Five studies conclude that a parenting program improves chil…
Five studies conclude that a parenting program improves children’s behavior, while five other well-designed studies find no benefit. A researcher wants to determine the overall effectiveness of the program by evaluating all available evidence. Which approach would provide the strongest conclusion?
Read DetailsA 40-year-old man presents to the emergency room with acute…
A 40-year-old man presents to the emergency room with acute onset epigastric pain. His past medical history includes hyperlipidemia, hypertriglyceridemia, diabetes, and alcohol abuse. His last drink was this morning and he drinks 1-2 liter of whisky per day. He denies any fevers or chills but reports nausea and 2 episodes of non-bloody, nonbilious vomiting. Physical exam is notable for tenderness to palpation of the epigastrium. Abdominal finding is shown below. Laboratory evaluation shows significantly elevated amylase and lipase. He is started on aggressive fluid resuscitation. What is the most probable diagnosis?
Read DetailsA 42-year-old woman presents with joint stiffness and pain o…
A 42-year-old woman presents with joint stiffness and pain of the hands and wrists for the last two years. Her symptoms are most severe in the morning and improve in the afternoon. She reports an unintentional loss of 15 pounds over the course of 3 months as well as fatigue. On physical exam, there is swelling and tenderness at the metacarpophalangeal and proximal interphalangeal joints. What is the most important diagnostic test for her medical condition?
Read DetailsA patient has the following laboratory values: Arterial pH =…
A patient has the following laboratory values: Arterial pH = 7.25 Plasma HCO3- = 13 mEq/L Plasma chloride concentration = 118 mEq/L Arterial PCO2 = 30 mm Hg Plasma Na+ concentration = 141 mEq/L What is the most likely cause for his condition?
Read Details