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Ivermectin versus benzimidazoles for treating Strongyloides stercoralis infection | Cochrane

Strongyloides stercoralis is a parasite that lives in the gut of infected people. The infection is not serious for most people, but it can be fatal in people with immune deficiency. People become infected when they come in contact with soil or water contaminated with infectious worms. The chronic infection usually causes skin rash, vomiting, diarrhoea, and constipation, and respiratory problems, such as asthma-like illness. This disease may be treated with ivermectin or albendazole or thiabendazole. We wanted to know if ivermectin was better or worse than the other alternative therapies.  
cochrane.org
over 4 years ago
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JC: Can alcohol relieve nausea. St.Emlyn's - St.Emlyn's

Whilst I was a medical student, I ran several ‘n of 1’ clinical trials, principally investigating whether alcohol could reduce nausea. My notes from these studies were incomprehensible scrawls, and in all honesty the results seemed to disprove my null hypothesis. My early experience, and my subsequent experience as an emergency physician in Virchester rather suggests that alcohol is definitely associated with nausea and vomiting. But maybe we’ve been doing it wrong. So, I was pretty excited to see what Beadle et al found in their trial investigating whether Isopropyl Alcohol wipes could reduce nausea in the Emergency Department. This idea has apparently been around for years with one of the Virchester consultants telling me that this was first mooted in the early 90’s, before iPhones, EBM or #FOAMed.  
stemlynsblog.org
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Headaches and hormones: a potentially lethal combination

An 85 year old man presented to the emergency department with a five day history of headache, vomiting, and progressive visual loss in both eyes. He had no history of weight loss, seizures, or limb or facial weakness. He had hypertension, abdominal aortic aneurysm (under surveillance), hypothyroidism, and benign prostatic hypertrophy.  
feeds.bmj.com
over 4 years ago
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Lab Case 90

Metabolic alkalosis & hypochloremia 2o to vomiting Respiratory acidosis, appropriately compensated (57 calculated) Mild renal impairment, possibly prerenal 2o to dehydration (vomiting &tachycardic) GGT ALP and bilirubin all slightly elevated. In elderly pt with vomiting & abdo pain, raises possibility of lesion obstructing cbd eg ca of pancreas /choledochocarcinoma; along with stone, need excluding with US. Note also hyperlactaemia  
emergucate.com
over 4 years ago
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Lab Case 89

A 6 year old child is brought to ED by his mum, who states that the child has been unwell with fevers,vomiting, loin pain and low backache.  
emergucate.com
over 4 years ago
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Is parental report of "child acting abnormally" as the only symptom worrisome for TBI?

I’ve previously written about clinically important traumatic brain injuries (ciTBI) a number of times. After the initial publication of the landmark PECARN ciTBI study in 2009 there have been several secondary analyses looking at individual isolated symptoms. See here for isolated loss of consciousness and risk of ciTBI and here for isolated vomiting and risk of ciTBI. A recent study in JAMA Pediatrics looked at isolated parental/guardian report of the child acting abnormally.  
pemcincinnati.com
over 4 years ago
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Imaging Case of the Week 186

This abdominal x-ray is from a 2 month old who has been vomiting intermittently over a period of 12 hours. What can be seen?  
emergucate.com
over 4 years ago
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Dexamethasone vs Ondansetron for Postop Nausea and Vomiting

Is dexamethasone as safe and effective as ondansetron in preventing postoperative nausea and vomiting in patients undergoing laparoscopic surgery?  
medscape.com
over 4 years ago
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Trick of the Trade: Isopropyl Alcohol Vapor Inhalation for Nausea and Vomiting

Using isopropyl alcohol vapor inhalation as a trick of the trade in reducing nausea and vomiting for patients by Dr. Mark Culver.  
aliem.com
over 4 years ago
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Sniffing alcohol wipes for nausea

This is simply brilliant Trick of the Trade: Isopropyl alcohol vapor inhalation for nausea/vomiting by @EMdruggist. https://t.co/NuO1nESA4w pic.twitter.com/yt90IpQspl— Academic Life in EM (@ALiEMteam) December 21, 2015 //platform.twitter.com/widgets.js  
prehospitalmed.com
over 4 years ago
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Lab Case 83

A 5 year old child presents to your Emergency Department feeling unwell with vomiting. Her blood results are as follows:  
emergucate.com
over 4 years ago
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Nausea and vomiting in palliative care

Nausea and vomiting in advanced disease is often multifactorial. Common causes include gastric stasis, chemical disturbances, intestinal obstruction, and raised intracranial pressure  
feeds.bmj.com
over 4 years ago
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Nausea and vomiting in palliative care

Nausea and vomiting in advanced disease is often multifactorial. Common causes include gastric stasis, chemical disturbances, intestinal obstruction, and raised intracranial pressure  
feeds.bmj.com
over 4 years ago
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Comparison of Direct and Indirect Laryngoscopes in Vomitus and Hematemesis Settings: A Randomized Simulation Trial

Comparison of Direct and Indirect Laryngoscopes in Vomitus and Hematemesis Settings: A Randomized Simulation Trial  
prehospitalmed.com
over 4 years ago
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Nausea and vomiting in palliative care

Nausea and vomiting in advanced disease is often multifactorial. Common causes include gastric stasis, chemical disturbances, intestinal obstruction, and raised intracranial pressure  
feeds.bmj.com
over 4 years ago
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Nausea and vomiting in palliative care

Nausea and vomiting in advanced disease is often multifactorial. Common causes include gastric stasis, chemical disturbances, intestinal obstruction, and raised intracranial pressure  
feeds.bmj.com
over 4 years ago
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Topical anaesthetic creams – Don't Forget the Bubbles

Six year old Angela comes into your department with a three day history of diarrhoea and vomiting. You determine that she needs cannulation both to assess her renal function and to begin treatment. You know that cannulating children can be a painful and traumatic experience and are keen to make it as stress-free as possible. The nurses ask you what you would like them to put on the child?  
dontforgetthebubbles.com
over 4 years ago