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- Anorectal conditions are commonly misdiagnosed on initial evaluation.
- Assistance with patient positioning, good lighting, and analgesia are often necessary for adequate examination.
- Imaging is often required in anorectal abscesses to determine their full extent.
- Anorectal manifestations of STIs may occur in the absence of anal sex.
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This observational cohort study found that reduced ICU bed availability is associated with increased rates of ICU readmission as well as ward cardiac arrest if medical ICU beds were on shortage.
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The authors present an updated review of the use of tissue plasminogen activator in patients with acute ischemic stroke.
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Interactive questioning, defined as how communication occurs during handovers, differed in ways that influenced message clarity when comparisons were made between those with more training (attending physicians, nurse practitioners) and less training (residents, staff nurses).
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Managing COPD with noninvasive ventilation following early extubation resulted in significant improvements in several patient-centered outcomes compared to current weaning practices.
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In this examination of outcomes among 17,239 patients admitted to the ICU for an acute exacerbation of COPD, most of them received higher than recommended doses of corticosteroids (> 240 mg/d methylprednisolone equivalent).
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In Part 1, the authors reviewed the clinical aspects of insulin dosing and titration for primary care physicians. In this section, the authors review new and emerging insulin products, the practical aspects of writing insulin prescriptions, delivery of insulin, and advanced insulin delivery systems (via pump and patch).
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In a large pooled database from seven AD clinical trials, the clinical features of early and late-onset AD were compared and contrasted.
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Lyme disease with CNS involvement may respond well to oral doxycycline therapy and intravenous antibiotics may not be necessary.
