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Emergency Medicine - Urogenital/Nephrology News & Articles
MDLinx.com is your one stop shop for the latest Emergency Medicine news articles and peer reviewed clinical journal articles categorized daily into various hot topics such as: Trauma, Emergency Medicine Services, Airway/Respiratory management, Toxicology and much more. Not only are we the quickest, writing summaries of every article with 24 hours of publication, but we are also your most efficient resource for up-to-the-minute literature in Emergency Medicine.
As an added feature, on this page you can also view highly recommended articles highlighted by our physician editor D. Scott Cunningham, MD, PhD and clinical pearls from the Internal Medicine Physician Review.
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Your Unread Messages in Emergency Medicine
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Articles
Latest (1) Full Text Articles (33)981 Acute renal failure during sepsis: Potential role of cell cycle regulation Journal of Infection, June 10, 2009
982 Severe ethylene glycol intoxication by skin absorption Néphrologie & Thérapeutique , June 9, 2009
983 Artificial neural network, genetic algorithm, and logistic regression applications for predicting renal colic in emergency settings International Journal of Emergency Medicine, June 8, 2009
984 Use of a Urine Dipstick and Brief Clinical Questionnaire to Predict an Abnormal Serum Creatinine in the Emergency Department Academic Emergency Medicine, June 5, 2009 Clinical Article
985 Leptospirosis Mimicking Hemolytic Uremic Syndrome: A Case Report American Journal of Kidney Diseases, June 5, 2009
986 Organ Crosstalk In Critically Ill Patients: Hemofiltration And Immunomodulation In Sepsis Blood Purification, June 5, 2009
987 Searching for Genes That Matter in Acute Kidney Injury: A Systematic Review Clinical Journal of the American Society of Nephrology, June 4, 2009
988 Pivotal Role of Paricalcitol in the Treatment of Calcific Uremic Arteriolopathy in the Presence of a Parathyroid Adenoma American Journal of Kidney Diseases, June 2, 2009
989 Serious Renal Hemorrhage in Masson Tumor Transplantation Proceedings, June 2, 2009
990 Simple analysis of naphthalene in human whole blood and urine by headspace capillary gas chromatography with large-volume injection Forensic Toxicology, June 1, 2009
991 Prevention of Acute Kidney Injury by Erythropoietin in Patients Undergoing Coronary Artery Bypass Grafting: A Pilot Study American Journal of Nephrology, June 1, 2009
992 The predictive performance of plasma neutrophil gelatinase-associated lipocalin (NGAL) increases with grade of acute kidney injury Nephrology Dialysis Transplantation, May 28, 2009 Clinical Article
993 Acute Renal Failure: A Rare Presentation of Hypothyroidism Renal Failure, May 27, 2009
994 Impaired consciousness, acute renal failure and thrombocytopenia in a liver transplantation patient – An uncommon differStefanieential diagnosis Intensivmedizin und Notfallmedizin, May 27, 2009
995 SiRNA Targeted to p53 Attenuates Ischemic and Cisplatin-Induced Acute Kidney Injury Full Text Journal of the American Society of Nephrology, May 26, 2009
996 Determinants of postoperative acute kidney injury Critical Care, May 26, 2009
997 Acute prostatitis as cause of postoperative sepsis of unknown origin Intensivmedizin und Notfallmedizin, May 26, 2009
998 Analysis of Urobilinogen and Urine Bilirubin for Intra-Abdominal Injury in Blunt Trauma Patients Western Journal of Emergency Medicine, May 22, 2009 Clinical Article
999 Energy Fluctuation in the Formation of Melamine Cyanurate Reaction: A Factor Leading to Acute Renal Failure in Melamine Toxicity Renal Failure, May 22, 2009
1000 Brain natriuretic peptide levels have diagnostic and prognostic capability for cardio-renal syndrome type 4 in intensive care unit patients Critical Care, May 21, 2009
Clinical Pearls in Emergency Medicine
- Appendicitis is the most common pediatric gastrointestinal surgical emergency.
- Drug-eluting stent (DES) placement improves revascularization rates without increased 3-year hazard of adverse clinical outcomes among individuals undergoing emergency primary percutaneous coronary intervention due to ST-segment elevation myocardial infarctions (STEMIs).
- Using an accelerated diagnostic protocol (ADP) with Troponin 1 as the sole biomarker may successfully identify low short-term risk of major adverse coronary event (MACE), and decrease observation time among individuals who present to the ER with chest pain.
Highlights in Emergency Medicine
Procalcitonin and CRP predict identify high-risk children with appendicitis
As published in Pediatric Emergency Care, procalcitonin and CRP levels discriminate between children admitted with a diagnosis of acute appendicitis who may require closer monitoring. The study involved 111 children who were divided into 2 groups based on intra-operative diagnoses of appendicitis (n=69) and peritonitis (n=42). Patients with peritonitis, who were more likely to have complications and require intensive care unit admission, had significantly higher procalcitonin (0.15 vs. 4.95 ng/ml) and CRP levels (3 vs. 14.3 mg/dl) on admission than patients with appendicitis. Using a cut-off procalcitonin level of 0.18 ng/ml, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 97%, 80%, 72%, and 89.3%, respectively. Using a cut-off CRP level of 3 mg/dl, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 95%, 74%, 68%, and 96.2%, respectively.
Read the article summaryVomiting during acute stroke increases mortality
As published in the Emergency Medicine Journal, patients who vomit during acute strokes have an increased risk of mortality (HR=5.06). Of 1968 stroke patients enrolled in the study, 1349 had cerebral infarctions, 459 had cerebral hemorrhages, and 152 had subarachnoid hemorrhages; 14.5% of all stroke patients vomited during the acute stage of the stroke (cerebral infarction, 8.7%; cerebral hemorrhage, 23.7%; and subarachnoid hemorrhage, 36.8%).
Read the article summaryAssociation between tight glycemic control and hip fracture in diabetics
As published in the Journal of the American Geriatrics Society, patients with T2DM (mean age, 77.3 y; n=932) with a HbA1c < 6% (OR=3.01) or 6.1-7% (OR=2.34) are more likely to sustain a hip fracture than patients with a HbA1c > 8%. All patients had a HbA1c level determined within 3 months preceding the hip fracture. No differences in risk existed between patients treated with oral hypoglycemics or insulin.
Read the article summaryMost Popular Emergency Medicine Articles
Last month's top read Top Articles of 20121 Product related adult genitourinary injuries treated at emergency departments in the united states from 2002 to 2010 The Journal of Urology, April 16, 2013
2 Urinary biomarkers for the prediction of reversibility in acute-on-chronic renal failure Disease Markers, January 18, 2013
3 Urinary NGAL and KIM-1: biomarkers for assessment of acute ischemic kidney injury following nephron sparing surgery The Journal of Urology, April 15, 2013
4 Use of high potency statins and rates of admission for acute kidney injury: multicenter, retrospective observational analysis of administrative databases British Medical Journal, March 21, 2013 Evidence Based Medicine
5 Zip-related genital injury BJU International, March 27, 2013
6 Complete isolated transection of a distal female urethra following a bull horn injury: a rare urological emergency UroToday International Journal, April 16, 2013
7 Statins of high versus low cholesterol-lowering efficacy and the development of severe renal failure Pharmacoepidemiology and Drug Safety, March 29, 2013
Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
Other Topics in Emergency Medicine
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