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1. Antibiotics - A Review of ED Use: eMedicine Emergency Medicine

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   zenosafe 01-May-2010
   

   CDC建議所有流感住院病人均需要抗病毒藥物，包括了 ^{link »}

   tags: may 10, emedicine.medscape.com, annotations

   emedicine.medscape.com/article/810704-overview?sr · Original page

2. Myocardial Infarction in Patients With a Normal Cardiac Catheterization

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   zenosafe 09-Jan-2010
   

   因為coronary angiography是2D的，仍然可能有些角度看不到coronary plaque
   這種情形可以使用靜脈內超音波(IVUS)或者點腦斷層冠狀動脈攝影(CCTA)看得出來 ^{link »}

   冠狀動脈痙攣也是常見的原因，而且可能致死，元兇是因為冠狀動脈內皮的功能失常造成的。 ^{link »}

   Myocardial bridgine也是近來越來越常見的一個原因，原本應該在心肌表面的冠狀動脈，某一段陷入到心肌裡頭，心肌收縮時把冠狀動脈夾住造成類似angina的狀況。以LAD中段最常見。 ^{link »}

   cadiac syndorme X ^{link »}

   有些情形是LV太過於肥厚，冠狀動脈的血流無法完全供應整個心肌，造成subendocardium缺血產生類似angina的情況。 ^{link »}

   tags: jan 10, medscape.com, annotations

   www.medscape.com/viewarticle/714106?src=mp&spon=4 · Original page

3. Testing for H1N1 Influenza in the Emergency Department

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   zenosafe 12-Nov-2009
   

   none can distinguish novel H1N1 (swine) flu from seasonal strains of flu ^{link »}

   99% of the circulating influenza viruses in the United States are H1N1; seasonal strains of flu are virtually absent ^{link »}

   Routine testing for H1N1 using rapid tests is not recommended by the CDC ^{link »}

   negative result on an influenza rapid test does not rule out H1N1 infection ^{link »}

   Outpatients with influenza-like illness (ILI) who also have risk factors for complications due to flu infection should be treated with neuraminidase inhibitors whether a rapid test result is known or not. ^{link »}

   outpatient如果可能有併發症的可能，就應該要投與neuraminidase inhibitors. ^{link »}

   tags: nov 09, medscape.com, annotations

   www.medscape.com/viewarticle/711788?src=mp&spon=4 · Original page

4. A 51-Year-Old Woman With Recurrent Abdominal Pain

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   zenosafe 07-Nov-2009
   

   increased attenuation with ^{link »}

   in the mesenteric fat ^{link »}

   diminished attenuation ^{link »}

   association with colonic diverticula ^{link »}

   ischemia and/or infarction ^{link »}

   tags: nov 09, cme.medscape.com, annotations

   cme.medscape.com/viewarticle/583348_2 · Original page

5. Chemotherapy-Induced Oral Mucositis: [Print] - eMedicine Dermatology

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   zenosafe 27-Oct-2009
   

   osis. Durable disease remission and cur ^{link »}

   5296156156156 ^{link »}

   tags: oct 09, emedicine.medscape.com, annotations

   emedicine.medscape.com/article/1079570-print · Original page

6. Eagal症候群-三病例報告

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   zenosafe 23-Oct-2009

   tags: oct 09, pain-manage.org.tw, annotations

   www.pain-manage.org.tw/ex/ex04.htm · Original page

7. Shorter Wait Times in the ED Mean More Patients Stay to See a Doctor

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   zenosafe 21-Oct-2009
   

   compared wait times for walk-in patients who left without being seen ^{link »}

   187,663 patients came to the ED, 128,430 of whom were walk-ins. ^{link »}

   Further analysis revealed the proportion of walk-in patients who left without being seen fell from 5.5% in July-December 2006 to 3.5% in July-December 2008 ^{link »}

   During the same period, mean waiting times for walk-ins decreased from 61.4 to 52.6 minutes. ^{link »}

   tags: oct 09, medscape.com, annotations

   www.medscape.com/viewarticle/710074?src=mp&spon=4 · Original page

8. Upper Gastrointestinal Bleeding in a 47-Year-Old Man

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   zenosafe 20-Oct-2009
   

   In the clinical setting of chronic pancreatitis with a large communicating pancreatic pseudocyst following the recent ERCP, this finding established the diagnosis. ^{link »}

   tags: oct 09, cme.medscape.com, annotations

   cme.medscape.com/viewarticle/710420_2 · Original page

9. CHAPTER 70 - Otolaryngology from Marx: Rosen's Emergency Medicine on MD Consult

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   zenosafe 19-Oct-2009

   Eustachian tube dysfunction is the central theme of most theories of AOM pathogenesis. ^{link »}

   The eustachian tube may become either mechanically or functionally obstructed, decreasing middle ear ventilation ^{link »}

   Streptococcus pneumoniae, Haemophilus influenzae (primarily nontypeable), and Moraxella ( Branhamella ) catarrhalis. Streptococcus pyogenes, Staphylococcus aureus, ^{link »}

   最常見的細菌 ^{link »}

   In O ME, there is a greater proportion of H. influenzae and a higher percentage of sterile effusions ^{link »}

   Some authors believe that viral infection is the cause of the inflammatory reaction in most cases and antibiotics are not necessary ^{link »}

   Bullous myringitis ^{link »}

   M. pneumoniae is uncommon. ^{link »}

   otitis-conjunctivitis syndrome ^{link »}

   H. influenza. ^{link »}

   Older children may be able to verbalize pain, but otalgia is not universally present. ^{link »}

   The presence of erythema in itself does not indicate infection because crying or fever may cause hyperemia; however, a TM that is distinctly red (defined as hemorrhagic, strongly or moderately red) suggests AOM ^{link »}

   tags: oct 09, mdconsult.com, annotations

   www.mdconsult.com/das/book/body/165512601-8/0/208 · Original page