Debate over the cardiovascular effects of COX-2 inhibitors has raged for more than a year since a special communication was published in JAMA last August suggesting an increase in cardiovascular events with rofecoxib (Vioxx). Now a large retrospect, the cohort study from the Tennessee Medicaid program seems to confirm the prothrombotic effects of rofecoxib, at least in high dose.
There are a number of significant advancements in pain management that will impact your clinical practice, including more frequent use of patient-controlled analgesia and increased use of conscious sedation.
The foot is divided into three anatomic regions: the forefoot, made up of the fourteen phalanges and the five metatarsals; the midfoot, made up of the navicular, the cuboid, and the three cuneiforms (the medial, the middle, and the lateral); and the hindfoot, made up the talus and calcaneus.
Dermatologic complaints are common presentations in the emergency department and the emergency physician should have a working knowledge of the most common of these complaints.
Gastrointestinal (GI) bleed. Cancer. Myocardial infarction (MI). Constipation. These are just some of the conditions that could present as abdominal pain in ED patients.
