Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 45-year-old man is admitted to the hospital for a 2-day history of fever and abdominal pain. His medical history is notable for cirrhosis due to chronic hepatitis C, esophageal varices, ascites, and minimal hepatic encephalopathy. His medications are furosemide, spironolactone, nadolol, lactulose, zinc, vitamin A, and vitamin D. On physical examination, temperature is 36.5 ...

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Brought to you by MedPage Today. 1. Arts Therapy Has Benefits in Cancer. Cancer patients who participated in creative arts therapy derived significant clinical, psychological, and quality-of-life benefits, a meta-analysis of more than two dozen studies showed. 2. Fecal Transplant: FDA Wants Regulation. Researchers who have been reporting success with the use of fecal transplant to treat resistant C. difficile are likely to ...

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Brought to you by MedPage Today. 1. Adult-Observed ADHD Reflects True Rate in Kids. Parent- and teacher-reported rates of attention-deficit/hyperactivity disorder do not appear to overestimate the true prevalence of the condition. 2. H7N9 Pandemic? Not Yet but Still Worrisome. The H7N9 avian influenza now circulating in China has two of the three characteristics of a pandemic virus. 3. If Job ...

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This is a call to arms to my fellow providers to protect our patients from themselves and our willingness to comply with their requests.  We live and practice in a society filled with fear of medications and their side effects.  People will not take blood pressure, cholesterol, or diabetic medication because of the side effects they have heard or read about. However, these same patients will take antibiotics every day of ...

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Brought to you by MedPage Today. 1. FDA Wants Cancer Warnings on Tanning Beds. Indoor tanning beds must must carry prominent warning labels indicating that children younger than 18 should not use them and that people who do use them need regular cancer screening. 2. Religion Powers End-of-Life Care. Terminal cancer patients with strong religious support were more likely to receive invasive treatments ...

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I have been struggling with a certain degree of cognitive dissonance following the announcement this winter of a study in the New England Journal of Medicine on the efficacy of fecal transplants as a therapy for clostridium difficile (C. diff) infections. While the study is the first to demonstrate the effectiveness of fecal transplants in treating recurrent C. diff infections (15 of the 16 patients in the group were cured ...

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Brought to you by MedPage Today. 1. Study Eases Some Azithromycin Fears. Danish patients taking azithromycin were at no greater risk of cardiovascular death, relative to those using penicillin, when pretreatment mortality risk was taken into account. 2. Study: Medicaid Expansion Won't Help All Aspects of Health. Expanding Medicaid coverage improves mental health but doesn't tackle some basic measures of physical health, like ...

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Brought to you by MedPage Today. 1. PFO Stroke Risk May Be Overstated. Among healthy older adults who were followed for more than a decade, the presence of a patent foramen ovale (PFO) was not associated with ischemic stroke or subclinical cerebrovascular disease. 2. Breast Cancer Deadlier in Women with Implants. Breast cancer appears more deadly for women with cosmetic implants, perhaps because ...

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Hollywood needs to make condoms sexy Think of the last few times you watched a popular movie that involved any kind of sex scene?  Not as in pornographic sex, but as in two characters ended up in bed together and had, ahem, conjugal relations. In how many of those scenes did either participant make mention of a condom before the act? We face a public health crisis of sexually transmitted ...

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Brought to you by MedPage Today. 1. SERMs Still Have Value for Breast Ca Prevention. Treatment with selective estrogen receptor modulators (SERMs) led to long-term protection against breast cancer. 2. C. Diff Infection Eludes European Hospitals. Infection with Clostridium difficile – a dangerous and potentially deadly condition – appears to be substantially under-diagnosed in European hospitals. 3. Medicare Panel to Mull ...

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