medpagetodayFrom MedPage Today:

  1. Statins and RA: No Joint Benefit. The use of statins does not reduce onset of new joint pain or stiffness in middle-age or older women but their use is associated with poor physical functioning and poor self-rated health.
  2. Expert Groups Clarify HPV Testing Recommendations. Primary cervical cancer screening with ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 46-year-old woman is evaluated before undergoing a dental cleaning procedure involving deep scaling. She has a history of mitral valve prolapse without regurgitation and also had methicillin-resistant Staphylococcus aureus(MRSA) aortic valve endocarditis 10 years ago treated successfully with antibiotics. The patient notes an allergy to penicillin characterized by hypotension, hives, and wheezing. ...

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medpagetodayFrom MedPage Today:

  1. Whole Grains Reduce CVD, Total Death Risk. Eating a diet rich in whole grains was found to be associated with lower total mortality and deaths from cardiovascular disease (CVD), but not cancer.
  2. Tight Control Lowers Death in Type 1 Diabetes. Tight glucose control has a legacy effect of reduced ...

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medpagetodayFrom MedPage Today:

  1. Patients with peripheral spondyloarthritis responded to anti-TNF treatment. Patients with non-psoriatic peripheral spondyloarthritis (SpA) derived significant benefit from treatment with tumor necrosis factor (TNF) inhibition.
  2. Does Creatinine Say More About Muscle Quality than Mass? Urinary creatinine may be revealing more about muscle quality than muscle mass.
  3. 'Fat ...

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There are plenty of good reasons why thoughtful physicians are often unhappy with the current approach to measuring the quality of care they provide. Some, of course, object to the whole notion of quality measurement, but I believe they are in a shrinking minority clinging to an anachronistic mental model in which each physician defines for himself what constitutes high quality care. I have addressed this previously. But even those, ...

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As part of the second-year clinical skills course, each member of my class is required to complete two 8-hour emergency department (ED) shifts. I had my first ED shift last week, and when I walked in, I introduced myself as a second-year medical student who needed to practice IV placements, EKGs, and any other procedures that happened to come my way. Three hours later, when I walked out of the ...

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shutterstock_158365127 I can recall, though it seems quite long ago, my first basic life support (BLS) course as a first-year medical student. The instructor dutifully demonstrated on a mannequin to eager young medical students what to do if someone is found unresponsive. Shaking the unmoving mannequin she said loudly,  “Sir, are you OK?” Then hearing no response she showed us how to ...

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shutterstock_115054471 Lately, I’ve been hearing an awful lot about millennials, and how they’re the up-and-coming sector of our economy. So I did some research: I discovered that they’re nearly 80 million strong, and aged between 17 and 34 years. Far too young to be able to impact their heart health, right? New data from the NIH’s ongoing Coronary Artery Risk Development in Young Adults ...

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shutterstock_164594111 An article from the JAMA has been gnawing at my consciousness for the last couple of weeks. Dr. Prashant Kaul and colleagues out of the University of North Carolina reviewed records from hospitals in the state of California from 2008 through 2011, looking for patients who had been hospitalized with heart attacks. Specifically, they were looking for patients with ST elevation ...

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Standing in front of my patient’s home, I reach out to ring the bell. On the other side of the door live a man and his wife, who have been waiting patiently for my arrival. I hesitate for a moment before pressing the button. As I wait uneasily for the door to open, I think to myself that this is the first time I make a house call on my patient ...

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