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Oral versus intravenous antibiotics for the initial treatment of acute pyelonephritis in adults: a systematic review [Acute and emergency care]

Annals of Family Medicine

Context Acute pyelonephritis is a common diagnosis in the primary care and emergency settings. These include minimizing resource utilization and decreasing the risk of complications associated with IV antibiotics such as diarrhea. Setting Studies conducted in the ED, in urgent care centers or in outpatient clinics were included.

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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. If so, how do we screen and who do we screen? What should we use to screen individuals? Cognitive screening.

Screening 119
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Watchful waiting refers to clinical observation only.

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The Future Of Vision And Eye Care

The Medical Futurist

The 80-year-old Ray Flynn lost his central vision entirely, but with the help of the retinal implant, he could make out shapes on the computer screen. Experts even say the eye is an ideal place to start for the first clinical use of CRISPR. Google is not the only one working on A.I. solutions for eye care, though.

Diabetes 105
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Parvo Podcast! Erythema Infectiosum, Fifth Disease, and more!

PEMBlog

In this episode, we tackle the clinical mischief of Parvovirus B19 , a common viral infection with a surprisingly wide range of manifestationsfrom the classic slapped cheek rash of erythema infectiosum to aplastic crises in children with hemolytic anemias and fetal hydrops in pregnant contacts. UpToDate , Jun. link] Edwards, Morven S.

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

PEMBlog

Other complications include obstruction due to intussusception or volvulus, leading to bowel ischemia and shock. “Clinically, Meckel diverticulum should be suspected in any child younger than 2 years of age with painless rectal bleeding. The bleeding is usually painless. Diverticulitis and umbilical fistula can also occur.

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A Practical Guide for CLL/SLL Management, Part 2: Imaging & Prognostication

Physician's Weekly

CT Imagin g: CT is recommended at diagnosis if lymphadenopathy or splenomegaly is present, or if clinically indicated. CT Imagin g: CT is recommended at diagnosis if lymphadenopathy or splenomegaly is present, or if clinically indicated. TLS : TLS risk is higher with bulky disease and kidney dysfunction.