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A common presenting complaint for patients seeking emergency medical care is acute abdominal pain. Although difficult to diagnose in healthy patients, it is even more challenging in special populations. This article will focus on three distinct populations: patients with altered immunologic function, pregnant women, and post-procedural patients.
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The ECG above was obtained in the office from an older woman with hypertension and atypical chest discomfort. Has there been anterior infarction, or is this a "pseudo-infarct" pattern?
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A new antidepressant that combines selective serotonin reuptake inhibition with partial agonism of the 5-HT1A receptor has been approved by the FDA. Vilazodone is marketed by Trovis Pharmaceuticals as Viibryd(TM).
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As reported in 2003, the world bank began funding a project to train giant pouched Gambian rats to sniff out tuberculosis (TB) in sputum specimens in sub-Saharan Africa. Rats have been successfully trained to target landmines, and using a similar training/reward technique, pilot data suggested that rats could be trained to detect TB in respiratory specimens.
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Severe Vitamin D deficiency appears to worsen dementia and supplementation may be beneficial.
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The treatment of atopic dermati-tis (ATD) usually is initiated with topical steroids (TPS). Because ATD is a chronic remitting and relapsing disorder and may occupy a large cutaneous area, exposure to TPS can be extensive.
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An encounter with a critically ill simulated "patient" was used successfully to analyze the communication skills of experienced physicians and identify areas for improving communication behaviors.