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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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Fluoroquinolone Use In Children

Pediatric EM Morsels

Oral Fluoroquinolone Prescribing to Children in the United States From 2006 to 2015. BMC Infectious Disease. Nearly 400,000 prescriptions were written and 22% were found to be inappropriate based on clinical guidelines. The risk of Musculosketal Adverse Events with Fluoroquinolones in Children: What is the Verdict Now?

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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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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

Executive Summary: 2015 Infectious Disease Society of America (IDSA) Clinical Practice Guidelines for the Diagnosis and Treatment of Native Vertebral Osteomyelitis in Adults. Med Clin North Am, 2006 May;90(3):505-23. Graphics Image 1: [link] Image 2: [link] References Berbari EF, Kanj SS, et al. Specific Disorders of the Spine.