Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 59-year-old woman is evaluated for a 1-week history of increasing pain of the right foot. She recalls stepping on a nail about 1 month before her symptoms began. The patient has a 5-year history of heart failure secondary to idiopathic dilated cardiomyopathy. She has an implantable cardioverter-defibrillator, and her current medications ...

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Should we be worried about Ebola? That’s the question on the minds of many Americans given the first documented case on U.S. soil. And now there is a second possible case, someone having contact with Thomas Duncan, the first U.S. case of Ebola. Thomas Frieden, director of the Centers for Disease Control and Prevention reassures us, “I have no doubt that we’ll stop this in its tracks in the U.S.” President Obama also 
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Top stories in health and medicine, October 3, 2014From MedPage Today:

  1. Best Aortic Valve Type in Middle Age? Bioprosthetic aortic valves didn't compromise long-term outcomes for middle-age adults compared with mechanical valves, although there were some tradeoffs.
  2. Burnout 'Across the Pond' More than 70% of young oncologists in Europe are showing signs of burnout.
  3. Ebola: Dallas Case Inevitable ...

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Top stories in health and medicine, October 2, 2014From MedPage Today:

  1. Vitamin D No Help in the ICU. Trying to correct vitamin D deficiency in the ICU won't improve outcomes.
  2. Ebola: CDC Confirms First U.S. Diagnosis. A man in intensive care in Dallas is the first person to be diagnosed with Ebola in U.S.
  3. Exercise and Diabetes: Calculating ...

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It had been crazy busy all night in the emergency department and I had been running from room to room patching holes and trying to get patients seen. I felt behind all night.  Finally, I had a moment to collect my thoughts and turned my attention to a patient who had been waiting for quite a while. This patient had multiple large and deep lacerations to his forearm, self-inflicted wounds caused during ...

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Top stories in health and medicine, September 29, 2014From MedPage Today:

  1. Plans Wrestling With Narrow Networks, Accurate Doc Lists. Narrow provider lists are only one of several network adequacy issues that insurers and regulators are grappling with.
  2. Ebola: 'Magic Bullets' or Current Tools? European health authorities want to compile an overview of all the available data on experimental medications for ...

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Top stories in health and medicine, September 26, 2014From MedPage Today:

  1. Study: Minor Memory Problems Merit Attention. Patients who reported having lost a step mentally were at nearly triple the risk of being diagnosed with definite cognitive impairment later on, albeit with a lag of about 6 to 10 years.
  2. Chlamydia Still Common: CDC. Chlamydia continues to be the most ...

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Top stories in health and medicine, September 25, 2014From MedPage Today:

  1. When the Student Becomes the Teacher. Being first assistant in the operating room as a medical student influenced Sophia McKinley, MD to pursue surgery.
  2. U.S. Diabetes Rates No Longer Soaring. After years of substantial increases, rates of diabetes may be plateauing in the U.S., government data suggested.

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In a study in the American Journal of Infection Control, researchers coated a gloved hand in E. coli.  One person with the E. coli glove then they shook hands, high-fived, and fist bumped another person with a sterile glove.  Transfer of E. coli to the sterile glove was measured. Results:

  • highest transfer of bacteria: handshake
  • lowest transfer of bacteria: fist bump (high five was in the middle)
  • difference: fist bump less than 10% of ...

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Top stories in health and medicine, September 22, 2014From MedPage Today:

  1. UN: Ebola 'Threat to Security'. The West Africa Ebola epidemic is a threat to international peace and security, the United Nations Security Council decided.
  2. Surgical Training Can Be Fun and Games. Make simulation training like a game and surgical residents will want to play, researchers reported in a letter ...

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