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Pediatric Balanitis and Balanoposthitis

Pediatric EM Morsels

x The post Pediatric Balanitis and Balanoposthitis appeared first on Pediatric EM Morsels. Infectious balanoposthitis: management, clinical and laboratory features. Int J Dermatol. 2009;48(2):121-124. doi:10.1111/j.1365-4632.2009.03966.x 1365-4632.2009.03966.x

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Clinical Conundrums: Should I Pretreat Patients with Contrast Allergy Prior to IV Contrast Administration?

REBEL EM

Bottom Line Up Top: Pretreatment is ineffective and unnecessary as it does not significantly reduce the risk of serious adverse reactions to contrast. Pretreatment should not delay imaging required for definitive diagnosis. Do you pretreat the patient prior to CT scan or proceed without delay and risk an allergic reaction?

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Clinical Conundrums: How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis?

REBEL EM

The overall incidence of biphasic reactions is unknown with rates quoted from < 0.5% This varied incidence can be due to inconsistent definitions or inclusion of mild reactions. Since half of biphasic reactions occur within the first 6-12 hrs ( Lee 2014 ) physicians often choose an observation time of 4-6 hrs.

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Cetirizine Vs Diphenhydramine For the Treatment of Acute Urticaria in the ED

REBEL EM

Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergic reactions. Noninferiority trials, covered here on REBEL EM , are helpful when the experimental treatment offers a distinct advantage over the standard treatment. Allergy Asthma Proc. PMID: 17883909.

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The PALACE Trial: Direct Oral PCN Challenge in Patients with Low-Risk PCN Allergy?

REBEL EM

appeared first on REBEL EM - Emergency Medicine Blog. randomization) as per protocol (i.e. eligibility to screened ratio) Feasibility of recruitment defined as proportion of patients consenting to participate in the study protocol from eligible patients (i.e. randomization) as per protocol (i.e.

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CT Angiography Head and Neck: Indications and Limitations

EMDocs

Authors: Mary Hamblen, DO (EM Resident Physician, TX); Justin Hacnik, MD (EM Resident Physician, TX); Katherine Spencer, MD (EM Resident Physician, TX); J.D. 63 This is because their definition of CI-AKI is an AKI that ensues within 48 hours of receiving IV contrast in the absence of any “other nephrotoxic factors.”

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EM@3AM: Leukopenia

EMDocs

Well keep it short, while you keep that EM brain sharp. Available from: [link] The post EM@3AM: Leukopenia appeared first on emDOCs.net - Emergency Medicine Education. 10^9/L) Moderate (0.50.9 10^9/L) Severe (< 0.5 10^9/L) Generalized leukopenia (i.e. Most common causes of leukopenia Infections: 36.4% Medications: 25.6%

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