Publications by authors named "Rick McPheeters"

Article Synopsis
  • * Community hospitals in rural areas are seeing fewer mpox cases and might lack the resources to effectively diagnose and treat it compared to urban hospitals.
  • * A case is presented involving an HIV-positive individual who contracted mpox alongside secondary syphilis, highlighting the importance of early detection for effective treatment and reducing further spread.
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Calciphylaxis is a rare and serious complication of chronic renal failure characterized by vascular calcium overload. It has a high mortality rate. Penile calciphylaxis is an extremely rare condition of penile necrosis due to calciphylaxis of the penile arterioles.

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Ophthalmomyiasis externa is the infestation of external ocular structures most commonly by Oestrus ovis, sheep nasal bot fly, which have a pupal stage in soil. Farmers and shepherds are commonly affected but rarely in urban areas. This is the first case of Oestrus ovis ophthalmomyiasis externa in California since Catalina Island 1986.

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Introduction: Arterial lines are important for monitoring critically ill patients. They are placed most commonly in either femoral or radial sites, though there is little evidence to guide site preference.

Methods: This is an ambispective, observational, cohort study to determine variance in failure rates between femoral and radial arterial lines.

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Prediction models using multiple logistic regression are appearing with increasing frequency in the medical literature. Problems associated with these models include the complexity of computations when applied in their pure form, and lack of availability at the bedside. Personal digital assistant (PDA) hand-held devices equipped with spreadsheet software offer the clinician a readily available and easily applied means of applying predictive models at the bedside.

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Study Objective: This study evaluates the safety and efficacy of rapid oral loading of carbamazepine in the emergency department (ED).

Methods: Adult patients receiving maintenance carbamazepine who presented with negligible levels received an oral load of carbamazepine suspension, with a dose of 8 mg/kg.

Results: Forty-two oral loads among 36 patients were studied.

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Establishing the etiology of tachycardia in a trauma patient is often difficult. Pediatric trauma patients present an even tougher challenge. Cardiac contusion should be suspected when other more common traumatic injuries that produce hypoxia and blood loss are excluded.

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We present a case report of a 10-year-old male with nephrotic syndrome who presented with a complaint of shortness of breath. The patient had been recently hospitalized for an exacerbation of nephrotic syndrome and had received steroid and diuretic therapy. Initial vital signs showed tachycardia and mild tachypnea.

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