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There isno history of chest pain headache, sore throat, skin rash. The most impor-tant next step in management is to begin empiric antibiotics based on clinical suspicion.Intravenous dexamethasone has been shown to be of value in management of meningitisdue to HiB

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Circulation, 113 (2): 316–327.Sun, B.C., Emond, J.A., et al.

Drug actionby purely physical or chemical means, interactionswith small molecules or ions (antacids, chelatingagents, cholestyramine, etc.), as well as directinteraction with enzymes, ionic channels andtransporters has already been described. In order for a series of com-mentaries such as this to exist—in joke form or otherwise—the public mustfirst perceive a media that, if it does not closely approximate that presentedin the joke, is at least ambivalent enough to allow for such a possibility.

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