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Dyspepsia guidelines reaffirm that drugs work
The American Gastroenterological Association (AGA) issued newly revised guidelines for the evaluation and treatment of dyspepsia late last year. Pharmacotherapy with proton pump inhibitors remains the primary treatment modality, but the AGA has backed off from earlier recommendations for endoscopic examination of patients in early middle age.
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Pediatric Practice: Heading off the dangers of acute gastroenteritis
Acute gastroenteritis has many possible causes but two main treatments--oral rehydration and early refeeding. Despite their proven effectiveness in preventing life-threatening dehydration from diarrhea, they are still underused.
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Esophageal impedance monitoring: What a new test tells us about infants who reflux
Initial clinical studies of a tool that measures impedance in the esophagus provide new insight into acid reflux disease. The offices of pediatric gastroenterologists are filled with infants whose pediatricians have diagnosed gastroesophageal reflux disease. Infants with arching, crying, spitting, and food refusal are being diagnosed with GERD.
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Hepatosplenomegaly, pancytopenia, coagulopathy: Big words about a feverish infant
Your patient is a 2-month-old boy of Native American and Puerto Rican descent undergoing evaluation of fever, hepatomegaly, and pancytopenia of uncertain cause.
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