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Vicki Elizabeth Noble, M.D.

TitleAssociate Professor of Emergency Medicine
InstitutionMassachusetts General Hospital
DepartmentEmergency Medicine
AddressMassachusetts General Hospital
Zero Emerson - 3B
55 Fruit St
Boston MA 02114
Phone617/726-5655
Fax617/724-0917
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 Bibliographic 
 selected publications
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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  1. Smith-Bindman R, Aubin C, Bailitz J, Bengiamin RN, Camargo CA, Corbo J, Dean AJ, Goldstein RB, Griffey RT, Jay GD, Kang TL, Kriesel DR, Ma OJ, Mallin M, Manson W, Melnikow J, Miglioretti DL, Miller SK, Mills LD, Miner JR, Moghadassi M, Noble VE, Press GM, Stoller ML, Valencia VE, Wang J, Wang RC, Cummings SR. Ultrasonography versus Computed Tomography for Suspected Nephrolithiasis. N Engl J Med. 2014 Sep 18; 371(12):1100-10.
    View in: PubMed
  2. Via G, Hussain A, Wells M, Reardon R, ElBarbary M, Noble VE, Tsung JW, Neskovic AN, Price S, Oren-Grinberg A, Liteplo A, Cordioli R, Naqvi N, Rola P, Poelaert J, Gulic TG, Sloth E, Labovitz A, Kimura B, Breitkreutz R, Masani N, Bowra J, Talmor D, Guarracino F, Goudie A, Xiaoting W, Chawla R, Galderisi M, Blaivas M, Petrovic T, Storti E, Neri L, Melniker L. International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr. 2014 Jul; 27(7):683.e1-683.e33.
    View in: PubMed
  3. Henwood PC, Mackenzie DC, Rempell JS, Murray AF, Leo MM, Dean AJ, Liteplo AS, Noble VE. A Practical Guide to Self-Sustaining Point-of-Care Ultrasound Education Programs in Resource-Limited Settings. Ann Emerg Med. 2014 Sep; 64(3):277-285.e2.
    View in: PubMed
  4. Genthon A, Frasure S, Kinnaman K, Huang C, Noble V. Bedside ultrasound diagnosis of a spontaneous splenic hemorrhage after tissue plasminogen activator administration. Am J Emerg Med. 2014 Dec; 32(12):1553.e1-2.
    View in: PubMed
  5. Lewiss RE, Tayal VS, Hoffmann B, Kendall J, Liteplo AS, Moak JH, Panebianco N, Noble VE. The core content of clinical ultrasonography fellowship training. Acad Emerg Med. 2014 Apr; 21(4):456-61.
    View in: PubMed
  6. Brattain LJ, Telfer BA, Liteplo AS, Noble VE. Automated B-line scoring on thoracic sonography. J Ultrasound Med. 2013 Dec; 32(12):2185-90.
    View in: PubMed
  7. Mackenzie DC, Sajed D, Noble VE. Diagnosis of Megaureter by Point-of-Care Ultrasound. J Emerg Med. 2014 Jul; 47(1):e1-3.
    View in: PubMed
  8. Alba GA, Kelmenson DA, Noble VE, Murray AF, Currier PF. Faculty staff-guided versus self-guided ultrasound training for internal medicine residents. Med Educ. 2013 Nov; 47(11):1099-108.
    View in: PubMed
  9. Martindale JL, Noble VE, Liteplo A. Diagnosing pulmonary edema: lung ultrasound versus chest radiography. Eur J Emerg Med. 2013 Oct; 20(5):356-60.
    View in: PubMed
  10. Sheng AY, Dalziel P, Liteplo AS, Fagenholz P, Noble VE. Focused Assessment with Sonography in Trauma and Abdominal Computed Tomography Utilization in Adult Trauma Patients: Trends over the Last Decade. Emerg Med Int. 2013; 2013:678380.
    View in: PubMed
  11. Howard ZD, Noble VE, Marill KA, Sajed D, Rodrigues M, Bertuzzi B, Liteplo AS. Bedside ultrasound maximizes patient satisfaction. J Emerg Med. 2014 Jan; 46(1):46-53.
    View in: PubMed
  12. Dubourg J, Messerer M, Karakitsos D, Rajajee V, Antonsen E, Javouhey E, Cammarata A, Cotton M, Daniel RT, Denaro C, Douzinas E, Dubost C, Berhouma M, Kassai B, Rabilloud M, Gullo A, Hamlat A, Kouraklis G, Mannanici G, Marill K, Merceron S, Poularas J, Ristagno G, Noble V, Shah S, Kimberly H, Cammarata G, Moretti R, Geeraerts T. Individual patient data systematic review and meta-analysis of optic nerve sheath diameter ultrasonography for detecting raised intracranial pressure: protocol of the ONSD research group. Syst Rev. 2013; 2:62.
    View in: PubMed
  13. Tirado A, Wu T, Noble VE, Huang C, Lewiss RE, Martin JA, Murphy MC, Sivitz A, Cohen SG. Ultrasound-guided procedures in the emergency department-diagnostic and therapeutic asset. Emerg Med Clin North Am. 2013 Feb; 31(1):117-49.
    View in: PubMed
  14. Mackenzie DC, Liteplo AS, Noble VE. Sensitivity of point-of-care ultrasonography for common thoracic injuries. Chest. 2013 Jan; 143(1):269.
    View in: PubMed
  15. Dalziel PJ, Noble VE. Bedside ultrasound and the assessment of renal colic: a review. Emerg Med J. 2013 Jan; 30(1):3-8.
    View in: PubMed
  16. Frasure SE, Rempell JS, Noble VE, Liteplo AS. Emergency ultrasound diagnosis of ovarian hyperstimulation syndrome: case report. J Emerg Med. 2012 Aug; 43(2):e129-32.
    View in: PubMed
  17. Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012 Apr; 38(4):577-91.
    View in: PubMed
  18. Noble VE. Think ultrasound when evaluating for pneumothorax. J Ultrasound Med. 2012 Mar; 31(3):501-4.
    View in: PubMed
  19. Moore C, Blaivas M, Chiricolo G, Hoffmann B, Lewiss R, Noble V, Panebianco N, Stone MB, Tayal V. Re: "a survey of emergency physician-performed ultrasound: implications for academic radiology departments". J Am Coll Radiol. 2012 Jan; 9(1):81-2; author reply 82.
    View in: PubMed
  20. Stone MB, Nagdev A, Tayal VS, Noble VE. Ultrasonographic infection control practices in the emergency department: a call for evidence-based practice. Ann Emerg Med. 2012 Jan; 59(1):83-4; author reply 84.
    View in: PubMed
  21. Fagenholz PJ, Murray AF, Noble VE, Baggish AL, Harris NS. Ultrasound for high altitude research. Ultrasound Med Biol. 2012 Jan; 38(1):1-12.
    View in: PubMed
  22. Liteplo AS, Noble VE, Attwood BH. Real-time video streaming of sonographic clips using domestic internet networks and free videoconferencing software. J Ultrasound Med. 2011 Nov; 30(11):1459-66.
    View in: PubMed
  23. Ilgen JS, Manini AF, Hoffmann U, Noble VE, Giraldez E, Nualpring S, Bohan JS. Prognostic utility of the acute cardiac ischemia time-insensitive predictive instrument (ACI-TIPI). Int J Emerg Med. 2011; 4(1):49.
    View in: PubMed
  24. Rempell JS, Noble VE. Using lung ultrasound to differentiate patients in acute dyspnea in the prehospital emergency setting. Crit Care. 2011; 15(3):161.
    View in: PubMed
  25. Johannsen H, Nolan R, Pascoe EM, Cuthbert P, Noble V, Corderoy T, Franzmann A, Loh R, Prescott SL. Skin prick testing and peanut-specific IgE can predict peanut challenge outcomes in preschoolchildren with peanut sensitization. Clin Exp Allergy. 2011 Jul; 41(7):994-1000.
    View in: PubMed
  26. Agricola E, Arbelot C, Blaivas M, Bouhemad B, Copetti R, Dean A, Dulchavsky S, Elbarbary M, Gargani L, Hoppmann R, Kirkpatrick AW, Lichtenstein D, Liteplo A, Mathis G, Melniker L, Neri L, Noble VE, Petrovic T, Reissig A, Rouby JJ, Seibel A, Soldati G, Storti E, Tsung JW, Via G, Volpicelli G. Ultrasound performs better than radiographs. Thorax. 2011 Sep; 66(9):828-9; author reply 829.
    View in: PubMed
  27. Labovitz AJ, Noble VE, Bierig M, Goldstein SA, Jones R, Kort S, Porter TR, Spencer KT, Tayal VS, Wei K. Focused cardiac ultrasound in the emergent setting: a consensus statement of the American Society of Echocardiography and American College of Emergency Physicians. J Am Soc Echocardiogr. 2010 Dec; 23(12):1225-30.
    View in: PubMed
  28. Levine AC, Shah SP, Umulisa I, Munyaneza RB, Dushimiyimana JM, Stegmann K, Musavuli J, Ngabitsinze P, Stulac S, Epino HM, Noble VE. Ultrasound assessment of severe dehydration in children with diarrhea and vomiting. Acad Emerg Med. 2010 Oct; 17(10):1035-41.
    View in: PubMed
  29. Gethin-Jones TL, Noble VE, Morse CR. Quantification of diaphragm function using ultrasound: evaluation of a novel technique. Ultrasound Med Biol. 2010 Nov; 36(11):1965-9.
    View in: PubMed
  30. Martindale JL, Bunker CJ, Noble VE. Ingested foreign bodies in a patient with pica. Gastroenterol Hepatol (N Y). 2010 Sep; 6(9):582-4.
    View in: PubMed
  31. Kimberly HH, Murray A, Mennicke M, Liteplo A, Lew J, Bohan JS, Tyer-Viola L, Ahn R, Burke T, Noble VE. Focused maternal ultrasound by midwives in rural Zambia. Ultrasound Med Biol. 2010 Aug; 36(8):1267-72.
    View in: PubMed
  32. Marsh RH, Levine AC, Noble VE, Brown DF, Nadel ES. Blunt cardiac rupture. J Emerg Med. 2010 Sep; 39(3):337-40.
    View in: PubMed
  33. Noble VE, Blaivas M, Blankenship R, Chiricolo G, Dean A, Fox JC, Gaspari R, Hoffmann B, Hoffman B, Jones R, Moore C, Sierzenski P, Tayal V, Tillotson R. Decision rule for imaging utilization in blunt abdominal trauma--where is ultrasound? Ann Emerg Med. 2010 May; 55(5):487-9; author reply 489-90.
    View in: PubMed
  34. Noble VE, Liteplo AS, Nelson BP, Thomas SH. The impact of analgesia on the diagnostic accuracy of the sonographic Murphy's sign. Eur J Emerg Med. 2010 Apr; 17(2):80-3.
    View in: PubMed
  35. Liteplo AS, Murray AF, Kimberly HH, Noble VE. Real-time resolution of sonographic B-lines in a patient with pulmonary edema on continuous positive airway pressure. Am J Emerg Med. 2010 May; 28(4):541.e5-8.
    View in: PubMed
  36. Manini AF, Ilgen J, Noble VE, Bamberg F, Koenig W, Bohan JS, Hoffmann U. Derivation and validation of a sensitive IMA cutpoint to predict cardiac events in patients with chest pain. Emerg Med J. 2009 Nov; 26(11):791-6.
    View in: PubMed
  37. Soremekun OA, Noble VE, Liteplo AS, Brown DF, Zane RD. Financial impact of emergency department ultrasound. Acad Emerg Med. 2009 Jul; 16(7):674-80.
    View in: PubMed
  38. Manini AF, McAfee AT, Noble VE, Bohan JS. Myeloperoxidase to risk stratify emergency department patients with chest pain. Int J Biomed Sci. 2009 Jun; 5(2):129-35.
    View in: PubMed
  39. Shah S, Kimberly H, Marill K, Noble VE. Ultrasound techniques to measure the optic nerve sheath: is a specialized probe necessary? Med Sci Monit. 2009 May; 15(5):MT63-8.
    View in: PubMed
  40. Shah SP, Epino H, Bukhman G, Umulisa I, Dushimiyimana JM, Reichman A, Noble VE. Impact of the introduction of ultrasound services in a limited resource setting: rural Rwanda 2008. BMC Int Health Hum Rights. 2009; 9:4.
    View in: PubMed
  41. Noble VE, Murray AF, Capp R, Sylvia-Reardon MH, Steele DJ, Liteplo A. Ultrasound assessment for extravascular lung water in patients undergoing hemodialysis. Time course for resolution. Chest. 2009 Jun; 135(6):1433-9.
    View in: PubMed
  42. Liteplo AS, Marill KA, Villen T, Miller RM, Murray AF, Croft PE, Capp R, Noble VE. Emergency thoracic ultrasound in the differentiation of the etiology of shortness of breath (ETUDES): sonographic B-lines and N-terminal pro-brain-type natriuretic peptide in diagnosing congestive heart failure. Acad Emerg Med. 2009 Mar; 16(3):201-10.
    View in: PubMed
  43. Noble VE, Lamhaut L, Capp R, Bosson N, Liteplo A, Marx JS, Carli P. Evaluation of a thoracic ultrasound training module for the detection of pneumothorax and pulmonary edema by prehospital physician care providers. BMC Med Educ. 2009; 9:3.
    View in: PubMed
  44. Fagenholz PJ, Gutman JA, Murray AF, Noble VE, Camargo CA, Harris NS. Optic nerve sheath diameter correlates with the presence and severity of acute mountain sickness: evidence for increased intracranial pressure. J Appl Physiol (1985). 2009 Apr; 106(4):1207-11.
    View in: PubMed
  45. Manini AF, McAfee AT, Noble VE, Bohan JS. Prognostic value of the Duke treadmill score for emergency department patients with chest pain. J Emerg Med. 2010 Aug; 39(2):135-43.
    View in: PubMed
  46. Perkins AM, Liteplo A, Noble VE. Ultrasound diagnosis of type a aortic dissection. J Emerg Med. 2010 May; 38(4):490-3.
    View in: PubMed
  47. Noble VE, Liteplo A, Miller RM, Murray AF, Villen T. Cornual ectopic pregnancy diagnosed by emergency physician-performed bedside ultrasound in the emergency department. J Emerg Med. 2011 Apr; 40(4):e81-2.
    View in: PubMed
  48. Shah S, Noble VE, Umulisa I, Dushimiyimana JM, Bukhman G, Mukherjee J, Rich M, Epino H. Development of an ultrasound training curriculum in a limited resource international setting: successes and challenges of ultrasound training in rural Rwanda. Int J Emerg Med. 2008 Sep; 1(3):193-6.
    View in: PubMed
  49. Kimberly HH, Noble VE. Using MRI of the optic nerve sheath to detect elevated intracranial pressure. Crit Care. 2008; 12(5):181.
    View in: PubMed
  50. Levy JA, Noble VE. Bedside ultrasound in pediatric emergency medicine. Pediatrics. 2008 May; 121(5):e1404-12.
    View in: PubMed
  51. Kimberly HH, Shah S, Marill K, Noble V. Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure. Acad Emerg Med. 2008 Feb; 15(2):201-4.
    View in: PubMed
  52. Vosburgh KG, Stoll J, Noble V, Pohl K, San José Estepar R, Takacs B. Image registration assists novice operators in ultrasound assessment of abdominal trauma. Stud Health Technol Inform. 2008; 132:532-7.
    View in: PubMed
  53. Noble VE, Nelson BP, Sutingco AN, Marill KA, Cranmer H. Assessment of knowledge retention and the value of proctored ultrasound exams after the introduction of an emergency ultrasound curriculum. BMC Med Educ. 2007; 7:40.
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  54. Fagenholz PJ, Gutman JA, Murray AF, Noble VE, Thomas SH, Harris NS. Chest ultrasonography for the diagnosis and monitoring of high-altitude pulmonary edema. Chest. 2007 Apr; 131(4):1013-8.
    View in: PubMed
  55. Noble VE, Nelson BP, Sutingco N. Bedside Emergency Ultrasound. 2007.
  56. Noble VE, Nelson BP, Sutingco N, Cranmer H. Impact of Ultrasound Curriculum on Emergency Medicine Faculty Competency in Bedside Focused Sonography. BMC Emergency Medicine. 2007; under review..
  57. Fagenholz PJ, Gutman JA, Murray AF, Noble VE, Wu A, Zeimer G, Harris NS. Arterial thrombosis at high altitude resulting in loss of limb. High Alt Med Biol. 2007; 8(4):340-7.
    View in: PubMed
  58. Manini AF, McAfee AT, Noble VE, Bohan JS. Prognostic Value of Duke Treadmill Score in Emergnecy Department Patients with Chest Pain. American Journal of Emergency Medicine. 2007; accepted, awaiting publication.
  59. Fagenholz PJ, Gutman JA, Murray AF, Noble VE, Camargo CA, Harris NS. Evidence for increased intracranial pressure in high altitude pulmonary edema. High Alt Med Biol. 2007; 8(4):331-6.
    View in: PubMed
  60. PJ Fagenholz, JA Gutman, AF Murray, VE Noble, NS Harris. Optic nerve sheath ultrasonography can be used to monitor intracranial pressure in high altitude cerebral edema. High Altitude Medicine and Biology. 2006; 7(4):327.
  61. PJ Fagenholz, JA Gutman, AF Murray, VE Noble, CA Camargo, AJ Pelletier, NS Harris. Optic nerve sheath diameter: a surrogate measure of intracranial pressure is associated with the presence and severity of acute mountain sickness. High Altitude Medicine and Biology. 2006; 7(4):328.
  62. PJ Fagenholz, JA Gutman, AF Murray, VE Noble, NS Harris. Optic nerve sheath diameter is increased in high altitude pulmonary edema: evidence for increased intracranial pressure. High Altitude Medicine and Biology. 2006; 7(4):328.
  63. PJ Fagenholz, JA Gutman, AF Murray, VE Noble, A Wu, NS Harris. Peripheral arterial thromboembolism at high altitude: Report of a case and the aplication of ultrasound in remote high-altitude setting. High Altitude Medicine and Biology. 2006; 7(4):327.
  64. Manini AF, McAfee AT, Noble VE, Bohan JS. Risk Stratification of Emergency Department Patients with Chest Pain Using C-Reactive Protein. Annals of Emergency Medicine. 2006; 48(4):S28.
  65. A Manini MD, A McAfee MD MSc, VE Noble MD, S Naulpring, JS Bohan MD MSS. Prognostic Significance of Non-Diagnostic Stress Tests from the Chest Pain Unit. Academic Emergency Medicine. 2006; 13(5 Suppl 1):S186.
  66. HE Harbison MD, S Shah MD, VE Noble MD. Validation of Ocular Nerve Sheath Diameter Measurements with Ultrasound. Academic Emergency Medicine. 2006; 13(5 Suppl 1):S198.
  67. A Manini MD, A McAfee MD MSc, V Noble MD, JS Bohan MD MSS. Moderate Risk Duke Treadmill Scores are Associated with Worse 30-Day Outcomes. Academic Emergency Medicine. 2006; 13(5 Suppl 1):S36.
  68. Manini AF, McAfee AT, Noble VE, Bohan JS. Acute cardiac ischemia time-insensitive predictive instrument predicts exercise treadmill test results in the chest pain unit. Am J Emerg Med. 2006 May; 24(3):375-8.
    View in: PubMed
  69. Alex F. Manini, MD; Vicki E. Noble, MD; Andrew T. McAfee, MD, MSc; J. Stephen Bohan, MD, MS. Does Myeloperoxidase Risk-Stratify Troponin-Negative Chest Pain Unit Patients?. New England Regional Society for Academic Emergency Medicine Conference. 2006.
  70. Manini AF, McAfee AT, Noble V, Brewer Z, Bohan JS. Use of the inflammatory cardiac marker myeloperoxidase to screen emergency department patients in the chest pain unit. Academic Emergency Medicine. 2005; 12(5, Supplement 1):pp 31-2.
  71. Vicki E. Noble. Hyperemesis. Elizabeth L. Mitchell and Ron Medzon, editors. Introduction to Emergency Medicine. 2005; 180-6.
  72. Noble VE, Brown DF. Renal ultrasound. Emerg Med Clin North Am. 2004 Aug; 22(3):641-59.
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  73. Vicki E. Noble, David F. M. Brown. Renal Ultrasound. Carlo Rosen and Richard E. Wolfe, editors. Emergency Medicine Clinics of North America. 2004; 22(no. 3):p. 641-60..
  74. TH Marshburn, E Legome, A Sargsyan, S Melton, J Li, VE Noble, SA Dulchavsky, C Sims, D Robinson. Goal-Directed Ultrasound in the Detection of Long-bone Fractures. Journal of Trauma, Injury, Infection and Critical Care. 2004; 57(2):329-32.
  75. Noble VE, Peak DA. Secondary Survey Evaluation of the Trauma Patient. Sheridan RL, editor. The Trauma Handbook of The Massachusetts General Hospital. 2004; 108-19.
  76. Pozner CN, Bayleygne TM, Davis MA, Benin-Goreno O, Noble VE, Halpern P. Emergency medical services capacities in the developing world: prelimary evaluation and training in Addis Ababa, Ethiopia. Prehospital Emergency Care. 2003; 7(3):392-6.
  77. Pozner CN, Bayleygne TM, Davis MA, Benin-Goren O, Noble VE, Halpern P. Emergency medical services capacities in the developing world: preliminary evaluation and training in Addis Ababa, Ethiopia. Prehosp Emerg Care. 2003 Jul-Sep; 7(3):392-6.
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  78. Alex F. Manini, MD; Vicki E. Noble, MD; Chana Weiner; Andrew McAfee, MD, MSc; Joshua M. Kosowsky, MD. Can Presenting Clinical Features Be Used To Predict ETT Outcome Among Low-Risk Chest-Pain Patients In The ED?. Sixth National Congress of Chest Pain Centers. 2003.
  79. Noble VE, Legome E, Marshburn T. Long Bone Ultrasound: Making the Diagnosis in Remote Locations. Journal of Trauma, Injury, Infection and Critical Care. 2003; 54(4):800-2.
  80. Noble VE, Legome E, Marshburn T. Long bone ultrasound: making the diagnosis in remote locations. J Trauma. 2003 Apr; 54(4):800.
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  81. Hamedani A, Lai M, Noble VE, Shah K, Zane R (ed) and Walls R (ed). Pocket Emergency Medicine. 2003.
  82. Noble VE, Singh MK. InConCert: The LLSA Literature Review Article 6: State of the Art: Therapeutic Controversies in Severe Asthma. Critical Decisions in Emergency Medicine. 2003; 17(10).
  83. Noble VE, Nadel ES, Brown DF. Change in mental status. J Emerg Med. 2002 Nov; 23(4):401-3.
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  84. Noble VE, Bontempo LJ, Nadel ES, Brown DF. Stridor. J Emerg Med. 2000 Aug; 19(2):183-6.
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  85. Gottschalk A, Smith DS, Jobes DR, Kennedy SK, Lally SE, Noble VE, Grugan KF, Seifert HA, Cheung A, Malkowicz SB, Gutsche BB, Wein AJ. Preemptive epidural analgesia and recovery from radical prostatectomy: a randomized controlled trial. JAMA. 1998 Apr 8; 279(14):1076-82.
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  86. Noble V, Murray M, Webb MS, Alexander J, Swarbrick AS, Milner AD. Respiratory status and allergy nine to 10 years after acute bronchiolitis. Arch Dis Child. 1997 Apr; 76(4):315-9.
    View in: PubMed
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