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The ECG in the Figure was interpreted as showing PVCs (premature ventricular contractions) and chamber enlargement. Do you agree? Can you identify at least four findings keyed by the P in this ECG?
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Multivitamin Supplements and HIV Disease Progression and Mortality; The Long-term Outcomes of Sibutramine Effectiveness on Weight (LOSE Weight) Study; Trial of Atorvastatin in Rheumatoid Arthritis (TARA)
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FDA has approved a 5-nitroimidazole for the treatment of trichomoniasis, giardiasis, and amebiasis. Tinidazole, a second-generation nitroimidazole antiprotozoal agent, is marketed as TindamaxTM by Presutti Laboratories.
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Although PPIs are considered to be among the safest of drugs, these studies suggest that PPIs increase the risk for hospitalized patients to develop C. difficile-related diarrhea.
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In a prospective, randomized trial, primary excision of colorectal carcinomas by laparoscopic surgery was compared with laparotomy.
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Herbal medication use is quite common among surgical patients. This pattern is consistent with the recent substantial increase in the use of alternative medical therapies.
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An outbreak of food poisoning by Yersinia pseudotuberculosis in Finland in October/November 1998 involved 46 cases and was traced to locally grown iceberg lettuce.
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Azithromycin therapy failed in a patient in San Francisco with a primary syphilitic chancre which subsequently resolved after administration of a single dose of benzathine penicillin. Sequencing of the 23S rRNA genes of Treponema pallidum from 2 San Francisco patients who had failed azithromycin therapy revealed the presence of a mutation identical to that previously associated with macrolide resistance in a single isolate (T. pallidum, Street 14 strain).
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Hsu J, Reed M, Brand R, et al. Cost sharing: Patient knowledge and effects on seeking emergency department care. Med Care 2004; 42:290-296. Saketkhoo DD, Bhargavan M, Sunshine JH, et al. Emergency department image interpretation services at private community hospitals. Radiology 2004; 231:190-197. Lyons MS, Lindsell CJ, Trott AT. Emergency department pelvic examination and Pap testing: Addressing patient misperceptions. Acad Emerg Med 2004; 11:405-408.