The Journal of family practice
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Fairly accurate. Photometric transcutaneous bilirubin (TcB) testing may overestimate total serum bilirubin (TSB) in neonates with darker skin tones by a mean of 0.68 to > 2 mg/dL (strength of recommendation [SOR]: C, diagnostic cohort studies with differing reference standards). Overall, TcB meters retain accept able accuracy in infants of all skin tones across a range of bilirubin levels, despite being more likely to underestimate lighter skin tones and overestimate darker ones (SOR: C, diagnostic cohort studies with differing reference standards). It is unclear if the higher readings prompt an increase in blood draws or otherwise alter care.
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Case Reports
26-year-old woman • nausea and vomiting • currently breastfeeding • ketogenic diet • Dx?
► Nausea and vomiting ► currently breastfeeding ►ketogenic diet.
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We initially suspected primary herpetic gingivostomatitis. But the patient's lab work, persistent fever, and cough led us in a different direction.
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Emerging evidence supports lower thresholds for age and smoking history when screening for lung cancer. Here's how the USPSTF and others have updated their guidelines in response.
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In a retrospective study comparing direct oral anticoagulants vs warfarin in this population, apixaban's adverse event rate was lower regardless of frailty status.