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Newbornsinfants younger than 28 days of ageare particularly challenging to emergency medicine physicians. The most important tool for recognizing a newborn with a problem or potential problem is a strong foundation of knowledge about normal infant rashes, feeding patterns, and expected variations. The authors review common newborn problems with an emphasis on normal variations and deviations that require a more thorough evaluation.
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Emergency department physicians must be vigilant to accurately assess,
rapidly stabilize, and appropriately transport a severely injured
patient to the level of trauma care the patient requires. Instead of
viewing missed injuries as occurrences that result from inexperience or
incompetence, strategies to minimize the occurrence of missed injuries
and the resulting consequences are needed. All aspects of a trauma
system must work together to improve patient care.
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Fetal growth acceleration is identifiable by ultrasound at about 24 weeks. Normal parameters of glucose control during the first trimester and throughout pregnancy do not seem to be related to the growth potential of the LGA fetus of a diabetic mother.
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When analyzed using 3-dimensional methods, virtual colonoscopy achieves comparable accuracy in screening asymptomatic adults for colonic polyps as optical colonoscopy.
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African-American women with endometrial cancer are significantly less likely to undergo primary surgery and have significantly shorter survival than white women with endometrial cancer.
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Oral rofecoxib (Vioxx) may have a role in controlling postoperative pain patients undergoing knee surgery.
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We are frequently reminded that depression is more common in women (2:1 vs men), significantly increases morbidity and mortality, and even affects the development of the patients children.