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More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

STAT Pearls, 2023 Wrap Up Meckel diverticulum is a congenital anomaly of the small intestine that can present with various clinical manifestations, including rectal bleeding and obstruction. The Meckel’s scan is the preferred diagnostic modality, and prompt surgical consultation may be necessary for symptomatic cases.

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A Long Time Coming: DEA Regs Finally Authorize Schedule II Prescription Partial Fills

FDA Law Blog

Now, in July 2023, DEA has finally issued its final rule amending its regulations for partial filling of prescriptions for schedule II substances. 46,983 (July 21, 2023). Partial Filling of Prescriptions for Schedule II Controlled Substances, 85 Fed. 78,282 (Dec. The Final Rule a. codified at 21 C.F.R. b)(5)(ii)).

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PEMPix 2024 Online Case #2: Flight of Passage

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. What’s the Diagnosis? Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia. 2023 Jul 24. Lymphoma D.

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You don’t need labs to medically clear a psych patient

PEMBlog

Attention to any toxidromes, any abnormal vital signs or mental status, eye findings, and neurologic examination provide the greatest help in narrowing the differential diagnosis. Children requiring psychiatric consultation in the pediatric emergency Berg JS, Payne AS, Wayra T, Morrison S, Patel SJ. Hosp Pediatr (2023) 13 (1): 66–71

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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

Hot off the presses RCT in JAMA October 2023: Study that looks at 1000 female resident physicians at 26 sites that showed that coaching improved each outcome assessed (burnout, moral injury, imposter syndrome, self-compassion, and flourishing). We make a diagnosis. AlexSmithMD 1. Beth, welcome to GeriPal. Beth: Thank you.

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PEMPix 2023 Online Case 4: You Can’t Get Fooled Again

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Additional labs ordered per the consultant’s recommendations were notable for elevated PT/PTT, AFP, plasma tyrosine, and urine succinylacetone consistent with a diagnosis of tyrosinemia. Tyrosinemia Type I.

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When to Go to Urgent Care for a Sore Throat: How Can Urgent Care Help?

Doctor On Demand

A short-term sore throat may resolve on its own — monitor symptoms or consult a primary care doctor. Get an expert diagnosis, advice, and prescriptions — all available 24/7 from your home. Frequent sore throats aren’t always a sign of a serious condition, but it’s worth consulting a doctor to identify the cause.

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