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Empiric Initial Therapy
Until susceptibility results are available, empiric initial treatment consists of a 4-drug regimen of isoniazid, rifampin, pyrazinamide and ethambutol. Patients who cannot take pyrazinamide, such as those who have severe liver disease or gout, should receive empiric initial therapy with isoniazid, rifampin and ethambutol.
Describe Fourth Heart Sound in details? S 4 is generated during the atrial-filling phase. It is a low frequency event. LVS, is best heard over apex. Mechanism of S 4 generat
diagram of dna replication
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