A post-hoc analysis of data from a 12-week randomized study that compared vaginal estradiol to vaginal moisturizers found no increase in sexual frequency or decrease in pain associated with either treatment, compared to placebo.
Pediatric patients present to the emergency department (ED) with a variety of issues ranging from benign upper respiratory infections to life-threatening anaphylaxis. Many emergent conditions may mimic the common and nonthreatening ailments of normal childhood. Emergency physicians must be able to recognize and treat uncommon but emergent illnesses quickly and accurately. In addition, providers must be aware of those illnesses that look serious but warrant only supportive care. This article will focus on the assessment, evaluation, differential, and treatment of uncommon but can’t-miss diagnoses that clinicians should consider in the emergency setting.
Foot problems are a common chief complaint. Patients may present to the ED when they do not have access to other sources of care or when an exacerbation becomes painful enough. Although these foot problems rarely are considered emergencies, it is useful for the emergency physician to be knowledgeable about these conditions to provide sound advice to patients and appropriate referral.
Abdominal pain is a common pediatric chief complaint with a diversity of etiologies. Many are benign, but some have the potential for devastating consequences if a timely diagnosis is not made. Understanding and practicing a comprehensive approach facilitates consideration of more serious pathology while allowing for a focused diagnostic plan. This two-part series guides the clinician to a practical clinical approach to pediatric abdominal pain.
Ectopic pregnancy has significant health consequences and represents an important cause of morbidity and mortality for women of reproductive age. Making the diagnosis of ectopic pregnancy expeditiously is critical to reduce morbidity and mortality associated with the condition.
Researchers are exploring the use of metronidazole for the treatment of endometriosis, which affects up to 10% of U.S. women between the ages of 25 and 40. The current treatment options include hormone therapy and surgery, but these approaches involve significant side effects and recurrence of the condition after treatment.
The American College of Obstetricians and Gynecologists has issued a new committee opinion designed to help clinicians aid patients in managing symptoms of dysmenorrhea effectively so that women may continue everyday activities with minimal disruption.
In this study, researchers treated pain in the emergency department with acupuncture alone, acupuncture with conventional medication, or medication alone. They found acute efficacy was similar, although not optimal, for all modalities.