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Certain patient and presentation factors increase the likelihood of a missed appendicitis diagnosis in the emergency department

Risk Factors for Missed Appendicitis Diagnosis Identified

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6 percent of adults and 4.4 percent of children misdiagnosed during initial emergency department visit
Proton pump inhibitors taken for acid reflux may lead to an increased risk for fractures in children and adolescents

Proton Pump Inhibitor Therapy May Up Fracture Risk in Children

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Fracture risk remained higher after adjusting for differences in sex, race, other factors
Endoscopy within six hours versus six to 24 hours after consultation is not associated with lower 30-day mortality in patients with acute upper gastrointestinal bleeding who are at high risk for further bleeding or death

Endoscopy Within Six Hours Does Not Lower Mortality in GI Bleed

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30-day mortality did not differ for those undergoing endoscopy within six hours versus six to 24 hours
Patients with coronavirus disease 2019 with longer time from symptom onset to diagnosis have higher computed tomography scores and longer time to disease resolution

CT Scores Higher With Longer Time to COVID-19 Diagnosis

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Patients with shorter time to diagnosis have lower CT score, quicker disease resolution
Following implementation of the Affordable Care Act

Unemployed Workers Less Likely to Be Uninsured Post-ACA

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Following implementation of ACA, insurance rates decreased more in states with Medicaid expansion
From 2016 to 2017

CDC: 2016 to 2017 Saw Increases in Nonfatal Overdoses

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Nonfatal overdose rates significantly increased for all drug types except benzodiazepines
In the United States

Severe COVID-19 Risk Up With Existing Health Conditions in U.S.

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Most commonly reported underlying health conditions were diabetes, chronic lung disease, CVD
Patients with mild coronavirus disease 2019 can present with digestive symptoms

Patients With Mild COVID-19 May Present With Digestive Symptoms

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Many with digestive symptoms present with diarrhea; 62.4 percent with digestive symptoms have fever
About one-third of patients with coronavirus disease 2019 have ocular abnormalities

Ocular Abnormalities Seen in One-Third of COVID-19 Patients

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Patients with ocular symptoms more likely to have higher white blood cell count, neutrophil count

March 2020 Briefing – Emergency Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for March 2020. This roundup includes the...