I once wrote about the communication difficulties caused by electronic medical records systems. The response on Twitter ranged from sentiments including everything from “right on, sister” to “greedy doctors are only complaining about EMRs because of their price tag.” The disconnect between policy wonk’s (and EMR vendor’s) belief in the transformative power of EMRs and exasperated clinician users of these products is jaw-dropping. Physicians are often labeled as ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 76-year-old woman is evaluated for a 1-day history of headache, left eye pain, nausea and vomiting, seeing halos around lights, and decreased visual acuity of the left eye. She has type 2 diabetes mellitus, hypertension, and atrial fibrillation. Medications are metformin, digoxin, metoprolol, hydrochlorothiazide, and warfarin. On physical examination, temperature is 36.8 ...

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medpagetodayFrom MedPage Today:

  1. Gene Test Has Promise for Nailing DCIS Recurrence Risk. A multigene panel predicted recurrence risk in ductal carcinoma in situ (DCIS), according to a population-based study.
  2. Docs, Guns, and Smokes. One day in clinic, 2 years ago, a patient handed Adam Goldstein, MD, MPH, a request for a concealed ...

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It started with a mild case of nausea and got progressively worse. I became dizzy and shaky, but tried to ignore it. There was work to be done that afternoon. We were moving boxes into storage at my in-laws’ house in Michigan, and I needed to be strong. I carried boxes on unsteady feet, catching myself before bumping into walls. By early evening my legs were wobbly, and I felt ...

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medpagetodayFrom MedPage Today:

  1. Renal Denervation: Not Dead Yet? A new analysis of the study that derailed the promise of catheter-based renal denervation may breathe new life into the procedure.
  2. 3 Ways to Select ICU Kids for Seizure Monitoring. Not all children with severe brain injuries need to be monitored for subclinical seizures, ...

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medpagetodayFrom MedPage Today:

  1. Ankylosing Spondylitis: More Than Just the Spine. Extra-articular disease manifestations that can have substantial impact on quality of life are common among patients with ankylosing spondylitis.
  2. Does Flu Vaccine Reduce Kids' ED Visits? The CDC recently announced it expects a more severe flu season this year, but a study ...

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medpagetodayFrom MedPage Today:

  1. Duplication Error May Make Giants. A duplication in a short stretch of the X chromosome may be responsible for a specific type of gigantism seen in children.
  2. Lab Work Moves More Quickly to Clinical Setting. A second investigational drug in the isocitrate dehydrogenase (IDH) inhibitor class has demonstrated activity ...

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medpagetodayFrom MedPage Today:

  1. Men on ADT Skipping Out on Bisphosphonates. Few men in Canada receiving androgen deprivation therapy (ADT) for prostate cancer have simultaneous bisphosphonate treatment to prevent fractures.
  2. What Every ED Should Have. The emergency department (ED) is one of the highest risk areas of any institution. Both the fast-paced environment ...

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Autism was first reported in the medical literature 70 years ago. In 1943 a child psychologist named Leo Kanner described a child with social difficulties and repetitive, stereotypic movements; the following year Hans Asperger described four such children. Since then we have gradually learned more about what we now call autism spectrum disorders (ASD), although we still do not know what causes it. From early on it was apparent that the ...

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medpagetodayFrom MedPage Today:

  1. Clinical Focus in MS: Novel Approaches to Progressive Disease. Although the drug development pipeline still contains numerous products intended for patients with relapsing-remitting multiple sclerosis (RRMS), the consensus among clinicians is that relapses can be effectively squelched in nearly all RRMS patients with the dozen or so currently approved therapies.

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