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Hepatic and Organ Failure Following Acute Viral Tonsillitis

This case of multi-organ failure induced by HSV-2 infectious tonsillitis illustrates the critical importance of differentiating it from bacterial tonsillitis at an early stage.  
medscape.com
over 4 years ago
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New Staging System for HPV-Positive Oropharyngeal Cancer

Researchers propose a new staging system for HPV-positive oropharyngeal cancer that could help improve prediction of survival, treatment selection, and recruitment into clinical trials.  
medscape.com
over 4 years ago
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Mastoiditis and Delayed Treatment for Acute Otitis Media

Delayed antibiotic treatment for acute otitis media is recommended for some children. Does the delay in treatment increase the risk for subsequent acute mastoiditis admission?  
medscape.com
over 4 years ago
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Acute otalgia and otorrhoea in primary care

A 26 year old otherwise well man with no medical history of note attended his general practice with a five day history of severe right ear pain and scanty ear discharge. He had returned from holiday one week earlier, where he had been swimming. He had no headache, fever, or systemic upset.  
feeds.bmj.com
over 4 years ago
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Acute otalgia and otorrhoea in primary care

A 26 year old otherwise well man with no medical history of note attended his general practice with a five day history of severe right ear pain and scanty ear discharge. He had returned from holiday one week earlier, where he had been swimming. He had no headache, fever, or systemic upset.  
feeds.bmj.com
over 4 years ago
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Outpatient Tonsillectomy May Be Safe in Younger Children

Children 36 months and younger may not require inpatient tonsillectomy, according to results from a retrospective medical record review.  
medscape.com
over 4 years ago
Static.www.bmj
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Are topical antibiotics an alternative to oral antibiotics for children with acute otitis media and ear discharge?

Consider prescribing oral antibiotics immediately for children presenting with acute otitis media and ear discharge caused by spontaneous perforation of the eardrum  
feeds.bmj.com
over 4 years ago
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Otitis Media: New Guideline Includes Screening At-Risk Kids

Medical therapies should not be used, including antibiotics and nasal steroid sprays, according to updated American Academy of Otolaryngology-Head and Neck Surgery Foundation guidelines.  
medscape.com
over 4 years ago
Static.www.bmj
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Are topical antibiotics an alternative to oral antibiotics for children with acute otitis media and ear discharge?

Consider prescribing oral antibiotics immediately for children presenting with acute otitis media and ear discharge caused by spontaneous perforation of the eardrum  
feeds.bmj.com
over 4 years ago
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R.E.B.E.L. EM - Epistaxis Myths Part I - Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics? - emdocs

Traditional teaching argues that patients with nasal packs should be given prophylactic antibiotics to prevent serious infectious complications. Is there evidence to support this dogma? Read this post as Dr. Swaminathan discusses the evidence to bust this myth.  
emdocs.net
over 4 years ago
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Missed Stroke in Patients With Vertigo: A Rare Event?

Although patients discharged from the emergency department with peripheral vestibular disorder are at a low risk, should more be done to identify patients who are having a stroke?  
medscape.com
over 4 years ago
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Surgery for Nasal Obstruction May Be More Cost-Effective Than Sprays

Although surgery is costlier than use of a corticosteroid nasal spray in the short term in treating severe anatomical nasal obstruction, it is much more cost-effective in the long run, according to a post hoc retrospective study.  
medscape.com
over 4 years ago
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Bronchoscopy-Free Tracheostomy Cost Effective

Percutaneous dilational tracheostomy (PDT) can be performed successfully with or without the use of bronchoscopy, according to Maryland-based researchers.  
medscape.com
over 4 years ago
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Notes from the Field: Group A Streptococcal Pharyngitis Misdiagnoses at a Rural Urgent-Care Clinic — Wyoming, March 2015

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC). Often called 'the Voice of CDC,' the MMWR series is the agency's primary vehicle for scientific publication of timely, reliable, authoritative, accurate, objective, and useful public health information and recommendations. MMWR readership predominately consists of physicians, nurses, public health practitioners, epidemiologists and other scientists, researchers, educators, and laboratorians.  
cdc.gov
over 4 years ago
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Percutaneous Dilational Tracheostomy: Bronchoscopy Not Needed

Complication rates of percutaneous dilational tracheostomy (PDT) were low and similar with or without use of bronchoscopy in a new study; discontinuing bronchoscopy use for PDT may safely cut costs.  
medscape.com
over 4 years ago
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Mupirocin for Sinusitis May Prompt Unhelpful Bacterial Change

Topical mupirocin therapy, used to treat symptomatic chronic sinusitis (CRS), might lead to increased pathogenic bacteria, according to Arizona-based researchers.  
medscape.com
over 4 years ago
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Vestibular Schwannoma: Tumor Secretions Cause Hearing Loss

Researchers have identified a new mechanism that is responsible for sensorineural hearing loss in vestibular schwannoma.  
medscape.com
over 4 years ago
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Is direct laryngoscopy obsolete?

“I will unequivocally state that it is wrong for people to practice direct laryngoscopy in 2012.” -Ron Walls, MD Professor, Emergency Medicine Harvard Medical School So it began, the VL vs DL wars! Here is a nice update on the battle: Is direct laryngoscopy obsolete?  
prehospitalmed.com
over 4 years ago
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Video Laryngoscopy in the Pre-Hospital or Emergency Department Setting: Clinical Effectiveness and Cost-Effectiveness

Latest evidence summary of old debate on VL vs DL for prehospital setting. Video Laryngoscopy in the Pre-Hospital or Emergency Department Setting: Clinical Effectiveness and Cost-Effectiveness Editor's note : only 2 RCTs ever done to try to answer this question . Answer? VL worse than DL. The other non randomised studies have issues of bias…  
prehospitalmed.com
over 4 years ago
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Early Tracheostomy Contributes to Olfactory Dysfunction

Children who undergo tracheostomy in infancy experience impaired olfaction that persists after decannulation, researchers report.  
medscape.com
almost 5 years ago