Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Finger fear
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Finger fear
Thursday 2 May 2019, 11:01 AM
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The dreaded DREs strike fear into the hearts of patients – and doctors
GP Jim Vause delves into the quagmire of digital rectal examinations to try to find an evidence-based pathway to follow
How should I balance patient choice when they refuse rectal examination or other invasive anal procedures over the diagnostic need?
Does finger f
References
i Digital Rectal Examination
ii Am J Emerg Med. 2009 Nov;27(9):1125-9. doi: 10.1016/j.ajem.2008.08.027. Utility of the digital rectal examination in the evaluation of undifferentiated abdominal pain. Quaas J1, Lanigan M, Newman D, McOsker J, Babayev R, Mason C.
iii Men having Sex with Men
iv Positive Predictive Value