2 results match your criteria: "Dakota Clinic-West Acres[Affiliation]"

Depression is a common illness that may be difficult to detect, especially in patients with concurrent illness. Fortunately, depression is usually treatable. Identifying the optimal antidepressant agent requires careful consideration of the patient's age, health status, and history of response to antidepressants.

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Adult meningitis. Rapid identification for prompt treatment.

Postgrad Med

January 1993

Department of Family Medicine, Dakota Clinic-West Acres, Fargo, ND 58103.

Article Synopsis
  • Effective treatment of meningitis requires a detailed patient history, a physical examination, cerebrospinal fluid analysis, and clinical judgment to identify the likely pathogen.
  • Meningitis in adults is typically caused by common viruses and bacteria, with atypical pathogens considered in immunocompromised individuals; supportive therapy is used for viral cases, and intravenous acyclovir is given if herpes simplex virus is suspected.
  • For presumed bacterial meningitis, immediate antibiotic therapy using medications that can penetrate the blood-brain barrier is essential, while the role of corticosteroids in adults remains unclear; vaccines and rifampin may be used for prophylaxis.
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