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<br /> advancing the art & science of medicine in the midwest<br /> volume 114 • no. 2 • april 2015<br /> Sex Trafficking of Minors:<br /> Learning how to recognize<br /> and treat the victims<br /> W<br /> ith more than 30 years of<br /> dedicated service, our focus is on the insurance<br /> needs of Wisconsin’s medical community.<br /> For more information on our products and services contact us at<br /> 866.442.3810 or visit www.wisconsinmedicalsociety.org/insurance.<br /> I<br /> p<br /> Enrolling Now for<br /> Fall 2015!<br /> nnovative Leadershi <br /> Leading Healthy Work Systems <br /> Why did you choose to become a physician?<br /> How is your medical practice impacted by your<br /> colleagues and the system in which you work?<br /> What can you do to influence and lead in a more<br /> productive, healthier work environment?<br /> The Wisconsin Medical Society invites you to explore these<br /> questions with your physician colleag<a title="wmj_114no2 page 1" href="http://viewer.zmags.com/publication/e8e1d4ee?page=1"> advancing the art & science of medicine in the mi</a> <a title="wmj_114no2 page 2" href="http://viewer.zmags.com/publication/e8e1d4ee?page=2"> W ith more than 30 years of dedi</a> <a title="wmj_114no2 page 3" href="http://viewer.zmags.com/publication/e8e1d4ee?page=3"> I p Enrolling Now for Fall 2015! nnovative Leade</a> <a title="wmj_114no2 page 4" href="http://viewer.zmags.com/publication/e8e1d4ee?page=4"> COVER THEME Sex Trafficking of Minors: Learning h</a> <a title="wmj_114no2 page 5" href="http://viewer.zmags.com/publication/e8e1d4ee?page=5"> advancing the art & science of medicine in the mi</a> <a title="wmj_114no2 page 6" href="http://viewer.zmags.com/publication/e8e1d4ee?page=6"> We protect what’s important to you </a> <a title="wmj_114no2 page 7" href="http://viewer.zmags.com/publication/e8e1d4ee?page=7"> LOOKING BACK…TO 1940 I Wonder … Karl H.</a> <a title="wmj_114no2 page 8" href="http://viewer.zmags.com/publication/e8e1d4ee?page=8"> Join At Allina Health, we’re here to care, guide,</a> <a title="wmj_114no2 page 9" href="http://viewer.zmags.com/publication/e8e1d4ee?page=9"> IN THIS ISSUE Asking Hard Questions John </a> <a title="wmj_114no2 page 10" href="http://viewer.zmags.com/publication/e8e1d4ee?page=10"> ORIGINAL RESEARCH Development and Distributio</a> <a title="wmj_114no2 page 11" href="http://viewer.zmags.com/publication/e8e1d4ee?page=11"> antibiotics, those with underlying medical condit</a> <a title="wmj_114no2 page 12" href="http://viewer.zmags.com/publication/e8e1d4ee?page=12"> Table. Timeline of Events for Carbapenem-Resistan</a> <a title="wmj_114no2 page 13" href="http://viewer.zmags.com/publication/e8e1d4ee?page=13"> their usefulness and comprehension. Overall, 37 (</a> <a title="wmj_114no2 page 14" href="http://viewer.zmags.com/publication/e8e1d4ee?page=14"> REVIEW ARTICLE The Medical Response to Sex Tr</a> <a title="wmj_114no2 page 15" href="http://viewer.zmags.com/publication/e8e1d4ee?page=15"> report severe physical and sexual violence.16,17 </a> <a title="wmj_114no2 page 16" href="http://viewer.zmags.com/publication/e8e1d4ee?page=16"> Box 1. Risk Factors and Indicators of Sex Traffic</a> <a title="wmj_114no2 page 17" href="http://viewer.zmags.com/publication/e8e1d4ee?page=17"> trafficking will mandate a report to inves- tigat</a> <a title="wmj_114no2 page 18" href="http://viewer.zmags.com/publication/e8e1d4ee?page=18"> Box 4. Tips for Medical Documentation and Communi</a> <a title="wmj_114no2 page 19" href="http://viewer.zmags.com/publication/e8e1d4ee?page=19"> tus or amnesia associated with sexual assault, or</a> <a title="wmj_114no2 page 20" href="http://viewer.zmags.com/publication/e8e1d4ee?page=20"> Figure 1. Decision Tool for Medical Management of</a> <a title="wmj_114no2 page 21" href="http://viewer.zmags.com/publication/e8e1d4ee?page=21"> disparities for this population. However, improve</a> <a title="wmj_114no2 page 22" href="http://viewer.zmags.com/publication/e8e1d4ee?page=22"> C M E To receive CME credit, complete this quiz</a> <a title="wmj_114no2 page 23" href="http://viewer.zmags.com/publication/e8e1d4ee?page=23"> REVIEW ARTICLE A Review of Clinical Signs R</a> <a title="wmj_114no2 page 24" href="http://viewer.zmags.com/publication/e8e1d4ee?page=24"> Table 1. Classification of Ecchymotic Eponyms Ec</a> <a title="wmj_114no2 page 25" href="http://viewer.zmags.com/publication/e8e1d4ee?page=25"> the seat belt at the time of the accident. The co</a> <a title="wmj_114no2 page 26" href="http://viewer.zmags.com/publication/e8e1d4ee?page=26"> sign (RES) and Battle sign, 2 important clinical </a> <a title="wmj_114no2 page 27" href="http://viewer.zmags.com/publication/e8e1d4ee?page=27"> 8. Meyers MA, Feldberg MA, Oliphant M. Grey Turne</a> <a title="wmj_114no2 page 28" href="http://viewer.zmags.com/publication/e8e1d4ee?page=28"> CASE REPORT Tolvaptan for SIADH in Myelodyspl</a> <a title="wmj_114no2 page 29" href="http://viewer.zmags.com/publication/e8e1d4ee?page=29"> ity at 566 mOsm/kd (normal 500-800 mOsm/kg). Urin</a> <a title="wmj_114no2 page 30" href="http://viewer.zmags.com/publication/e8e1d4ee?page=30"> cated for acute, symptomatic cases,7 whereas flui</a> <a title="wmj_114no2 page 31" href="http://viewer.zmags.com/publication/e8e1d4ee?page=31"> CASE REPORT Acute Central Vision Loss in an</a> <a title="wmj_114no2 page 32" href="http://viewer.zmags.com/publication/e8e1d4ee?page=32"> Figure. Progression of Patient’s Ophthalmologic E</a> <a title="wmj_114no2 page 33" href="http://viewer.zmags.com/publication/e8e1d4ee?page=33"> ing raw ground beef; rare lamb; locally produced </a> <a title="wmj_114no2 page 34" href="http://viewer.zmags.com/publication/e8e1d4ee?page=34"> trial conducted in Brazil, investigators found th</a> <a title="wmj_114no2 page 35" href="http://viewer.zmags.com/publication/e8e1d4ee?page=35"> PROCEEDINGS Proceedings from the 2014 Annual M</a> <a title="wmj_114no2 page 36" href="http://viewer.zmags.com/publication/e8e1d4ee?page=36"> bronchoscopy was unremarkable. High dose steroids</a> <a title="wmj_114no2 page 37" href="http://viewer.zmags.com/publication/e8e1d4ee?page=37"> Monoclonal Gammopathy of Mesenteric Significance </a> <a title="wmj_114no2 page 38" href="http://viewer.zmags.com/publication/e8e1d4ee?page=38"> (ECG) showed diffuse ST segment eleva- tion in th</a> <a title="wmj_114no2 page 39" href="http://viewer.zmags.com/publication/e8e1d4ee?page=39"> his condition improved. He was discharged home w</a> <a title="wmj_114no2 page 40" href="http://viewer.zmags.com/publication/e8e1d4ee?page=40"> believed there is a potential for misuse of their</a> <a title="wmj_114no2 page 41" href="http://viewer.zmags.com/publication/e8e1d4ee?page=41"> CD49d+ neutrophils in the BAL. The hygiene h</a> <a title="wmj_114no2 page 42" href="http://viewer.zmags.com/publication/e8e1d4ee?page=42"> tricle. Our patient was started on coumadin given</a> <a title="wmj_114no2 page 43" href="http://viewer.zmags.com/publication/e8e1d4ee?page=43"> DEAN’S CORNER K. Craig Kent, M</a> <a title="wmj_114no2 page 44" href="http://viewer.zmags.com/publication/e8e1d4ee?page=44"> tals and rural communities can be substantial. Su</a> <a title="wmj_114no2 page 45" href="http://viewer.zmags.com/publication/e8e1d4ee?page=45"> METASTAR MATTERS Preventing Adverse Drug Eve</a> <a title="wmj_114no2 page 46" href="http://viewer.zmags.com/publication/e8e1d4ee?page=46"> ADVERTISING Index to Advertisers Allina Healt</a> <a title="wmj_114no2 page 47" href="http://viewer.zmags.com/publication/e8e1d4ee?page=47"> When you need it. </a> <a title="wmj_114no2 page 48" href="http://viewer.zmags.com/publication/e8e1d4ee?page=48"> </a>