Author: Selim Sikander Kabir, MBBS, FCUCP, FRNZCG. Selim Sikander Kabir is a Director and Medical Officer at Medicross Urgent Care Clinic in New Plymouth, New Zealand, and an Executive Committee Member of The College of Urgent Care Physicians. Abstract Prolonged travel has long been known to be associated with venous thromboembolism (VTE) with potential cost to health running into billions of dollars. A review was done of the current literature to assess the risk and …
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January 2013
Management of Venous Thromboembolism in Urgent Care
Urgent message: Clinical evaluation that includes pretest probability tools and judicious use of diagnostic tests is a requirement for patients who present in the urgent care setting with symptoms suggestive of VTE. MELVIN LEE, MD, CCFP, RMC Early diagnosis of venous thromboembolism (VTE) is important to prevent the morbidity and mortality associated with it.Introduction VTE is subdivided into pulmonary embolism and deep venous thrombosis (DVT). DVT is most common in lower extremities. Those involving …
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Evaluation of the Utility of Radiography in Acute Bronchiolitis Key point: Infants with typical bronchiolitis (clinically O2sat>92% and mild/moderate distress) do not need imaging. Citation: Schuh S, Lalani A, Allen U, et al. J Pediatr. 2007;150: 429-433. URL: http://sitemaker.umich.edu/emjournalclub/article_database/ da.data/1619753/PDF/bronchiolitis_xray_j_pediatrics.pdf The purpose of this study was to determine the proportion of radiographs inconsistent with bronchiolitis in children with typical presentation of bronchiolitis and to compare rates of intended antibiotic therapy before radiography versus those given …
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