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What Causes Hemoptysis?

Pediatric Education

The past medical history showed no bruising or bleeding problems, no pulmonary problems and he had otherwise been well. The radiologic evaluation of a chest radiograph showed prominent interstitial markings at the bases but no obvious focal infiltrate. He also said that since this had happened he had been more nauseated.

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Diagnostic Errors, Revisited: Where Do We Go Wrong, and How Can We Change?

ACEP Now

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Active extravasation of blood into the hematoma was identified, and the patient was referred to interventional radiology.

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PEM POCUS Series: Soft Tissue Ultrasound

ALiEM

They may be well-circumscribed or may have irregular borders. Well-circumscribed abscess with heterogeneous debris C. Larger abscess with well-circumscribed borders D. Superficial abscess with well-circumscribed borders Table 1. The rim may be echogenic or blend in with surrounding tissue. 97.4%) 85.4% (78.9-90.2%)

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EM@3AM: Malignant/Necrotizing Otitis Externa

EMDocs

The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. Infectious diseases , 4 (1), 34–39. The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations. Infectious diseases, 4(1), 34–39. The Lancet.

EMS 83
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The PROPHY-VAP Trial: Ceftriaxone to Prevent VAP in Patients with Acute Brain Injury

RebelEM

Patient data anonymized when presented to adjudication committee to avoid detection bias Well-balanced patient characteristics between groups. SECONDARY OUTCOMES At day 28 , ceftriaxone group had (vs placebo): Lower VAP risk (20% vs 36%); hazard ratio 0.62 Medication prepared by nurses in another unit not involved in the patients’ care.

CDC 113
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Choosing wisely – less can be more

Don't Forget the Bubbles

Clinical and radiological findings supported the diagnosis of pneumonia. Blood cultures are commonly drawn for certain focal infections such as pneumonia , skin and soft tissue infections (SSTIs), asthma , bronchiolitis as well and UTIs. You wondered how useful the liver function tests and blood cultures were.

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Episode 24 - First Trimester Pregnancy Emergencies: Recognition and Management

EB Medicine

Jeff: All patients with a positive pregnancy test and vaginal bleeding should receive an ultrasound performed by either an emergency physician or by radiology. Nachi: It’s worth noting that the American College of Radiology actually lists several radiographs that are such low exposure that checking a urine pregnancy test isn’t even necessary.