MKSAP: 54-year-old woman asking advice about bone health
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 54-year-old woman comes to the office for advice regarding maintaining bone health. She has no history of fracture. The patient recently had a lumpectomy and radiation therapy to treat breast cancer, is currently taking tamoxifen, and will begin taking an aromatase inhibitor in 2 months. She underwent menopause at age 52 years and has persistent hot flushes. Her risk factors for osteoporosis include a slim body habitus and a mother who had a hip fracture at age 67 years.
Physical examination findings, includin...
Source: Kevin, M.D. - Medical Weblog - March 21, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Endocrinology Source Type: blogs
Top stories in health and medicine, March 10, 2015
From MedPage Today:
Kid’s Asthma Not Linked to Maternal SSRIs in Pregnancy. Children whose depressed mothers took newer antidepressants while pregnant were not at increased risk of childhood asthma.
Menopausal HT Not Tied to Greater Death Risk. Hormone therapy in postmenopausal women was not linked to a significant effect on all-cause mortality, cardiovascular death, or breast cancer death.
In Cancer Wars, It’s Doctors vs. Hospitals. Colliding federal policies are fomenting a nasty money war that’s pitting community oncologists trying to treat patients in less expensive clinic settings against hospitals...
Source: Kevin, M.D. - Medical Weblog - March 10, 2015 Category: Journals (General) Authors: MedPage Today Tags: News Cancer OB/GYN Pulmonology Rheumatology Source Type: blogs
A fifth operation and permanent menopause
Number of days since surgery: 13Pain level: manageableMood: relieved!It's been quite a while since I last wrote but, as usual, plenty has happened! I've been put into chemical menopause, taken out of chemical menopause, put back into chemical menopause again and now I'm recovering from yet more major surgery. And I'm finally in permanent menopause.Last April, as an attempt to control the high level of pain I was having, my oncology surgeon put me on a course of Prostap injections (you can read more about this in my previous blog post). His thinking was that by temporarily shutting down my remaining ovary he could s...
Source: Diary of a Cancer Patient - February 24, 2015 Category: Cancer & Oncology Source Type: blogs
Medicare Agrees to Pay For Reverse and Reverse-Reverse Transgender Surgery.
Medicare - In 2014, The Department of Health and Human Services (HHS) lifted a three decade old law banning Medicare transgender reassignment surgery coverage for patients experiencing gender dysphoria, an intense discomfort or mismatch with biological sex and gender identity.However, a lawsuit by the American Civil Liberties Union (ACLU) claimed the policy discriminated against gender reassignment surgery patients experiencing transgender dysphoria, an intense discomfort or mismatch with their reassignment sex and transgender identity described in in the most recent DSM-5 2.0 update. Medicare officials agreed ...
Source: The Happy Hospitalist - February 22, 2015 Category: Internal Medicine Authors: Tamer Mahrous Source Type: blogs
Heart Disease – It Looks Different From a Woman’s Perspective
Lara D. knew that heart disease ran in her family. Her father had his first heart attack at 46. His second, two years later, took his life when she was in high school. She learned intimately the impact that a heart attack has on a family. She saw her mother struggle to keep her children on track while trying to manage her own feelings of loss. Her college years were spent working full time and going to a community college in the evenings to get her degree and become a CPA. While many women work hard to get a degree, holding full time jobs, raising children and supporting spouses, this wasn’t what her parents had pl...
Source: Disruptive Women in Health Care - February 13, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Chronic Conditions Women's Health Source Type: blogs
