Stinging insects are a frequent cause of local and systemic hypersensitivity reactions, including anaphylaxis. For those with a history of life-threatening anaphylaxis, venom immunotherapy is effective, safe, and can be life-saving. Arachnids are a much less common source of envenomation through bites or stings and are less likely to cause a hypersensitivity reaction. However, recognizing the clinical manifestations when they do present is important for accurate diagnosis and treatment, and, when indicated, consideration of other diagnoses.
Anaphylaxis , Insect Bites and Stings , Humans , Insect Bites and Stings/complications , Anaphylaxis/therapy , Anaphylaxis/diagnosis , Anaphylaxis/etiology , Animals , Hypersensitivity/therapy , Hypersensitivity/diagnosis , Arthropod Venoms/immunology , Arthropod Venoms/adverse effects , Desensitization, Immunologic/methods , Venom Hypersensitivity
Stinging insects are a frequent cause of local and systemic hypersensitivity reactions, including anaphylaxis. For those with a history of life-threatening anaphylaxis, venom immunotherapy is effective, safe, and can be life-saving. Arachnids are a much less common source of envenomation through bites or stings and are less likely to cause a hypersensitivity reaction. However, recognizing the clinical manifestations when they do present is important for accurate diagnosis and treatment, and, when indicated, consideration of other diagnoses.
Anaphylaxis , Hymenoptera , Hypersensitivity , Insect Bites and Stings , Venom Hypersensitivity , Animals , Humans , Anaphylaxis/diagnosis , Anaphylaxis/etiology , Anaphylaxis/therapy , Insect Bites and Stings/complications , Insect Bites and Stings/diagnosis , Insect Bites and Stings/therapy , Hypersensitivity/diagnosis , Hypersensitivity/therapy , Desensitization, Immunologic/adverse effects
Insertion of urinary catheters (most often Foley catheters) can be performed in outpatient settings to manage acute urinary obstruction without referral to emergency services, as well as to obtain urine samples in patients not able to provide a clean catch urine sample. For patients with established suprapubic urinary catheters, routine exchange can also occur safely in primary care settings. Excision of a thrombosed external hemorrhoid can be performed in the office setting with local anesthesia. The procedure offers better clinical outcomes than symptomatic treatment if performed within the first 72 hours from the onset of symptoms.
Hemorrhoids , Urinary Catheterization , Humans , Office Management , Outpatients
Anti-Arrhythmia Agents/therapeutic use , Metoprolol/therapeutic use , Muscle Tonus/physiology , Myocardium/pathology , Tachycardia, Atrioventricular Nodal Reentry/diagnosis , Tachycardia, Atrioventricular Nodal Reentry/drug therapy , Valsalva Maneuver , Adult , Female , Gestational Age , Humans , Pregnancy , Pregnancy Trimester, Second , Pregnancy Trimester, Third , Treatment Outcome
Recommendations about breastfeeding--absent critical analysis and removed from context--may overvalue its benefit. Here's a look at the evidence.
Breast Feeding/psychology , Breast Feeding/statistics & numerical data , Family Practice/standards , Guidelines as Topic , Infant Food/standards , Mothers/psychology , Adult , Decision Making , Female , Humans , Infant, Newborn , Male
