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Update on fever in the returning traveler
Returning travelers who are febrile require an urgent diagnostic workup and appropriate consultation even if signs on the physical exam are unremarkable. Here's how you should proceed.
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Sexually transmitted infections: Fighting non-viral STIs
Michelle is a healthy appearing, athletic 16-year-old who presents to the clinic with a 4-day history of itching "down there" and smelly discharge. During the intake, completed while her mother was present, Michelle vehemently denied that she has ever done "anything more than make out." However...
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HIV screening urged for high-risk adults
The U.S. Preventive Services Task Force (USPSTF) strongly advises physicians to screen all adults at high risk for human immunodeficiency virus (HIV). This recommendation is one of several primary clinical recommendations recently released from the USPSTF.
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Contemporary Management of Urosepsis: Updated Critical Care Guidelines
A urinary tract infection (UTI) that spreads into the systemic circulation—urosepsis—is a life-threatening condition that requires emergent treatment. Rigors, high fevers, mental status changes, hypotension, tachycardia, and tachypnea are characteristic (1). When patients present with or develop these symptoms, it is critical to promptly initiate IV fluids, obtain cultures, and administer broad-spectrum antibiotics.
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