Brought to you by MedPage Today. 1. NSAID Use Raises Heart Risk in Arthritis. atients with rheumatoid arthritis and other inflammatory musculoskeletal diseases continue to be treated with nonsteroidal anti-inflammatory drugs (NSAIDs), even with their high risk for ischemic heart disease. 2. Mom's Worrying Linked to Kid's Asthma. Adolescents with asthma reported worse symptoms of breathlessness when they had anxious mothers, and the ...

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An excerpt from The Upstream Doctors: Medical Innovators Track Sickness to Its Source. There’s a story widely known in public health circles about three friends and a river. I retell it this way:

Three friends approach a wide, beautiful river leading to a waterfall. The idyllic scene is shattered by the cries of a small child in the water, flailing his arms while struggling to stay afloat. He’s fast approaching the ...

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Brought to you by MedPage Today. 1. Sleep Disorders when Kids Have Night Terrors. Sleep disordered breathing, periodic limb movement, and mood disturbances are common comorbidities in pediatric patients with parasomnias. 2. Veggies Are Key to Long Life. People who followed a vegetarian diet had a lower risk for death from any cause, and men in particular also saw benefits for cardiovascular mortality. 3. ...

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Brought to you by MedPage Today. 1. Asthma Tied to Sleep Apnea. Patients with asthma were also more likely to develop obstructive sleep apnea. 2. 5-Day Steroid Tx Works in COPD. A short-term course of systemic glucocorticoid therapy in patients with acute chronic obstructive pulmonary disease (COPD) was as effective as treatment of longer duration. 3. Cyberbullying, Risky Sex Hike Teen ...

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ACCP: Updated lung cancer guidelinesLung cancer causes more deaths in the United States, 160,000 estimated in 2012, than the next three most common cancers, colon, breast, and prostate, combined. More than 1.6 million people worldwide were newly diagnosed with lung cancer, comprising 13% of all new cancer diagnoses, and 1.4 million died of lung cancer, which was 18% of all cancer deaths ...

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Pierre arrives at the construction site, has his morning coffee and croissant, then ascends the scaffold to begin his work.  He felt a little woozy this morning but ignored it.  Becoming more dizzy, he loses his balance and falls two stories fracturing his femur and pelvis.  On arrival the paramedics find his health smart card in his wallet, scan it, and instantly have his medical records including medications, allergies and ...

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A 35-year-old woman is evaluated in an urgent care center for an acute exacerbation of asthma. She has a history of frequent asthma exacerbations requiring unscheduled visits; however, between these exacerbations, her examination and pulmonary function studies have been unremarkable. Her current medications are inhaled budesonide and inhaled albuterol. On physical examination, she is in moderate distress with audible inspiratory and expiratory wheezing. Temperature is 37.0 °C (98.6 °F), pulse rate ...

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I can remember making rounds with a seasoned surgical attending in medical school.  In typical fashion, surgical rounds were a lot like the military.  The “General” (attending physician) at the front, always commanding respect (and often fear) followed by the chief resident, junior residents, interns and finally medical students.  Cases were presented, statuses were updated and plans were formulated.  Then came the barrage of medical fact questions–mostly directed at the ...

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Brought to you by MedPage Today. 1. Functional MRI Can Be Used to Assess Pain. Data from several studies have shown that it's possible to assess and differentiate pain through an fMRI scan. 2. Big Spread Seen in Lung Cancer False Positives. Nationwide, one patient in 10 operated on for suspected lung cancer had benign disease, but the false positive rates varied widely ...

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Brought to you by MedPage Today. 1. Heart Health in Future Foretold in Teens. Many U.S. adolescents are already on their way to increased cardiovascular risk in adulthood. 2. Sleep Disordered Breathing Takes Toll on Kids. Children with sleep disordered breathing (SDB) are at significantly increased risk of behavioral problems, including hyperactivity, attention problems, aggressiveness, and reduced social competency. 3. $$$ ...

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