Gastrointestinal Illnesses

INCREASED PRACTITIONER INTERACTION MAY IMPROVE RELIEF IN IBS PATIENTS

Level 2: Mid-level evidence A randomized trial evaluated the impact of increased practitioner interaction in 262 patients (mean age 39 years) with irritable bowel syndrome (IBS) (BMJ. 2008;336:999-1003; full-text available online free of charge at: www.bmj.com/cgi/content/full/336/7651/999; accessed August 13, 2008). Patients were randomized to one of three groups for three weeks: waiting-list control vs. placebo…

The majority of cases involving infection with salmonella (brown) do not require antibiotics

Salmonella symptoms with negative stool culture?

Can a patient exhibit signs of salmonella poisoning (e.g., nausea, vomiting, diarrhea, and elevated WBCs) and still have a negative stool culture?—Leslie Pryor, MSN, CRNP, Shamong, N.J. The short answer to this question is “Yes,” as there is no test that is 100% sensitive and specific. Stool testing is no exception. The real question is:…

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