designated the 'Dirty Dozen.' Altern Med Alert 2004;7(10):109-119.
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Greenfield R. Ginseng and warfarin. Altern Med Alert 2004;7(10):119-120.