November 2021

Does This Patient Have Cauda Equina?

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This retrospective review demonstrated that bilateral lower extremity pain, sensory loss in a dermatomal distribution, and loss of bilateral ankle or knee reflexes were the best correlates to a radiographic diagnosis of CEC (cauda equina compression). Also, rectal exam had little to no diagnostic utility.

Don’t Feed the Bears – Overprescribing Antibiotics and Downstream Healthcare Utilization

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In the year following an urgent care center (UCC) visit for acute respiratory illness (ARI), patients of providers in the top quartile of ARI antibiotic prescribing received more future antibiotics after the index visit than those of providers in the bottom quartile. This led to more future healthcare visits for ARI symptoms by both the patient and their spouses.

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