Babies left to cry 'feel stressed', research finds
Babies who are left to cry by themselves could feel 'stressed' even after they appear to settle, new research has suggested. (Source: Telegraph Health)
Double Hit – Right and Left-Sided Endocarditis in a Heroin Abuser
Conclusion: patient will need surgery, a preoperative left and right catheterization is be to be scheduled.What is the next step?She will need a valve replacement after several weeks of ABx treatment. Cardiovascular surgical consult was called.Final diagnosis:Bacterial endocarditis in a heroin abuser affecting both sides of the heart in a sequential fashion.ABx for Endocarditis and Buprenex protocol for IVDA; Treatment of the 2 episodes of endocarditisWhat did we learn from this case?Bacterial endocarditis is a known complication of IVDA.When there is a clinical deterioration on adequate ABx therapy, a repeat TEE is warranted to look for further complications.Valve replacement is often necessary in severe cases.References:Diagnosis and Management of Infective Endocarditis and Its Complicat...
