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Last month's ED Legal Letter analyzed some recent tort reform court battles. This month, we review cases where physicians are suing state governments to stop them from pilfering the cash in patient malpractice compensation funds, and a few more cases litigating state and federal tort laws.
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"This takes the longest to document," he says. "I might not remember every piece of history I asked, or every part of the physical exam that I did, even with computer guidance," he says. "But I spend most of my time on medical reasoning."
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There are many things that factor into missing a diagnosis of appendicitis, says William Sullivan, DO, JD, FACEP, director of emergency services at St. Mary's Hospital in Streator, IL.
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Aggressive approach to CVD reduces MI, folic acid and vitamin B12 for CAD, corticosteroids for acute exacerbations of COPD, prescription drug abuse among young adults, and ARBs and cancer risk.
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A 51-year-old man was brought to the emergency department with severe abdominal pain and hypotension. He had no known chronic medical disease but for the past few months had experienced a loss of appetite, weakness, and fatigue. Despite these symptoms, he had not missed work (electrical engineer). Over the six months, his weight had fallen from 190 to 175 pounds. He did not recall night sweats or fever, but did mention that he experienced a loss of appetite and occasional nausea. On two occasions during the prior week, he vomited.
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Approximately 60% of human melanomas express a mutant form of the serine/threonine kinase BRAF, in which substitution of glutamic acid for valine at amino acid 600 (V600E) leads to the RAS-independent activation of the BRAF kinase.
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In an analysis of a European cohort of approximately 400,000 individuals, among whom 30,000 cancers developed over nine years of follow-up, a very small inverse association between intake of total fruits and vegetables and cancer risk was observed.
