Duodecim; lääketieteellinen aikakauskirja
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Children's pneumonias should be treated with antibiotics. Since the symptoms and findings vary, a chest radiograph is required for a definite diagnosis. ⋯ Treatment of infants is readily initiated intravenously with benzyl penicillin, but hospital treatment can usually be restricted to 12 to 48 hours. If recovery does not start within 48 hours after initiation of antibiotic medication, the patient must be re-examined.
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The determination of troponin from a blood sample is the most sensitive means to prove a recent myocardial injury. An elevating troponin level associated with acute coronary syndrome indicates an increased risk of death and reinfarction, serving as an indication for an invasive investigation of coronary anatomy. ⋯ The use of troponin should be focused on situations involving a suspicion of myocardial ischemia on clinical grounds. We analyzed the causes of an elevated troponin level from the emergency discharge diagnoses of 301 patients referred to internal medicine emergency.