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EM@3AM: Murine Typhus

EMDocs

Clinical Infectious Diseases , vol. 2010 Feb;28(1):29-56, vii. Answer : Murine Typhus Epidemiology: Murine typhus is endemic in several parts of the U.S.: Gershman, Mark D., and Sarah L. Epidemiology and Clinical Manifestations of Murine Typhus in the United States: A Review of the Literature and New Data from California.”

EMS 105
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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. General approach to infectious diseases evaluation. A Rational Approach to Clinical Infectious Diseases. In: Temesgen Z, ed.

EMS 96
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Hemolytic Uremic Syndrome (HUS): Rebaked Morsel

Pediatric EM Morsels

2010 May;49(5):418-21. Epub 2010 Jan 13. Timing and utility of ultrasound in diarrhea-associated hemolytic uremic syndrome: 7-year experience of a large tertiary care hospital. Clin Pediatr (Phila). doi: 10.1177/0009922809342582. PMID: 20075028. Schnadower, D., Finkelstein, Y.,Desai, Bergmann, K., Hariharan, S.,

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

RebelEM

Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ). Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

RebelEM

cases per 100,000 people ( Zimmerli 2010 ) More common in males with M:F of 3:1 Rate is also increasing due to increased number of spinal procedures Typically affects adults, with most cases occurring in patients over 50 years old. The degree of elevation does not predict disease severity. N Engl J Med 2010 Mar; 362(11)1022-9.

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Diagnostics and Therapeutics: The Who, What, Where, When and Why of Lumbar Punctures

Taming the SRU

The LP is now a standard procedure and in 2010 well over 135,000 LPs were performed in Emergency Departments throughout the US (3). Scandinavian journal of infectious diseases , 45 (9), 657–663. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America , 39 (9), 1267–1284.

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Fluoroquinolone Use In Children

Pediatric EM Morsels

Etminan 2019) In Belgium between 2010 – 2013, of the 262 children treated with fluroquinolones while hospitalized, only 17% were used for labelled indications. BMC Infectious Disease. Nearly 400,000 prescriptions were written and 22% were found to be inappropriate based on clinical guidelines.