Less Aggressive Hydration May Be More in Acute Pancreatitis?

Consider a more conservative approach to fluid resuscitation in mild acute pancreatitis to avoid fluid overload without sacrificing patient-oriented clinical outcomes.

Consider this tool to reduce antibiotic-associated adverse events in patients with sepsis.

Predictive biomarker procalcitonin can aid clinical decision-making on continued antibiotic treatment in this patient population.

A "no-biopsy" approach to diagnosing celiac disease.

This noninvasive alternative to the diagnostic gold standard may cut risk and expense for adult patients.

Confidently rule out CAP in the outpatient setting.

A focus on specific signs and symptoms-without imaging-may rule out community-acquired pneumonia in outpatients.

Hemorrhoids: Diagnosis and Treatment Options.

Many Americans between 45 and 65 years of age experience hemorrhoids. Hemorrhoidal size, thrombosis, and location (i.e.

Lung Cancer: Management.

Lung cancer management that is individualized for age, comorbidities, cancer type, cancer stage, and patient preference has long been a cornerstone of management. New to this realm of individualized management are the emerging biologic therapies, immunotherapies, and targeted therapies for non-small-cell lung cancer provided by advances in genetics and molecular medicine. These techniques have led to a new field of precision medicine based on the unique molecular characteristics of a specific patient and the specific cancer.

Lung Cancer: Screening and Evaluation of Patients With Solitary Pulmonary Nodules.

Low-dose computed tomography (CT) scan is the only modality currently considered acceptable for lung cancer screening in high-risk populations. Screening recommendations vary. The US Preventive Services Task Force recommends annual low-dose CT scan to screen high-risk patients (ie, asymptomatic patients ages 55 to 80 years with a 30 pack-year smoking history and who currently smoke or have quit within the previous 15 years).

Help Desk Answers: Surgery vs conservative management for AC joint repair: How do the 2 compare?

When not considering the grade of acromioclavicular (AC) joint dislocation, both conservative and surgical management lead to positive outcomes, although surgically managed patients require more time out of work.

Prevention and Treatment of Drowning.

Nearly 4,000 drowning deaths occur annually in the United States, with drowning representing the most common injury-related cause of death in children one to four years of age. Drowning is a process that runs the spectrum from brief entry of liquid into the airways with subsequent clearance and only minor temporary injury, to the prolonged presence of fluid in the lungs leading to lung dysfunction, hypoxia, neurologic and cardiac abnormalities, and death. The World Health Organization has defined drowning as "the process of experiencing respiratory impairment from submersion/immersion in liquid.

Clinical Inquiry: Which interventions can increase breastfeeding duration?

Breastfeeding support, beyond standard care, from lay people or professionals increases both short- and long-term breastfeeding duration.

Lung cancer: diagnosis, treatment principles, and screening.

Lung cancer is classified histologically into small cell and non-small cell lung cancers. The most common symptoms of lung cancer are cough, dyspnea, hemoptysis, and systemic symptoms such as weight loss and anorexia. High-risk patients who present with symptoms should undergo chest radiography.