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There is a high prevalence of carpal tunnel syndrome (CTS), and several other conditions that mimic symptoms of CTS. Do you know when it is appropriate to refer a patient to a specialist for diagnosis?
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It just takes an evening of viewing the television drama ER to know that hospital work is stressful. But the stress that evolves into an occupational hazard isn't from treating trauma victims or mysterious illnesses.
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In patients with acute cardiogenic pulmonary edema, CPAP or NIV produces a more rapid improvement in respiratory distress and arterial blood gases than standard therapy.
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Uncomplicated type B aortic dissection (origin distal to left subclavian artery) is usually treated medically. However, early mortality is 10%-12%, and is due to complications.
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Intravenous thrombolysis is safe and effective for the treatment of ischemic stroke in the time window of 3-4.5 hours after the onset of symptoms.
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The incidence of legionellosis in the United States increased significantly in 2003-2005 compared to previous years. This was due mostly to an upsurge of cases in the northeastern and southern United States and a shift of disease from elderly to middle-aged adults. Legionellosis should be considered as a potential cause of pneumonia in a broad range of patients, rather than a small subset with specific risk factors.
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Many physicians have followed the historical practice of ordering blood cultures to be drawn as close as possible to the time of the peak of the febrile episode (fever spike). In the absence of prescient knowledge of this moment, physicians order blood cultures to be drawn at intervals ranging from 30 minutes to 2 hours. A paper by Jaimes et al suggested that many factors, other than fever, such as shaking chills, WBC counts, hypotension, and more were needed to better predict whether a patient was experiencing bacteremia.
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Home health nurses, aides, and therapists do a wonderful job caring for their patients, so it is natural that the patients and families want to thank them with gifts. Unfortunately, the size and type of gift can put the employee and agency in the uncomfortable position of being accused of theft if strict guidelines are not developed and followed.
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Checking a potential employee's background is harder than ever, with previous employers reluctant to give much information about the employee beyond the dates they worked at the organization.
