Emergency medicine journal : EMJ
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Review Case Reports
Life-threatening episode after ingestion of toad eggs: a case report with literature review.
It is known that toad possesses several toxic substances in the skin and parotid glands. In the past, toad-venom poisoning had been reported from ingestion of toad soup, Kyushin and aphrodisiac pills, but the poisoning from toad eggs is observed for the first time. The case of a healthy female who had previously eaten toad soup twice without any discomfort is reported. She developed gastrointestinal symptoms and life-threatening cardiac rhythm after ingestion of toad eggs.
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A short cut review was carried out to determine whether measuring C Reactive Protein might help in the diagnosis of intracranial infection in a patient presenting to the Emergency department with an acute headache. 62 papers were found, but none answered the question. The clinical bottom line is that there doesn't appear to be any evidence for, or against, the use of C Reactive Protein in the diagnosis of intracranial infection in patients presenting to the Emergency department with an acute headache.
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A short cut review was carried out to establish whether prophylactic antibiotics should be used as part of the management of uncomplicated hand lacerations. From a search of 237 papers only five presented trials addressing the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper are tabulated. The clinical bottom line is that there doesn't appear to be any evidence to support the use of prophylactic antibiotics in uncomplicated hand lacerations.
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A short cut review was carried out to establish whether suturing provided any advantage over conservative management for small, uncomplicated hand wounds. Only one paper presented a trial addressing the clinical question. ⋯ The clinical bottom line is that there doesn't appear to be any great advantage to suturing. The importance of clinical evaluation, to ensure that the wound really is uncomplicated, is stressed.