It seems as if teenage student athletes have been dying by the month in often spectacular and dramatic fashion.  Last September Texas high school senior Reggie Garrett died suddenly just after throwing a touchdown pass .  Last week a 16-year-old Michigan basketball player died dramatically just after becoming a hero by scoring the winning basket to preserve an undefeated season.  Then just a week later another 16 ...

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Golfer Phil Mickelson has had a rough year and a half. First, his wife and mother are diagnosed with breast cancer, and then he has a health scare of his own. Last year, after the US Open, Mickelson began to experience some troublesome symptoms. In an interview with Extra’s AJ Calloway, Mickelson opened up about what was going on: "After the U.S. Open last year, I wasn’t able to move. ...

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Medicine is presented as being highly scientific. This is until information comes out which questions certain assumptions that underpin the practice of medicine. One of the mantras of modern medicine is that early detection is good. This seems logical enough. However there is an underlying assumption. That is that there will be a worsening of the condition if it is not detected and that treatment will improve the situation. What would happen ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 20-year-old female college student is evaluated in December because of a 12-hour history of fever, myalgia, headache, and a rash. Her only medication is an oral contraceptive agent. On physical examination, the patient appears ill. Temperature is 38.8 °C (101.8 °F), blood pressure is 90/45 ...

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Most women in their 40′s believe they should have annual mammograms, regardless of what screening regimen their doctor might recommend. So say researchers in Massachusetts who surveyed women (primarily white, highly educated) ages 39-49 presenting for annual checkups. They gave the women a fact sheet about the new USPSTF guidelines on mammogram screening in their age group, and asked them to read one of two articles either supporting or
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A major innovation are the recent reports of success in replacing or repairing diseased or damaged  aortic or mitral valves via catheter-based techniques instead of open surgery. Mitral regurgitation is when the valve becomes unable to close tightly. Once the regurgitation becomes sufficiently severe to cause heart failure, the death rate reaches about 5% per year. Most such individuals are referred for cardiac surgery to either try to repair the valve, ...

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Diabetes tries to steal moments from me every second of every day.  I choose to steal these moments back.  Thus, the chosen name for my attitude toward diabetes, Outlaw Diabetic. Unlike the majority of the 360 million diabetics worldwide, I did not become a diabetic in my adult life.  I became a type I diabetic at 14 months old.  As a result, I have never had to change my way ...

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It is a big bummer to be an asthmatic. Not only is breathing a problem, but even the treatment for asthma can cause problems. Take for example steroid inhalers like Advair, Symbicort, fluticasone, etc. All asthma patients know to rinse their mouth out after inhaler use due to risk of oral thrush, but what about from the back of the mouth down to the vocal cords? This nether region can't be ...

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Given the staggering prevalence of overweight and obesity in most developed countries, there is no other hope than to have general practitioners (and their allied health colleagues) take on the considerable burden of managing obesity in their practices. In fact, a recent example of a successful weight management program run in primary care just found considerable media attention in local newspapers. But research shows that most general practitioners (GPs) neither feel confident ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 58-year-old man is evaluated for increasing fatigue of 2 months' duration. The patient has hypertension and hyperlipidemia treated with lisinopril and atorvastatin. A sister has hypothyroidism. On physical examination, temperature is normal, blood pressure is 135/80 mm Hg, pulse rate is 72/min, and respiration ...

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