Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 38-year-old woman is evaluated during a follow-up visit. She has a history of well-controlled hypertension and type 1 diabetes mellitus. She is at 16 weeks' gestation with her first pregnancy. Prior to conception she was taking lisinopril, which was discontinued in anticipation of the pregnancy, and labetalol was initiated. Other medications ...

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medpagetodayFrom MedPage Today:

  1. CSF Biomarker May Predict Early AD Progression. Cerebrospinal fluid (CSF) levels of a certain brain protein may be a helpful predictor of progression to Alzheimer's disease.
  2. Diabetes More Likely in Children in Stressful Homes. Children who experienced psychologically stressful events faced a greater risk of developing type 1 diabetes ...

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medpagetodayFrom MedPage Today:

  1. Health IT: 'We Were Bound To Be Disappointed'. Robert Wachter, MD, works an hour north of Silicon Valley. Being surrounded by an "incredibly dynamic, vibrant IT ecosystem" contributed to a sense of disconnect for the associate chairman of medicine at the University of California San Francisco.
  2. Americans Miss WHO ...

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medpagetodayFrom MedPage Today:

  1. Nicotine Replacement in Pregnancy: How Risky? The absolute risk of major congenital anomalies was similar among infants born to smokers and those born to women on nicotine replacement therapy (NRT), but respiratory problems were worse in the latter group.
  2. AS Activity Tied to Future Risk for Heart Disease. Early ...

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medpagetodayFrom MedPage Today:

  1. Healthier Americans Mean a Stronger Economy. More health insurance results in more Americans who are in better health, which in turn makes the economy stronger.
  2. Dronedarone in Middle Age Linked to More Admissions. Treatment with dronedarone (Multaq) was associated with a higher risk for hospitalization than treatment with amiodarone ...

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medpagetodayFrom MedPage Today:

  1. Guidelines Loosen BP Targets in Heart Disease. Treatment should target under 140/90 mmHg for most hypertensive patients with known heart disease, according to new guidelines from the American Heart Association (AHA), the American College of Cardiology (ACC), and the American Society of Hypertension (ASH).
  2. Constipation Emergencies on the Rise. ...

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medpagetodayFrom MedPage Today:

  1. EHRs Take Center Stage in Battle to Control Hypertension. How did a group of community health clinics with a low-income and uninsured population and frequent no-shows achieve a hypertension control rate among the best in the country? Electronic health records.
  2. How Do You Bill For Teaching Parents? "When you ...

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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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medpagetodayFrom MedPage Today:

  1. OA Patients Don't Face Higher Heart Disease Risk. Neither radiographic nor clinical osteoarthritis (OA) was related to a greater risk for cardiovascular disease (CVD) in older patients.
  2. Senators to Providers, Industry: Lobby Harder on End-of-Life Care. A strong coalition is needed to transform care for the dying, said U.S. ...

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shutterstock_141857752 As a fellow in cardiology, you sign up to be part of a specialty that can involve emergencies. As a first-year fellow, usually you are running things by other senior fellows and attendings, and typically you are not the first person to make a decision on a plan. At times, though, there can be an exception to that rule, and it is ...

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