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Drug-Drug Interactions with DOACs: Proceed with Caution!
Which drugs taken concurrently with the new oral anticoagulants put patients with Afib at greatest increased risk for major bleeding? (Source: ConsultantLive)
Source: ConsultantLive - October 16, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Source Type: news

Atrial Fibrillation and Type I Diabetes: What & #039;s the Link?
A first-of-its-kind study reports an association between T1DM and AF, and between glycemic control and AF. Plus, there are gender differences. (Source: ConsultantLive)
Source: ConsultantLive - October 16, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Diabetes Source Type: news

Cannabis and Chronic Pain: True or False?
True or False: most of the studies on use of medicinal cannabis for chronic pain are in cancer patients. Find out and ponder 9 other T/F questions here. (Source: ConsultantLive)
Source: ConsultantLive - October 12, 2017 Category: Internal Medicine Authors: Steven A. King, MD, MS Tags: Pain Source Type: news

An Elderly Man with Altered Mental Status, Abnormal ECG
Hallucinations and rambling speech came on suddenly and are getting worse. Review history and ECG. What's your diagnosis? (Source: ConsultantLive)
Source: ConsultantLive - October 9, 2017 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: What ' s Your Diagnosis Source Type: news

A Teenage Boy with Leg Shame
A 13-year-old is teased at school because of several coin-sized shiny spots that have appeared on both shins and will not heal. Dx? (Source: ConsultantLive)
Source: ConsultantLive - October 7, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Childrens ’ Probiotics: To Immunity and Beyond
Emerging research supports probiotics for a range of conditions, from allergies to oral health. (Source: ConsultantLive)
Source: ConsultantLive - October 5, 2017 Category: Internal Medicine Authors: Melissa Kvidahl Tags: Digestive Health Immune Support Weight Management Nutrition Source Type: news

5 Top Mental Health Apps for Primary Care
Click through this slide-show primer on 5 apps that support mental health assessment and treatment in the primary care setting. (Source: ConsultantLive)
Source: ConsultantLive - October 5, 2017 Category: Internal Medicine Authors: Ted W James, MD Source Type: news

Chlamydia, Gonorrhea, Syphilis Rates Up
The CDC's annual report on STD rates in the United States is in, and the news about chlamydia, gonorrhea, and syphilis is not good. (Source: ConsultantLive)
Source: ConsultantLive - October 4, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Sexual Health Source Type: news

Calcium: Strong Bones, Weak Heart?
Do calcium supplements really increase cardiovascular risk? Here ’s what the latest research says. (Source: ConsultantLive)
Source: ConsultantLive - October 3, 2017 Category: Internal Medicine Authors: Irfan Qureshi Tags: Heart Health Joint/Bone Health Science Vitamins & Minerals Source Type: news

Chlamydia, Gonorrhea, Syphilis Rates Up
The CDC's annual report on STD rates in the United States is in, and the news about chlamydia, gonorrhea, and syphilis is not good. (Source: ConsultantLive)
Source: ConsultantLive - October 3, 2017 Category: Internal Medicine Authors: Susan Kweskin Source Type: news

The Latest on Low Back Pain
Here ’s an update on the ACP’s latest guideline on noninvasive treatment options for acute, subacute, and chronic low back pain. (Source: ConsultantLive)
Source: ConsultantLive - October 3, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Pain Source Type: news

A Mysterious Case of Bumps on the Beach
After a few days at play on the beach, young brothers present with similar erythematous eruptions on their abdomens. Can you Dx? (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Montelukast Adds Little For Elderly Asthma Patients
A new study ’s lead author notes, however, that lack of significant effect may have been secondary to important study limitations. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

Childhood Respiratory Tract Infections Linked to Later Asthma
Lower respiratory infections in children seem to predispose to poor adult lung function, but causation and directionality have yet to be determined. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

The Latest on Low Back Pain
Here ’s an update on the ACP’s latest guideline on noninvasive treatment options for acute, subacute, and chronic low back pain. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Pain Source Type: news

A Mysterious Case of Bumps on the Beach
Young brothers present with similar erythematous eruptions on their abdomens after a few days at the beach. Can you Dx? (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Montelukast Adds Little For Elderly Asthma Patients
Montelukast for 8 weeks appeared to reduce daily symptoms scores and number of puffs of albuterol relative to placebo, but the results did not reach statistical significance. But....there are caveats. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

Childhood Respiratory Tract Infections Linked to Later Asthma
Lung function in childhood is most likely related to lung function in adulthood, a new study suggests. (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

6 Lumps, Bumps, and Spots
6 patients who presented with lumps, bumps, and spots. Your diagnoses? (Source: ConsultantLive)
Source: ConsultantLive - September 28, 2017 Category: Internal Medicine Authors: Robert P. Blereau, MD Tags: Quiz Source Type: news

9 Brand New Drugs for Primary Care
COPD … nasal polyps.. gout …. dyskinesia in Parkinson Disease: here’s a brief look at new drugs for these and other disorders coming your way. (Source: ConsultantLive)
Source: ConsultantLive - September 28, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: COPD Gout Source Type: news

What Will It Take to Expand Probiotics ’ Customer Base?
“The key to continued probiotic growth is to expand the user base—have it go more mainstream,” says Dupont’s Megan DeStefano. “To do this, we need to attract new consumers through new and different benefits beyond immune and digestive health.” (Source: ConsultantLive)
Source: ConsultantLive - September 25, 2017 Category: Internal Medicine Authors: Kimberly J. Decker Tags: Delivery Systems Digestive Health Immune Support Trends & Business Source Type: news

Hidden Respiratory Dangers at Home
Household bleach may not lead to COPD, as recently reported in the lay press, but a number of respiratory dangers are present in many US homes. (Source: ConsultantLive)
Source: ConsultantLive - September 22, 2017 Category: Internal Medicine Authors: Jonathan Ilowite, MD Tags: Respiratory Diseases Source Type: news

Monoclonals and Migraine: What the Primary Care Physician Needs to Know
Monoclonal antibodies that inhibit calcitonin gene-related peptide could revolutionize preventive migraine therapy. Here's what you need to know. (Source: ConsultantLive)
Source: ConsultantLive - September 22, 2017 Category: Internal Medicine Authors: Peter McAllister, MD Tags: Special Report Pain Migraine Source Type: news

Hidden Respiratory Dangers at Home
Household bleach may not lead to COPD, as recently reported in the lay press, but a number of respiratory dangers are present in many US homes. (Source: ConsultantLive)
Source: ConsultantLive - September 21, 2017 Category: Internal Medicine Authors: Jonathan Ilowite, MD Tags: Respiratory Diseases Source Type: news

Monoclonals and Migraine: What the Primary Care Physician Needs to Know
Monoclonal antibodies that inhibit calcitonin gene-related peptide could revolutionize preventive migraine therapy. Here's what you need to know. (Source: ConsultantLive)
Source: ConsultantLive - September 21, 2017 Category: Internal Medicine Authors: Peter McAllister, MD Tags: Special Report Pain Migraine Source Type: news

Monoclonals and Migraine: What the Primary Care Physician Neesds to Know
Monoclonal antibodies that inhibit calcitonin gene-related peptide could revolutionize preventive migraine therapy. Here's what you need to know. (Source: ConsultantLive)
Source: ConsultantLive - September 21, 2017 Category: Internal Medicine Authors: Peter McAllister, MD Tags: Special Report Pain Migraine Source Type: news

Medicine in the Headlines: When Your Patients Ask
HRT, tattoos, insurers exacerbating the opioid epidemic, prolonged sitting, plus a new COPD drug: here's a recap of 5 of the week's key news reports. (Source: ConsultantLive)
Source: ConsultantLive - September 20, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Addiction COPD Women ' s Health Source Type: news

Will the High-Concentrate Omega-3 Supplements Market Eventually Plateau?
Will brands and formulators have to do better than simply offering higher concentrates in order to keep consumer interested in omega-3s supplements? (Source: ConsultantLive)
Source: ConsultantLive - September 18, 2017 Category: Internal Medicine Authors: Melissa Kvidahl Tags: Delivery Systems Heart Health Omega-3 Trends & Business Source Type: news

Hospital-Doctor Clawback Provisions in Employment Contracts
Watch out for aggressive language in hospital employment agreements requiring physicians to recoup all payments to insurance companies. (Source: ConsultantLive)
Source: ConsultantLive - September 17, 2017 Category: Internal Medicine Authors: Martin Merritt Tags: Blog Employment Law & Malpractice Compliance Contracts Source Type: news

CRN Asks International Trade Commission to Reject Amarin ’s Omega-3 Complaint, Citing Legal Deficiencies, Harm to Public Interest
In two filings submitted to the International Trade Commission, CRN argued that Amarin was “financially motivated” to expand its near monopoly over a subset of omega-3 products; if successful, CRN says, Amarin’s complaint would make it much more difficult and costly for consumers to access those products. (Source: ConsultantLive)
Source: ConsultantLive - September 16, 2017 Category: Internal Medicine Authors: Jennifer Prince Tags: Heart Health Omega-3 Regulatory Trends & Business Source Type: news

5 Top CKD Apps for Primary Care Physicians
Chronic renal disease is common in primary care settings and so are its comorbidities. In brief here, 5 apps you might want at hand. (Source: ConsultantLive)
Source: ConsultantLive - September 15, 2017 Category: Internal Medicine Authors: Ted W. James, MD Tags: Diabetes Source Type: news

Pearls From Steven Nissen, MD: On Statin Denial and Cult Diets
Dr Steven Nissen says statins and climate change share similar public opinion problems and suggests counter tactics. (Source: ConsultantLive)
Source: ConsultantLive - September 14, 2017 Category: Internal Medicine Authors: Crystal Phend Source Type: news

Fluzone or Flulaval: What Does the CDC say?
Winter is coming and so is influenza. Does the CDC recommend Fluzone or Flulaval for pediatric patients? (Source: ConsultantLive)
Source: ConsultantLive - September 14, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

High-dose Influenza Vax Reduces Respiratory Illness in Nursing Home Residents
The quadrupled antigen in a high-dose influenza vaccine did reduce morbidity and mortality, but flaws in the recent study prompt questions. (Source: ConsultantLive)
Source: ConsultantLive - September 14, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

Pediatric and Adolescent Migraine: Update on Treatment Options
If the goal of headache therapy for adolescent migraineurs is a pain-free free adult life, here's a road map. (Source: ConsultantLive)
Source: ConsultantLive - September 8, 2017 Category: Internal Medicine Authors: Dariush Saghafi, MD Tags: Special Report Source Type: news

PAINWeek 2017 Keynote: Can Policy Possibly Protect Patients?
Terms such as " opioid McCarthyism " and " witch hunt " were used to express frustration with current opioid regulatory efforts. (Source: ConsultantLive)
Source: ConsultantLive - September 8, 2017 Category: Internal Medicine Authors: Kenneth J. Bender, PharmD, MA Tags: Pain Source Type: news

Should We Refer Symptomatic HF Patients for AF Ablation?
That depends, as suggested by results of the CASTLE-AF study, presented at ESC Congress 2017, in Barcelona, Spain. (Source: ConsultantLive)
Source: ConsultantLive - September 7, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Cerebrovascular Diseases Source Type: news

AF Screening Leads the Charge in Cardiology & #039;s Digital Revolution
Diagnosis of atrial fibrillation via handheld iECG monitor looks promising but can we pay for it yet? (Source: ConsultantLive)
Source: ConsultantLive - September 7, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Source Type: news

Migraine Patients Need to Hear: It ’s Physiologic and Treatable
From PAINWeek 2017: Reflex vasodilation is out, neurobiologic dysfunction is in as explanation for migraine etiology. (Source: ConsultantLive)
Source: ConsultantLive - September 7, 2017 Category: Internal Medicine Authors: Kenneth J. Bender, PharmD, MA Tags: Pain Migraine Source Type: news

Flood Waters, Tetanus, and Politicians
Congressman urges Hurricane Harvey victims to get a tetanus shot. Medical myth or mandatory? (Source: ConsultantLive)
Source: ConsultantLive - September 7, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

Opioid Prescribers Confront Multiple Regulatory Agencies
An early session at PAINWeek 2017 addressed prescriber fear as regulatory agencies " pile on " across overlapping jurisdictions. (Source: ConsultantLive)
Source: ConsultantLive - September 6, 2017 Category: Internal Medicine Authors: Kenneth J. Bender, PharmD, MA Tags: Pain Source Type: news

Head and Shoulder Lesions: Common Diseases, Uncommon Locations
Three cases of lesions often seen in primary care, 2 seen in uncommon locations. Test your visual diagnostic skills. (Source: ConsultantLive)
Source: ConsultantLive - September 1, 2017 Category: Internal Medicine Authors: Robert P. Blereau, MD Tags: Skin Diseases Source Type: news