New data published in Pharmacoepidemiology & Drug Safety remind us about the dangers of pain medications—not opioids this time, but over-the-counter drugs like ibuprofen. After acetaminophen, it’s the second-most used drug in the U.S., and the most commonly used nonaspirin NSAID. Many patients are using excessive dosages, however, putting themselves at risk for dose-related side effects (eg, upper gastrointestinal bleeding and acute renal injury) that can be quite severe or even fatal. The P&DS research …
Read MoreRight Hip Pain on 3-year-old Girl
A 3-year-old girl presents to the urgent care center with right hip pain. She has no fever, and the parents report there was no trauma. The child has a limp and reproducible pain on external rotation of the right hip. White blood count is 11,900 with 40.7% lymphs. The erythrocyte sedimentation rate (ESR) is 3 mm/hour. The x-ray (Figure 1) shows fluid around the right hip joint; this finding was confirmed by ultrasound. View the …
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