November 10, 2008 Archives - Clinical Advisor

Print Issue: November 10, 2008

Replacing IV peripheral cannula for prevention of bacteremia

Level 1: Likely reliable evidenceThe necessity for routine replacement of an IV peripheral cannula to prevent bacteremia was evaluated in a high-quality randomized trial. Patients older than 18 years (N = 755) without current bacteremia or immunosuppressive therapy were randomized to IV catheter replacement only when clinically indicated vs. routine replacement every three days (BMJ.…

Cystic lesions on the hands

CASE #1The patient was a 65-year-old white woman who presented to the dermatology clinic with a nodule at the proximal interphalangeal (PIP) joint on the ring finger of her left hand. Her medical history included osteoarthritis and hypertension, both of which were well controlled on naproxen and hydrochlorothiazide, respectively. During history-taking, the patient reported trauma…

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