The Journal of family practice
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A single dose of corticosteroids is the first-line treatment for croup, resulting in fewer return visits and hospital admissions, shorter lengths of stay in the emergency department (ED) or hospital, and less need for supplemental medication (strength of recommendation [SOR]: A, meta-analysis and randomized controlled trials [RCTs]). A 0.15 mg/kg dose of oral dexamethasone is as effective as larger doses (SOR: B, small RCTs). ⋯ Studies to date have been inadequate (SOR: C, limited-quality disease-oriented evidence). Humidified air provides no demonstrable benefit in the acute setting (SOR: A, meta-analysis).
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An ED doctor suspected a cat scratch was to blame and prescribed antibiotics. A week later, though, the patient developed dyspnea.
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Amlexanox appears to be most effective overall. Amlexanox 5% paste reduces ulcer size, pain duration, and healing time.
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An extensive initial laboratory assessment, including testing for viral disorders, left the diagnosis unsolved.
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Certain antibiotics and using 3 or more antibiotics at one time are associated with Clostridium difficile-associated diarrhea. Hospital risk factors include proximity to other patients with C difficile and longer length of stay. Patient risk factors include advanced age and comorbid conditions. Acid suppression medication is also a risk factor for CDAD.