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Drug-related hepatotoxicity during treatment for tuberculosis is a common barrier to initiation of antimycobacterial. While most hepatotoxicity results in minimal to no gastrointestinal complaints, some patients experience significant nausea, anorexia, vomiting, or abdominal pain.
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In this issue: New reports about proton pump inhibitors and the effects of gastric suppression, pioglitazone vs vitamin E for non-alcoholic steatohepatitis, metformin and vitamin B12 deficiency, and FDA Actions.
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Every year about this time, I see a couple of unhappy local residents who present with an intensely pruritic, erythematous papular mystery rash. In contrast to flea bites, which are simple raised papules, the lesions seem umbilicated or have a central bite mark.
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[Editor's note: This is the first part of a two-part series on avoiding liability in contracting. In this month's issue, we tell you about how you can end up contracting with the wrong company and what your liability can be. In next month's issue, we give you specific steps to investigate vendors, and we suggest items to watch for in the contract.]
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Well, this is a fine mess all us health care providers are all getting into isn't it? I mean, we have oil spills, the earthquakes, and volcanoes and various other sundries out there to make our lives more complicated and miserable.
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A woman came in for breast implants and went under anesthesia. The silicone implants she had selected were not available; only saline ones were there.
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[Editor's note: This is the second part of a two-part series on a new guideline from the Society for Healthcare Epidemiology of America (SHEA) regarding the management of providers who are infected with hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). In last month's issue, we gave you an overview of the guideline, which procedures are at greatest risk of transmission, and the recommendations for infected staff. In this issue, we further explain the new guidelines and discuss how to decide which workers to test.]
