Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 44-year-old man is evaluated during a routine examination. He is concerned about his general health and risk of diabetes mellitus. He has no medical problems. Both parents and his sister have type 2 diabetes mellitus. On physical examination, temperature is normal, blood pressure is 130/79 mm Hg, pulse rate is 66/min, and ...

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medpagetodayFrom MedPage Today:

  1. Uncertainty and Litigation Fears Drive ED Docs to Overimage. Nearly all emergency medicine physicians responding to a survey said that at least some of the advanced imaging studies they ordered were medically unnecessary.
  2. USPSTF: Not Enough Evidence for Thyroid Screening. The U.S. Preventive Services Task Force (USPSTF) said there ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 54-year-old woman comes to the office for advice regarding maintaining bone health. She has no history of fracture. The patient recently had a lumpectomy and radiation therapy to treat breast cancer, is currently taking tamoxifen, and will begin taking an aromatase inhibitor in 2 months. She underwent menopause at age 52 ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 60-year-old man is evaluated as a new patient. He was diagnosed with type 2 diabetes mellitus during a health insurance evaluation 6 months ago. At that time, metformin was initiated. Medical history is otherwise unremarkable. On physical examination, blood pressure is 145/94 mm Hg; other vital signs are normal. BMI is 29. ...

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As much as I have given the "ologists" and other members of the dysfunctional U.S. health care system a hard time in previous posts, it’s only fair that I call out bad family medicine as well. I have a great example. I recently saw patient who is relatively new to the area who had seen another family physician in my community. He is 39-year-old male, and his only significant potential health ...

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Dr. Mack Harrell, president of the American Association of Clinical Endocrinologists, applauds the recent changes in the ABIM's MOC.   This is how you support your physician members.

medpagetodayFrom MedPage Today:

  1. Diabetes Patients on BP Meds at Lower Risk. Lowering blood pressure in patients with type 2 diabetes was associated with decreased mortality risk in a meta-analysis of 40 randomized trials.
  2. ACA: Beyond 'Repeal And Replace'. Repeal and replace" has been the rallying cry for Republicans since the Affordable Care ...

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medpagetodayFrom MedPage Today:

  1. Exposure to Secondhand Smoke Cut in Half. The number of people exposed to secondhand smoke dropped by half over the last decade, but one in four nonsmokers, or some 58 million people, are still exposed.
  2. Patients Mum on Work-Related Asthma. While 46% of employed adults had asthma that was ...

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medpagetodayFrom MedPage Today:

  1. U.S. Seniors Losing Grip on Muscle Strength. The first national survey on grip strength in older adults found that 5% of those over 60 had weak muscle strength, and 13% had intermediate strength.
  2. Low MI Risk in Patients With Non-MI Chest Pain. Patients treated in emergency departments (EDs) for ...

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medpagetodayFrom MedPage Today:

  1. NSAIDs Linked to Leaks After GI Surgery. Postoperative nonsteroidal anti-inflammatory drug (NSAID) use was associated with anastomotic leak after nonelective colorectal surgery.
  2. More Nurses May Mean Fewer Deaths in ICU. A high nurse to patient ratio in intensive care units was independently associated with a lower risk of in-hospital ...

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