Fed up with broken promises
A group of nurses race criminal charges when they decided they’ve had enough and resign en masse.
Diagnosis & Disease Information
Treatment of vulvar lichen sclerosus
My patient was diagnosed with lichen sclerosus on vulvar biopsy. What is the recommended treatment, and how long should it be used? If the patient is asymptomatic, must therapy be implemented at all?
Prediction rule identifies children at low risk after suffering minor head trauma
Level 1: Likely reliable evidence CT is often performed on children with head trauma to diagnose clinically important traumatic brain injuries. Attempts have been made to develop criteria that might safely avoid unnecessary procedures. The Pediatric Emergency Care Applied Research Network (PECARN) study has now developed a prediction rule that identifies children who are at…
Complications of intralesional corticosteroids
What potential complications are associated with cortisone shots to the scalp? Is there is any link to glaucoma?
Father-son medical team
As employees of covered entities are allowed free access to patient records, shouldn’t he also be covered?
IM vaccine may be more effective than intranasal vaccine for seasonal flu in healthy adults
Level 2: Mid-level evidence IM and intranasal seasonal influenza vaccines were compared with each other and with placebo in a randomized trial involving 1,952 healthy adults during the 2007-2008 influenza season (N Engl J Med. 2009;361:1260-1267; available at content.nejm.org/cgi/content/full/361/13/1260, accessed November 9, 2009). The rate of laboratory-confirmed symptomatic influenza was 6.1% overall, with lowest incidence…
Kidney dysfunction speeds cognitive decline
Impaired kidney function is associated with a more rapid rate of cognitive decline in old age, according to a new study.
Menorrhagia treatment without estrogen
What suggestions do you have for treating menorrhagia in a 28-year-old nulliparous patient?
Quick eye test can indicate possible stroke
Clinicians may soon have a simple method for diagnosing stroke in patients complaining of dizziness, nausea, and spinning sensations.
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