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ESWL (choice A) is contraindicated during infection.

If, as we've just seen, one of the key class of drugs that for 20 years has been considered effective now fails, what does that say for this idea that if a disease responds to a particular drug, then it is a particular disease?

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Prednisolone therapy (choice A) is not indicated.

Unlike in other areas of medicine where investigative techniques have overtaken the need for detailed history-taking, in the headache field, one still has to perfect the art of history-taking in order to arrive at the right diagnosis.

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Cost-Effectiveness of Medical and Chiropractic Care for Acute and Chronic Low Back Pain.

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Hofmann combined different amines in peptide linkage with lysergic acid to produce ergobasine (also called ergometrine and ergonovine), the first semisynthetic ergot alkaloid.

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Referring her to ophthalmology (choice D) is incorrect, because eventually this patient may need to see an ophthalmologist for severe exophthalmos, but diagnosing Graves disease is the more appropriate first step for this patient.

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Lithium (Eskalith, Lithane, Lithobid, Lethonate, Lithotabs), commonly used for bipolar disorder, may also help prevent cluster headaches.

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Reducing alcohol use (choice E), while providing a diminished risk for alcohol related complications, will not affect the patient's risk for developing thromboses.

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Robin Cook, the author of a number of bestsellers, used the Salem-ergot hypothesis as the basis for a novel in which a young physician isolates Claviceps spores from a damp New England cellar, cultures the fungus, and then discovers a new alkaloid with mind- and energy-enhancing properties.

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