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Primary Headaches: Look, Listen, and Diagnose Rather Than Image

The diagnosis of primary headache disorders by a computerized and clinical paradigm can predict a baseline prevalence of intracranial abnormalities on brain imaging. Some historical “red flags” in children with headaches, including morning headaches and occipital pain, are not associated with increased intracranial abnormalities.

Prophylactic Antibiotics for Acute Aspiration

Researchers compared outcomes in patients with aspiration pneumonitis who received prophylactic antibiotics during the first two days after macroaspiration to patients who received only supportive care during this time. Among 200 patients meeting the acute aspiration pneumonitis case definition, antimicrobial prophylaxis was not associated with improvement in mortality.

Infections Associated With Travel to the United States

Infectious illness is common in travelers from other countries visiting the United States. Skin and soft tissue infections, respiratory infections, and gastrointestinal illness are most likely, but specific geographic illnesses such as Lyme disease also occur.

Identify 4 Major Findings in New-onset Chest Pain Patient

The ECG in the figure was obtained from a patient with new-onset chest pain. He was hemodynamically stable at the time the tracing was obtained. In addition to the artifact that is most pronounced in the lateral chest leads, there are four major findings. Admittedly, two findings are subtle. How many findings can you identify?

Human Papillomavirus Vaccine (Gardasil 9)

The FDA has approved a supplemental application to expand the indication for human papillomavirus 9-valent vaccine (HPV-9) to include men and women 27-45 years of age.

Who Really Needs Intensive Blood Pressure Control?

A patient baseline characteristics level analysis of the SPRINT and ACCORD trials resulted in the creation of a simple algorithm for identifying high-risk patients who experienced fewer major cardiac events without increased serious adverse events from intensive blood pressure therapy.

Neighborhood Socioeconomic Status Associated With Infection Risk, But Not Sepsis

Based on a large, national, prospective cohort study, lower neighborhood socioeconomic status was associated with a higher incidence of hospitalizations for infection (but not sepsis) at presentation.

Is There a Connection Between Vitamin D and Fracture Prevention?

After conducting an extensive investigation, researchers did not find that vitamin D prevents falls or fractures.

Eliminate Barriers to Expedited Partner Therapy

Since 2006, the Centers of Disease Control and Prevention has recommended the use of expedited partner therapy (EPT) for treatment of sexually transmitted infections such as gonorrhea and chlamydia, but the infection rate continues to climb.

What Can Clinicians Do to Combat Increase in Congenital Syphilis Rates?

Cases of congenital syphilis have more than doubled since 2013, according to the Centers for Disease Control and Prevention. All pregnant women should visit a healthcare provider as soon as possible to be tested for syphilis, but one test may not be enough to catch all cases.