Two nice articles from EMA (if you don’t get it or don’t read it)

Metoclopromide and DIA EMA 2013

Diagnostic utility of VE EMA 2013

I have added two articles from June EMA. Both are neat little studies with good methodology and a simple bottom line. The first challenges the belief that that bolus metoclopromide is associated with akathisia. The second that vaginal examination helps in 1st trimester bleeding. In this study, clinical assessment was correct in only half the cases and did not correctly diagnose ectopic pregnancy at all. None of the six cases diagnosed as ectopic, had an ectopic and none of the four who had an ectopic were diagnosed clinically. VE made no difference. A good argument for bedside ultrasound.

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