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There is a learning curve among novice emergency medicine residents in using emergency ultrasonography to diagnose acute appendicitis

Significant Ultrasound Practice Needed to Diagnose Appendicitis

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Residents need to diagnose at least 20 cases of appendicitis via ultrasound to achieve competency
Doxylamine-pyridoxine may be beneficial for nausea and vomiting symptoms in early pregnancy

Value of Doxylamine-Pyridoxine Questioned in Early Pregnancy

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Greater improvement in symptom scores versus placebo, but clinical relevance unclear
National Health Service England recently recommended that professionals ask all patients their sexual orientation at every opportunity

Professionals Disagree About Asking Patients About Sexuality

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Article offers opposing views about recommendation in England to ask patients about sexual orientation
For women with urinary tract infections

Sulfonamides, Nitrofurantoin Being Given for UTI in Pregnancy

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Nitrofurantoin, trimethoprim-sulfamethoxazole prescribed first trimester despite ACOG recs
Overall

Nearly 30 Percent of Veterans Report Current Tobacco Use

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Higher current use of tobacco products for those aged 18 to 25 years, Hispanics, those with low income
For febrile infants

Human Rhinovirus Commonly Detected in Febrile Infants

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HRV presence does not alter risk of UTI; 29 to 90 day olds with HRV less likely to have bacterial infection
Spontaneous pharyngeal perforation can occur after a forceful sneeze

Spontaneous Pharynx Perforation After Forceful or Stifled Sneeze

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Case report: 34-year-old describes popping sensation and swelling in neck after trying to halt a sneeze
Patients with myeloproliferative neoplasms (MPNs) have increased risk of arterial thrombosis and venous thrombosis across all age groups and MPN subtypes

Increased Risk of Thrombosis in Myeloproliferative Neoplasms

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Higher rates of thrombosis compared to matched controls; risk highest at and soon after diagnosis
For young adults without known risk factors

HIV Screening Most Optimal at 25 Years of Age If No Risk Factors

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Simulation favors screening at 25 for adolescents, young adults without identifiable HIV risk factors
Higher-intensity end-of-life care may be driven by financial incentives present in fee-for-service Medicare but not in the Veteran Affairs integrated system

Intense End-of-Life Care Found to Be Less Likely for VA Patients

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Authors say results have important implications for the future of VA care, Medicare policy