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Gout Diagnostic Score

Decision Can this patient be diagnosed with gout without joint aspiration? Population Clinic, ER, Hospital Components Remember to always consider alternate diagnoses like septic arthritis if there is a concern for this ( systemic features, increased age, history of rheumatoid arthritis, skin infection, joint prosthesis, immunosuppression or atypical presentation) If…

Bleeding wound on finger via Crystal (Crystl) from Bloomington, USA - Flickr (CC 2.0)

5 As of Warfarin Interaction

Common medications which can interact with warfarin:The 5 As of warfarin interactions Amiodarone Antibiotics (Bactrim, metro, fluconazole) Antidepressants Analgesics Antiplatelets

Pounding

Migraine – POUND

POUND Score (1 point each if Sx present): Pulsatile Onset for 4-72 hours Unilateral Nausea/vomiting Disabling intensity Score: 4 or 5 points – 92% likelihood migraine 3 points – 64% likelihood migraine 2 or less points – 17% likelihood migraine Reference: Bell MH. Diagnosis of Migraine Headache. Am Fam Physician….