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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shutterstock_153808931 You might think of bacon, that thing of gustatory beauty that is salted, cured pork, as just pleasure for your taste buds, however, one of the first medical facts I learned in 2015 was that bacon has medicinal purposes (apart from making you feel better after eating it). With this new knowledge at hand, the time just seemed right for a ...

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shutterstock_108354956 This year, we celebrated our 25th wedding anniversary. So, last week, one evening, I told my wife about a news story I heard on National Public Radio (NPR) about the microbiology of a kiss. My wife smiled. A group of researchers, I said, looked at the oral bacterial flora of 21 couples to determine how many bacteria were transferred by a kiss. ...

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Since Ebola was first discovered in 1976, there have been an estimated 16 to 22 recorded outbreaks. In August, the World Health Organization designated the most recent outbreak a global emergency. Ebola is a deadly infection and the scope of the current epidemic in West Africa is unprecedented. More than 17,000 people have contracted Ebola virus disease (EVD) with more than 6,000 estimated deaths. Many in the health care field have criticized the response ...

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I stared down at the tired, deteriorating woman sprawled across a bariatric bed before me. A breathing tube was in her throat while multiple catheters pierced her arms and neck, pouring powerful medications directly into her veins. Among several functions, these infusions would maintain her blood pressure high enough to keep her organs alive. This was my initial, visual impression of a patient I was responsible for during my first ...

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shutterstock_154769528 This year's flu vaccine, as you likely know, is taking a drubbing. The contention is that CDC flubbed, and didn't get quite the right flu strains in the mix. That is apparently true, although more the "fault" of the influenza virus and its natively wily ways, than of the CDC. Either way, the drubbing is disproportionate to any flubbing. The drubbing occurs ...

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medpagetodayFrom MedPage Today:

  1. High-Dose Flu Vaccine Better for Frail Elderly. For frail older people living in long-term care, a high-dose inactivated influenza vaccine is a better option than the standard drug.
  2. Look into SGLT2 Fracture Risk, Researchers Urge. Look deeper into the potential relationship between SGLT2 inhibitors and bone fractures.

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medpagetodayFrom MedPage Today:

  1. OmniCarb Study: Cutting Carbs No Silver Bullet. Overweight and obese people who followed a low glycemic index diet in the context of an overall DASH-type diet had no greater improvements in insulin sensitivity, lipid levels or systolic blood pressure compared to study subjects who ate high glycemic index foods.

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medpagetodayFrom MedPage Today:

  1. Painful Hands, Hurting Hearts? Symptomatic osteoarthritis (OA) of the hands was associated with an elevated risk for coronary heart disease events, analysis of data from the Framingham Heart Study showed.
  2. Can Social Media Aid Public Health? Here's an angle Mark Zuckerberg has probably not yet mined: restaurant reviews and ...

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medpagetodayFrom MedPage Today:

  1. ED Throughput: A Fixable Problem. As I travel the freeways of the various cities I visit, I often come across billboards announcing waiting times at the local ED, or billboards promising no wait at all. Sometimes they just advertise "faster" care, whatever that means.
  2. Mumps Checks NHL Players. It ...

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