Diagnostic approach

1. Patients presenting with an acute episode of pharyngitis should receive a rapid streptococcal antigen test. If the rapid test is negative, a culture should be done.

2. If the rapid test is positive, treatment with an antibiotic should be initiated for 10 days. The presence of physical and historical findings suggesting GABHS infection may also prompt the initiation of antibiotic therapy despite a negative rapid strep test.

3. After throat culture, presumptive therapy should be initiated. If the culture is positive for GABHS, a 10-day course of therapy should be completed. If the culture is negative, antibiotics may be discontinued.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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