Counterpoint: Pelvic Exam Is Necessary
This letter to the editor presents compelling reasons why a pelvic exam is needed to diagnose cervicitis or pelvic inflammatory disease.
Measles Spoon Feed – What You Need to Know
The U.S. is currently in a measles outbreak. So, don’t miss this quick spoon-feed refresher. You will learn something new.
When Researchers Lie
Removal of the ARISTOTLE study (known to contain falsified data) from 22 subsequent meta-analyses led to a change in the conclusion of these meta-analyses nearly half the time. Research misconduct hurts people.
What Defines Pediatric Hypotension?
The Pediatric Advanced Life Support (PALS)/Advanced Trauma Life Support (ATLS) formula to define hypotension in children (i.e. 5th percentile SBP) seems to be a good compromise between German and U.S. population norms for children. The formula is: Low SBP = <70 + 2(age in years).
Is Pharyngitis in the Eye of the Beholder?
Interrater agreement on whether a child’s throat was red or not was “fair” (aka…pretty bad), although agreement was significantly better when grading tonsillar hypertrophy.
Can We Use Ondansetron In Pregnancy?
In this large cohort study of over 1.8 million pregnancies, first trimester ondansetron use was not associated with cardiac malformations or total congenital malformations. However, there was a small increased risk of oral clefts (3 additional cases per 10,000 women treated).
Is This Patient Really Penicillin Allergic?
Penicillin allergy is a lot less common than patients report. A low-risk history could allow you to prescribe it in the ED or clinic.
When Will Oral Antibiotics for Cellulitis Fail?
”Tachypnea at triage, chronic ulcers, history of MRSA colonization or infection, and cellulitis within the past year,” were the risk factors associated with failure of oral antibiotic therapy for non-purulent cellulitis.
Time to Take an Ax to the Wood’s Lamp?
The overall sensitivity of the Wood’s lamp, compared to the gold standard slit lamp, to establish the diagnosis of common corneal and conjunctival abnormalities was found to be an abysmal 52%.
New IDSA Influenza Guidelines
This is the IDSA influenza guideline, updated from the previous one in 2009. It covers testing, treatment, complications, and more.