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Academic Journals
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From:ConsultantPeer-ReviewedA documented anti-varicella-zoster virus (VZV) titer is generally accepted as evidence of protection against VZV infection, and a known case of shingles, such as that described in the Photoclinic case of an older man...
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From:ConsultantPeer-ReviewedWhat is the highest dose of insulin that can be used in a patient whose diabetes remains uncontrolled on a regimen of insulin plus an oral antidiabetic agent? --MD When it comes to using insulin to treat...
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From:ConsultantPeer-ReviewedWe lie awake in our one-room hut before dawn listening to the cacophony of sounds emanating from the forest as the birds awake. The Bwindi Impenetrable Forest of Southwest Uganda contains over 350 species of birds, and...
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From:ConsultantPeer-ReviewedCephalosporins are usually considered relatively safe antibiotics; however, serious neurological adverse effects can occur following administration. (1-5) Manifestations of cephalosporin-induced neurotoxicity may...
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From:ConsultantPeer-ReviewedConsider prescribing yoga for patients with pain from persistent myofascial trigger points (aka "muscle knots") in their back or neck. Helpful poses include the Half Moon, Sun Salutation sequence, Seated Twist, and the...
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From:ConsultantPeer-ReviewedTo save time and minimize pain and tissue trauma when injecting a joint or soft tissue with a corticosteroid, use a single needle and 2 screw-on syringes. Fill the first syringe with lidocaine and the second with the...
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From:ConsultantPeer-ReviewedTo better coordinate follow-up care after patients have been in the emergency department or hospital, instruct staff to tell patients to bring their hospital discharge sheets with them to their appointment....
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From:ConsultantPeer-ReviewedAlthough the treatment of human immunodeficiency virus type 1 (HIV-1) infection is usually directed by subspecialists, many patients who are taking highly active antiretroviral therapy (HAART) continue to see their...
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From:ConsultantPeer-ReviewedA hand mirror can aid in the examination of the legs and feet of a seated patient, such as one in a wheelchair. Use of a mirror obviates the need to "stand on your head" to visualize the soles, heels, and back of the...
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From:ConsultantPeer-ReviewedA 62-year-old woman presents with epistaxis from the right nostril. The nosebleed has lasted about 90 minutes, and she has become alarmed by the amount of blood on the tissues and washcloth she has applied to her nose....