Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman is evaluated for redness that developed over her right leg at the site of a mosquito bite. She is otherwise healthy and takes no medications. On physical examination, temperature is 37.2 °C (99.0 °F), blood pressure is 120/70 mm Hg, pulse rate is 70/min, and respiration rate is 14/min. There ...

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shutterstock_227904523 We physicians have long labored under the belief that if we provide objective data about the safety and efficacy of vaccines we can change anti-vaxxers’ minds. But political scientist Brendan Nyhan, Ph.D. has shown that directly addressing patients’ concerns about vaccines does little to change their decision to immunize. And he’s probably right. Other research examining the effects of education ...

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As I have been known to say on this blog once or twice before, one of my favorite things about being a developmental pediatrician is the opportunity to follow the children I see for initial diagnostic evaluation over the long term. New research presented at the Pediatric Academic Societies conference makes me especially hopeful. When our clinical ...

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On May 2, 2015, at approximately 6 a.m. local time, the Duchess of Cambridge was admitted to the Lindo Wing of Saint Mary’s Hospital after going into labor. At 8:34 a.m., the Duke and Duchess welcomed a baby girl, Charlotte Elizabeth Diana, into the world weighing 8 lbs. 3 oz. Kensington Palace announced the arrival of the fourth royal in line to the British throne at 11 a.m. At around ...

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american cancer society It's a headline that I suspect many thought would never be written, but it was -- in the New Orleans Advocate: "Harrah's Casino in New Orleans gives patrons lollipops as it introduces smoking ban." Six months ago, there weren't many who thought this could happen, that the city council of New Orleans would pass, and the mayor ...

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It was a Wednesday in late spring, 1972. I was a nursing student in my final months of training, eagerly awaiting graduation. When I arrived on the maternity ward that morning, my nursing instructor told me that I'd be caring for a baby, only hours old, with special needs. I thought she'd send me to the neonatal ICU. Instead, to my surprise, she motioned toward the linen closet, its doors closed tight. "The ...

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One of the words we don’t use anymore is cretin; it’s long been a derogatory slur rather than a precise description of something. But a century ago cretinism actually meant a specific thing: a person, generally a child, who was severely damaged by a lack of thyroid hormone during early development, particularly fetal development. Now we call the condition congenital hypothyroidism. A few cases still exist, which is why we ...

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shutterstock_202121116 I suffered from extreme nausea during my pregnancy; I had triplets, and I’m pretty sure I had a triple dose. I never threw up, but you know how your mouth salivates the moment right before you vomit, that sensation that sends you running to the bathroom? I had that. All. Day. Long. For four weeks. By day four or five I was ...

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asco-logo The patient was a young looking 74-year-old woman, accompanied by her husband. She was not exactly sure why she was seeing me and nodded as I explained that I see all women with anal or rectal cancer who are being treated with radiation therapy. I explained that we recommend that these patients use vaginal dilators to improve elasticity after ...

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In my work as a bioethicist, I have very rarely taken an “absolutist” position regarding the use of a biomedical technology. But when I read an article titled “Chinese Scientists Edit Genes of Human Embryos, Raising Concerns,” my reaction was that this should not be done. I am not alone. The technique mentioned enables genes to be altered in every cell ...

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