Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 72-year-old man is hospitalized for treatment of community-acquired pneumonia. Despite 4 days of treatment with intravenous fluids and antibiotics appropriate for the bacteria cultured from sputum and blood, he remains febrile with mild tachycardia. The patient subsequently develops mild hypotension and is transferred to the intensive care unit. Results of two ...

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Top stories in health and medicine, August 8, 2014From MedPage Today:

  1. Ain't No Sunshine in This Act. Robert Harbaugh, MD, just wanted to do the right thing.
  2. Gut Bacteria May Aid Testing for Colon Cancer. Analysis of gut bacteria in stool samples improved detection of colon cancer or precancerous polyps by fives times compared with a standard fecal occult blood ...

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The scientific literature is replete with the failure of vitamins to support diseases.  Yet, the industry is booming and people's cabinets are filled with potentially harmful, poorly studied colorful bottles that make unsubstantiated magical claims. This year, we witnessed Dr. Mehmet Oz, a celebrity doctor who frequently extols weight loss products, supplements and vitamins on his syndicated television show come under fire from regulatory committees for false claims and poor outcomes. The ...

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At the recent gubernatorial candidates forum on mental health, Martha Coakley repeated the oft-heard phrase that depression is like diabetes. Her motivation was good, the idea being to reduce the stigma of mental illness, and to offer "parity" or equal insurance coverage, for mental and physical illness. However, I am concerned that this phrase, and its companion, "ADHD is like diabetes," will, in fact, have the exact opposite effect. A ...

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Top stories in health and medicine, July 31, 2014From MedPage Today:

  1. Florida 'Gun Gag' Angers Medical Societies. Medical societies condemned the federal court decision allowing Florida to forbid physicians from asking patients if they keep firearms at home, with severe penalties for violators.
  2. Compromise Reached on Vets' Healthcare. Congressional leaders appear to have reached a compromise on a bill to ...

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Top stories in health and medicine, July 25, 2014From MedPage Today:

  1. Vitamin D Megadoses Safe in Frail Elderly. Giving a very high dose of vitamin D -- 20,000 IU per week -- to older patients in nursing homes keeps them sufficient in the vitamin and appears to be safe.
  2. Medicare Tests Exceptions to 3-Day Rule. Medicare officials have allowed patients ...

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Top stories in health and medicine, July 23, 2014From MedPage Today:

  1. Salt Consumption Tied to Heart Risk in T2D. Higher salt intake was associated with a greater risk of cardiovascular disease in patients with type 2 diabetes.
  2. Three-Drug Cocktail Has Promise in TB. An experimental, three-drug tuberculosis (TB) treatment regimen demonstrated bactericidal activity in patients with drug-sensitive or multidrug-resistant disease.

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Top stories in health and medicine, July 22, 2014From MedPage Today:

  1. Error: You Have No Payments from Pharma. The federal government has a word for physicians who don't have financial relationships with pharmaceutical and medical device manufacturers: "Error."
  2. Do the Eyes Really Have it in Diabetes? Novartis and Google garnered much media attention last week when they announced their partnership ...

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Top stories in health and medicine, June 30, 2014From MedPage Today:

  1. FDA Finally OKs Inhaled Insulin. After several denials, the FDA announced Friday that it had approved inhaled insulin (Afrezza) to be used for improving glycemic control in adult patients with diabetes.
  2. ADHD Meds Tied to Cardio Risk. Danish children taking stimulant drugs for attention deficit-hyperactivity disorder (ADHD) had roughly ...

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Top stories in health and medicine, June 26, 2014From MedPage Today:

  1. Drug Discounts Have Pharma Crying Foul. In 1992, the federal government told drug manufacturers they had to give steep discounts to hospitals that treat a large percentage of poor patients.
  2. Quitting Snus After MI May Lower Death Risk. Stopping the use of smokeless tobacco after a myocardial infarction (MI) ...

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