Opioids, Suicide, and Pain: An 11-question Quiz
With deaths attributed to opioids increasing, some experts question if they are all accidental overdoses? Or could some be suicides? Does chronic pain play a role? (Source: ConsultantLive)
Source: ConsultantLive - November 16, 2018 Category: Internal Medicine Authors: Steven King, MD, MS Source Type: news

Gout and CKD: A Common, Complicated Combination
What are the dos and don'ts when treating gout patients with chronic kidney disease? Take our 4-question quiz to find out. (Source: ConsultantLive)
Source: ConsultantLive - November 15, 2018 Category: Internal Medicine Authors: Gregory W. Rutecki, MD Source Type: news

Dermatoses of Childhood: 7 Photoclinic Cases
Can you diagnose these 7 cases of dermatoses? Scroll through our Photoclinic to find out.   (Source: ConsultantLive)
Source: ConsultantLive - November 14, 2018 Category: Internal Medicine Authors: Robert B. Blereau, MD Tags: Dermatology Source Type: news

Hepatitis C Treatment Options: 5 Direct Questions
An HCV-infected patient who still injects drugs wants to start direct-acting antiviral therapy. What do guidelines recommend? (Source: ConsultantLive)
Source: ConsultantLive - November 14, 2018 Category: Internal Medicine Authors: Andrew Bowser Tags: Hepatitis C Source Type: news

Athletes and Atrial Fibrillation: No Longer Synonymous?
A 20-year observational study of nearly 7000 elite athletes found only 0.3% developed atrial fibrillation. Is it time to think differently? (Source: ConsultantLive)
Source: ConsultantLive - November 13, 2018 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Source Type: news

The Opioid Epidemic and AF
We have heard so much about the opioid epidemic on the news and the ways in which it can destroy lives and lead to poor outcomes. One interesting association that emerged at this year ’s 2018 AHA Scientific Sessions in Chicago was the association of increased risk of atrial fibrillation with the opioid epidemic. (Source: ConsultantLive)
Source: ConsultantLive - November 13, 2018 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Source Type: news

E-cigarette Flavorings May Become Toxic, Trigger Inflammation
Fanciful flavors added to e-cigarettes react with vaping solvents (eg, polypropylene glycol) to create compounds that may persist and harm. (Source: ConsultantLive)
Source: ConsultantLive - November 13, 2018 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Source Type: news

Obesity Increases Asthma Risk By Altering Airway Muscle Function
Authors speculate that this alteration of smooth airway muscle may imprint a unique signature that could help lead to highly targeted new asthma therapies. (Source: ConsultantLive)
Source: ConsultantLive - November 13, 2018 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Source Type: news

Esophageal Dysphagia in a Young Immigrant Woman
The 21-year-old recently immigrated from Mexico. She has had trouble swallowing both solids and liquids x4 months. Can you find the clue to her diagnosis? (Source: ConsultantLive)
Source: ConsultantLive - November 12, 2018 Category: Internal Medicine Authors: Ted W. James, MD Tags: Gastrointestinal Disorders Source Type: news

Surprising New Treatment Applications: A Quick Quiz
Test your knowledge of the peculiar applications of some common treatments with this 10-question quiz.   (Source: ConsultantLive)
Source: ConsultantLive - November 9, 2018 Category: Internal Medicine Authors: Leo Robert Source Type: news

Recurrent Dysphagia in a 34-year-old Man
A bite of steak has been lodged in the patient's throat for 1 hour; why hasn't this bout of dysphagia resolved spontaneously? (Source: ConsultantLive)
Source: ConsultantLive - November 7, 2018 Category: Internal Medicine Authors: Ted W. James, MD Tags: Gastrointestinal Disorders Source Type: news

2018 USPSTF Behavioral Weight Loss Interventions Recommendations
The newly updated US Preventive Services Task Force recommendations on weight loss interventions are out. How will they impact your practice? (Source: ConsultantLive)
Source: ConsultantLive - November 7, 2018 Category: Internal Medicine Authors: Veronica Hackethal, MD Source Type: news

4 Good Reasons to Worry about Hep C
Even though hepatitis C cure rates are high, here are 4 issues that should still concern all healthcare providers. (Source: ConsultantLive)
Source: ConsultantLive - November 7, 2018 Category: Internal Medicine Authors: Andrew Bowser Tags: Hepatitis C Source Type: news

Dry Cough, Rash on Legs
Patient is 54 y/o man; the cough has been present for 2 weeks, the rash on the lower extremities for 2 months; the rash is getting worse. What's your dx? (Source: ConsultantLive)
Source: ConsultantLive - November 6, 2018 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: Skin Diseases Source Type: news

IDWeek 2018: 3 Key Hep C Studies
ICYMI: 3 important studies at IDWeek 2018 highlighted gaps in HCV infection prevention efforts among younger adults, ie, born after the baby boomers. (Source: ConsultantLive)
Source: ConsultantLive - November 6, 2018 Category: Internal Medicine Authors: Andrew Bowser Tags: Hepatitis C Source Type: news

What Young People are Drinking: A 10-question Quiz
Which beverage accounted for the largest percentage of total beverage consumption among US youth? Milk? Water? The answer might surprise you. ©MariyanaM/Shutterstock.com (Source: ConsultantLive)
Source: ConsultantLive - November 2, 2018 Category: Internal Medicine Source Type: news

Rx Switching at the Pharmacy: What would you say?
Should you substitute  Vigamox with Moxeza? How about Oxycontin with MS Contin? Take our quick, 4-question quiz to find out.  (Source: ConsultantLive)
Source: ConsultantLive - November 1, 2018 Category: Internal Medicine Authors: Alex Evans, PharmD, BCGP Source Type: news

GI Case Quiz: A Young Woman with LLQ Pain, Fevers, ↑ WBC
A young woman presents with sharp LLQ pain, fever, and increased white count. What's your diagnosis?   (Source: ConsultantLive)
Source: ConsultantLive - October 31, 2018 Category: Internal Medicine Authors: Ted W. James, MD Tags: Gastrointestinal Disorders Source Type: news

Top 5 COPD Apps for Primary Care Providers & amp; Patients
An app that tracks cigarette cravings and moods, one that guides patients through proper inhaler use, and 3 other top COPD apps for both patients and physicians.   (Source: ConsultantLive)
Source: ConsultantLive - October 31, 2018 Category: Internal Medicine Authors: Ted W. James, MD Tags: COPD Source Type: news

Elevated Phosphorous in CKD: How to Avoid Vascular Calcification
The optimal choice of medication to bind excess phosphate in patients with advanced CKD won't always be straightforward. (Source: ConsultantLive)
Source: ConsultantLive - October 27, 2018 Category: Internal Medicine Authors: Gregory W. Rutecki, MD Tags: Cardiovascular Disease Source Type: news

10 Common Treatments, 10 Not-So-Common Applications
Some uncommon and perhaps surprising applications of common treatments are in the works. (Source: ConsultantLive)
Source: ConsultantLive - October 25, 2018 Category: Internal Medicine Authors: Leo Robert Source Type: news

Assessing Aspirin: 8 Questions on Primary CVD Prevention
To Rx or not to Rx aspirin - is one of our 8 questions based on new research that highlights costs vs benefits of aspirin therapy. (Source: ConsultantLive)
Source: ConsultantLive - October 24, 2018 Category: Internal Medicine Authors: Aparna Sajja, MD Seth Martin, MD Tags: Cardiovascular Disease Source Type: news

Obesity Algorithm Challenge: 8 Questions
Test your knowledge of the newly updated obesity algorithm from the Obesity Medicine Association with this 8-question challenge.   (Source: ConsultantLive)
Source: ConsultantLive - October 24, 2018 Category: Internal Medicine Authors: Sydney Jennings Source Type: news

Medical Overuse Pop Quiz
Take this brief quiz to test your knowledge of the medical overuse problem and a potential solution. (Source: ConsultantLive)
Source: ConsultantLive - October 18, 2018 Category: Internal Medicine Authors: Leo Robert Source Type: news

Coronary Artery Calcium Scoring and Primary Care
When should you consider coronary artery calcium scoring to determine CV risk in your patients? Our author found some solid guidance. (Source: ConsultantLive)
Source: ConsultantLive - October 18, 2018 Category: Internal Medicine Authors: Gregory W. Rutecki, MD Tags: Cardiovascular Disease Source Type: news

What Young People are Drinking: A 10-question Quiz
Sample:  Which beverage accounted for the largest percentage of total beverage consumption among US youth? Milk? Water? The answer might surprise you. (Source: ConsultantLive)
Source: ConsultantLive - October 18, 2018 Category: Internal Medicine Authors: Leo Robert Source Type: news

The Changing Faces of Eating Disorders
This quick slideshow sheds light on three common eating disorders that aren't just impacting adolescent girls and women.    (Source: ConsultantLive)
Source: ConsultantLive - October 17, 2018 Category: Internal Medicine Authors: Linda Peckel Source Type: news

Emesis x3 Weeks in an Elderly Woman: Dx?
ECG Challenge: The patient is seen in the ED after a short-lived reprieve from vomiting. She faints during the ECG. What ’s your read of the tracing? (Source: ConsultantLive)
Source: ConsultantLive - October 17, 2018 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: Cardiovascular Disease Source Type: news

5 Qs on Managing Hepatitis C in the Young
How much do you know about HCV treatment in children and teens? Take this short, 5-question quiz to find out. (Source: ConsultantLive)
Source: ConsultantLive - October 16, 2018 Category: Internal Medicine Authors: Andrew D. Bowser Tags: Hepatitis C Hepatitis C Quiz Source Type: news

The Future of Aspirin in Primary CVD Prevention
What exactly is the role of aspirin in CVD prevention? Two new studies from ESC 2018 and 3 ongoing studies sought to answer that very question.   (Source: ConsultantLive)
Source: ConsultantLive - October 12, 2018 Category: Internal Medicine Authors: Veronica Hackethal, MD Source Type: news

11 Questions on Cannabis-based Medication
Sample:  True or false? The longer a study on cannabis-based interventions lasted, the less of an effect on pain was reported.  (Source: ConsultantLive)
Source: ConsultantLive - October 11, 2018 Category: Internal Medicine Authors: Steven A. King, MD, MS Source Type: news

2 GI Case Quizzes: Fatigue/Poor LFTs; Pain post-Gastric Bypass
Two scenarios: a 42-y/o man with MRCP findings of concern and a 35-y/o woman s/p RNY and C-sections, with RUQ pain. Your solutions? (Source: ConsultantLive)
Source: ConsultantLive - October 11, 2018 Category: Internal Medicine Authors: Ted W. James, MD Tags: Gastrointestinal Disorders Source Type: news

PVD Management in a post-COMPASS World
A subanalysis of the COMPASS trial found that combination treatment with rivaroxaban and aspirin reduced incidence of major adverse limb events by 43%. (Source: ConsultantLive)
Source: ConsultantLive - October 11, 2018 Category: Internal Medicine Authors: Gregory W. Rutecki, MD Tags: Cardiovascular Disease Source Type: news

Managing Peripheral Vascular Disease: A Short Summary of a Long History
A look back at a decade of advances in management of peripheral vascular disease prompted this short summary of big changes. (Source: ConsultantLive)
Source: ConsultantLive - October 10, 2018 Category: Internal Medicine Authors: Gregory W. Rutecki, MD Tags: Cardiovascular Disease Hypertension Source Type: news

Updated Pediatric and Adult Obesity Algorithm
How will the updated pediatric and adult obesity algorithm impact both your patients and practice? Scroll through this slideshow to find out.   (Source: ConsultantLive)
Source: ConsultantLive - October 10, 2018 Category: Internal Medicine Authors: Veronica Hackethal, MD Source Type: news

Stroke Rate Variability in Afib: Much Higher than We Thought!
A new study reveals the hertofore unknown and remarkable impact of the variation in published stroke rates on the net clinical benefit of anticoagulation in atrial fibrillation. (Source: ConsultantLive)
Source: ConsultantLive - October 4, 2018 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Source Type: news

Rash and Foot Pain in a 4-year-old Boy
Foot pain has been present for ~1 week but the rash was noticed just this morning. What's your diagnosis? (Source: ConsultantLive)
Source: ConsultantLive - October 4, 2018 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: Pediatrics Source Type: news

GI Case Quiz: RUQ Pain, Fevers, & amp; Jaundice
RUQ pain x3 days, fevers x24h. LFTs are elevated. Which of these tests should you order? (Source: ConsultantLive)
Source: ConsultantLive - October 4, 2018 Category: Internal Medicine Authors: Ted W James, MD Tags: Gastrointestinal Disorders Source Type: news

New Afib Scoring System: Is it New or Just Different?
The popular CHA2DS2-Vasc stroke risk calculator has its detractors. But will a newly proposed scoring system have a signficant clinical impact? (Source: ConsultantLive)
Source: ConsultantLive - October 4, 2018 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Source Type: news

Immunotherapy Quiz: 2018 Guidelines on Rhinitis
Where do US guidelines on immunotherapy for rhinitis overlap with new 2018 recommendations from Europe? Answer these 5 questions to find out. (Source: ConsultantLive)
Source: ConsultantLive - October 4, 2018 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: Quiz Seasonal Allergy Source Type: news

9 New Drugs for Primary Care: Q3 2018
Which drugs are most important for your patients? Scroll through our quick slideshow to find out.   (Source: ConsultantLive)
Source: ConsultantLive - October 3, 2018 Category: Internal Medicine Authors: Sydney Jennings Source Type: news

Who Attempts to Lose Weight in the US? A 6-question Quiz
Sample:  Between 2013 and 2016, what percentage, overall, of US adults tried to lose weight in the past 12 months? (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2018 Category: Internal Medicine Authors: Grace Halsey Source Type: news

HCV Screening in Younger At-Risk Populations
Universal hepatitis C screening for younger adults may be the next essential step in eradicating the infection suggests pediatric ID specialist Claudia Espinosa, MD, MSc.   (Source: ConsultantLive)
Source: ConsultantLive - October 2, 2018 Category: Internal Medicine Authors: Andrew Bowser Tags: Hepatitis C Source Type: news

HCV in Young Adults and Children: 3 Studies At-a-Glance
Study summaries highlight increased infection rates in young adults; a spike in HCV in reproductive-aged women; and a potential new treatment for HCV in young children. (Source: ConsultantLive)
Source: ConsultantLive - October 1, 2018 Category: Internal Medicine Authors: Andrew D. Bowser Tags: Hepatitis C Source Type: news

Food for Thought: 8 Qs about Nutrition
Take this brief quiz to test your knowledge of the latest scientific developments in diet and health. (Source: ConsultantLive)
Source: ConsultantLive - October 1, 2018 Category: Internal Medicine Authors: Leo Robert Source Type: news

Lifestyle Factors, Not Air Pollution, Exacerbate Asthma in Women
Authors of a new study found that lifestyle factors, not a major air pollutant, play a more significant role in women developing asthma COPD overlap syndrome.   (Source: ConsultantLive)
Source: ConsultantLive - September 28, 2018 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Source Type: news

Inhaled Steroids Increase Risk of Nontuberculous Mycobacteria Lung Infections
When using inhaled corticosteroids for the treatment of asthma, COPD, and other airways disease, authors of a new study warn to proceed with caution.   (Source: ConsultantLive)
Source: ConsultantLive - September 27, 2018 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Source Type: news

Top 5 Depression Apps for Primary Care Providers
This month, our app reviewer selected the top 5 depression apps that you and your patients can use. Which ones made the cut? (Source: ConsultantLive)
Source: ConsultantLive - September 26, 2018 Category: Internal Medicine Authors: Ted W. James, MD Source Type: news

The Face of Undiagnosed Diabetes: True or False?
Sample:  True or false? The prevalence of undiagnosed diabetes is higher among obese adults vs overweight adults. (Source: ConsultantLive)
Source: ConsultantLive - September 25, 2018 Category: Internal Medicine Authors: Patient Care Editorial Staff Tags: Diabetes Source Type: news

Opioids for Migraine Headache? It Depends
A family physician with expertise in headache treatment makes the case for appropriate use of opioids in some patients. (Source: ConsultantLive)
Source: ConsultantLive - September 25, 2018 Category: Internal Medicine Authors: Susan Hutchinson, MD Tags: Headache and Migraine Source Type: news