The workup of suspected acute coronary syndrome in the emergency department is an ever-evolving process, and staying up-to-date can be difficult. This review aims to empower providers to maximize diagnostic precision in a patient-centered and resource-conscious way.
Practices vary significantly as clinicians evaluate and manage febrile infants younger than 2 months of age. A retrospective review suggests that meningitis is extremely unlikely in well-appearing babies with initial laboratory results suggestive of urinary tract infection, and that cerebrospinal fluid analysis may not be necessary.
This two-part series will look at the rationale and causes of inappropriate testing and how to select the best, most appropriate cardiac test for each patient. The first part will focus on the theory of ordering tests and strategies to minimize unnecessary testing while the second part will focus on when and how to select each individual test given the patient's clinical scenario.
Just-released research findings indicate that a potential rapid chlamydia test delivers accurate results in about 30 minutes, which could make it possible for patients to be treated right away. Such point-of-care testing could help eliminate the need for follow-up appointments because patients would receive treatment at the time of diagnosis, say researchers.