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Recognizing and responding to peripartum cardiomyopathy
Cardiomyopathy is rare in patients who are at or near term, but it can be deadly. Consider the possibility in any woman who is pregnant or who has recently delivered and complains of swelling and trouble breathing.
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A simple UTI that wasn't so simple
Miss SC was a 21-year-old G4, P0030 at 21 weeks' gestation by last menstrual period and confirmed by second-trimester ultrasound. Her pregnancy, which had been managed through a clinic, was complicated by multiple urinary tract infections and she had recently been diagnosed with pyelonephritis.
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Could better trichomoniasis screening curb more serious STIs?
Because Tv infection is so widespread, increases with age, and—according to important new evidence—raises the risk of both acquiring and shedding HIV, accurately diagnosing this sexually transmitted infection may be an important strategy in fighting the HIV epidemic.
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Is clinical research overrated?
For all the talk about the importance of rigorous medical research and randomized double-blind trials, many physicians still put more faith in clinical experience than clinical experiment. Is it possible to strike a reasonable balance between the two?
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