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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

RebelEM

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2006; 333(7580):1193. Cochrane Database Syst Rev 2006(2). Oral administration of antibiotics: a rational alternative to the parenteral route. 1997; 24(3):457-67. PMID: 9114201 Siegel RE et al.

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Perichondritis of the Ear in Children

Pediatric EM Morsels

2006 Dec;22(12):804-6. Coli Proteus species Non-Abscess infection: Staphylococcus aures = the most common Pseudomonas aeruginosa and others still may be seen Perichondritis of the Ear: Presentation Redness , Pain , and Swelling of the pinna Typically spares the lobule ! 2020 Oct 24;12(10):e11141. doi: 10.7759/cureus.11141. Pediatr Emerg Care.

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EM@3AM: Leukopenia

EMDocs

PCP Pneumonia, Sepsis) can be discharged with initiation of Antiretroviral Therapy in consultation with Infectious Disease (ID) physician with full ID evaluation outpatient. Philadelphia, PA: Mosby; 2006:384-418. General approach to infectious diseases evaluation. In: Ziessman HA, O’Malley JP, Thrall JH, eds.

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Allergic Reactions and Anaphylaxis

EB Medicine

Intro The number of ED visits and hospitalizations Studies show up to 57% of anaphylactic reactions are not recognized, and epinephrine is not administered in up to 80% of cases.

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Pediatric Balanitis and Balanoposthitis

Pediatric EM Morsels

Most often occurs in uncircumcised males [Assim 2022] Buildup of sloughed and dead skin, microorganisms, and secretions between the foreskin and the glans Incidence in children shown to range from 0.05% up to 20% [Kayaba 1996, Hsieh 2006] Between 6% and 20% in uncircumcised men [Assim 2022, Perkins 2024] Pediatrics usually presents between 2y and 5y (..)

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Mastering Minor Care: Dog Bites

Taming the SRU

In 2006, only 79 dogs were found to have rabies in the United States [14]. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America. Clinical Infectious Diseases. Stevens DL, Bisno AL, Chambers HF, et al. 2014;59(2):147-159.

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The resurgence of vaccine preventable infections: Measles and Pertussis

Don't Forget the Bubbles

Whooping Cough: A Cyclical but Preventable Disease Whooping cough, caused by the bacterium Bordetella pertussis , is another infectious disease experiencing a resurgence despite the availability of vaccines. These outbreaks increase the risk of imported cases in other regions, including the UK. Global measles outbreaks.