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Tag: Clinical Conundrum

Clinical Conundrum: Pregnant and Puking: What’s Safe and Effective in the ED?

Nausea with or without vomiting is very common in early pregnancy, affecting approximately 70% of pregnancies (Maisal 2012). Hyperemesis gravidarum is a severe form of nausea and vomiting in pregnancy that can lead to significant maternal dehydration, electrolyte abnormalities, and ...

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Obstetrics and Gynecology

Clinical Conundrum: What is the Utility of Procalcitonin in the ED?

Procalcitonin is a protein that is upregulated during inflammatory states. An elevation in procalcitonin should be specific to bacterial infections. Viral infections should result in decreased procalcitonin levels thus allowing us to differentiate bacterial from viral and help guide antibiotic ...

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Infectious Disease

Clinical Conundrum: Does IM Ketorolac Provide Superior Pain Relief to PO Ibuprofen?

Clinical Scenario: A 34-year-old woman presents to the ED with back pain. After your history and physical, you conclude that the patient’s pain is muscular in origin and likely secondary to heavy lifting while moving apartments. You contemplate analgesic options ...

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Trauma

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