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The emergency physician (EP) and nurse often may encounter patients with the chief complaint of eye pain or visual problems. Generally, the diagnosis easily is obtained and quickly treated. Unfortunately, a subset of patients will present with an illness that threatens permanent vision loss or impairment. EPs must have a broad differential diagnosis and structured approach in evaluating these patients to ensure appropriate diagnosis and treatment.
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In the constantly shifting landscape of drug resistance, antibiotic options, and pharmacoeconomic considerations, urinary tract infection continues to be one of the most frequently diagnosed conditions in patients presenting to the emergency department.
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Recently, the Centers for Medicare and Medicaid Services proposed several changes to EMTALA that attempt to clarify hospital and physician duties. Undoubtedly, this new legislation will have an impact upon the care of emergency patients and the emergency physicians caring for them.
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The emergency department physician can be an advocate for the appropriate use of antibiotics in children by becoming familiar with the pathogenesis of common ENT infections and the latest treatment guidelines for some of these entities. This article reviews common ENT infections, diagnostic criteria, and treatment options.
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This article reviews the pathophysiology involved in the newborn with congenital heart disease and familiarizes the reader with the nomenclature and known complications encountered in the care of these children.
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