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Journal Feed covers ipratropium for asthma, prolonged pediatric CPR, and a simplified strategy for PE with D-dimer.

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How should you manage chloramphenicol toxicity?
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Dr. Tannenbaum covers a case of baclofen toxicity in today's ECG Pointers.
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Multiple sclerosis

Immune-mediated, demyelinating disease, separated in time and space, females > males

 

Presents with exacerbations, med complications, or some other condition (most common)

 

New neuro symptom = true exacerbation -> steroids

 

Worsening of prior neuro symptoms = pseudoexacerbation -> find and treat underlying trigger (infection)

 

Avoid fever; worsens symptoms

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