Thrombocytopenia is encountered commonly in the emergency department. In most instances, the emergency physician will not be able to determine the definitive diagnosis, but it is important that the initial evaluation be started in a timely manner and that appropriate specialists be consulted from the emergency department.
The Centers for Disease Control and Prevention currently recommends that all citizens be tested for HIV infection at least once between the ages of 13 and 64 years. Results of a recent study indicate that age 25 would be better than younger ages for a single HIV screening test among those young adults without symptoms.
New information from the Centers for Disease Control and Prevention indicates the estimated median time from HIV infection to diagnosis improved from three years and seven months in 2011 to three years in 2015.
The American College of Gastroenterology has developed a guideline dealing with the management of immunocompetent adults with acute infectious diarrhea, other than that due to Clostridium difficile infection.
Responding to the 2015 Improving Diagnosis in Healthcare report from the Institute of Medicine that placed a public spotlight on the issue of diagnostic accuracy, the American Board of Medical Specialties and the National Patient Safety Foundation recently brought together experts to address the issue.
With more highly evolved and readily available technology at our fingertips, it is sometimes tempting to let the echocardiogram sort out the abnormal heart sounds we detected, or allow the pelvic ultrasound to inform whether the uterus is enlarged, or short-cut parts of the physical exam we anticipate to be unlikely sources of pertinent information.