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I remember when the Goldman myocardial infarction (MI) algorithm came out, quickly followed by a seven-button hand-held "calculator." It promised to reduce all decision-making regarding ED chest pain patients to seven yes or no questions. But when you looked into the mathematics, if you answered no or negative to all of the questions, it indicated a 4% chance of acute cardiac ischemia. So, what would you do with this information? Could you tell the patient that there was only a 4% chance of a heart attack, so it was OK to go home?
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Does the electrocardiograph in your emergency department include a computer-generated interpretation on every electrocardiogram printed? Like me, do you often find them less than helpful? Occasionally troubling?
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NSAIDs in the elderly; managing GI and CVD risk with NSAIDs; low-dose naltrexone and fibromyalgia; treating glucocorticoid-induced bone loss; FDA Actions.
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The FDA has approved a new drug combination for acute, uncomplicated malaria infection.
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Advancing age was inversely related to the frequency of colorectal cancer screening, but even severe comorbidity did not seem to proportionally decrease colorectal cancer screening.
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The ECG above was obtained from a 62-year-old man with hypertension who was being seen in the office. How would you interpret this tracing if he had told you of some chest discomfort that he felt for the first time earlier that morning?
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Weight management issues continue to be problematic for persons with type 2 diabetes.