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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 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 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

What & #039;s New In Migraine Therapy: An Update for Primary Care
What is first-line Rx for adolescent migraineurs? Ideal management for menstrual migraine? Who will be candidates for the new anti-CGRP preventives? Answers in this Special Report. (Source: ConsultantLive)
Source: ConsultantLive - September 1, 2017 Category: Internal Medicine Authors: Susan Kweskin Tags: Special Report Pain Headache Migraine Source Type: news

Beer: A 12-pack of Health Facts
Growing evidence supports the health benefits of moderate alcohol consumption, but some studies suggest otherwise. Look here for the pros and cons of drinking beer. (Source: ConsultantLive)
Source: ConsultantLive - August 31, 2017 Category: Internal Medicine Authors: Leo Robert Source Type: news

High-Calorie Diet Tied to Ca Risk for Some Women
Authors of a new study were surprised to find that this relationship was exclusive to women of normal weight. (Source: ConsultantLive)
Source: ConsultantLive - August 31, 2017 Category: Internal Medicine Authors: Kristen Monaco Tags: Obesity Source Type: news

Lichenoid Eruptions: Can You Match that Rash with the Dx?
Test your visual diagnostic skills with an up-close look at 3 papulosquamous rashes and see if you can make a Dx match. (Source: ConsultantLive)
Source: ConsultantLive - August 30, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

& quot;Ketchup & quot; Vaccinations
Figuring out how to bring a child up-to-date with missed vaccinations can be confusing enough, even without a language barrier. (Source: ConsultantLive)
Source: ConsultantLive - August 27, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Special Report Vaccines Source Type: news

Hip Pain, Irregular Skin Lesions in a 12-year-old Girl
A symptom and a sign from a triad that is pathognomonic for this patient's condition. What's your Dx? (Source: ConsultantLive)
Source: ConsultantLive - August 25, 2017 Category: Internal Medicine Authors: Andrew Smith, MD Lesley Hawley, MD Nicholas Sweet, DO Robert P Lennon, MD, JD Source Type: news

Alcohol Again Tied to Lower Death Risk
And, once again, light-to-moderate consumption appears protective while heavy and binge drinking increase risk for myriad diseases. (Source: ConsultantLive)
Source: ConsultantLive - August 24, 2017 Category: Internal Medicine Authors: Nicole Lou Source Type: news

Hormones and Migraine: A Case Study
Headaches that occur several days before menses as well as disabling headaches on days unrelated to menses... how would you help this young woman? (Source: ConsultantLive)
Source: ConsultantLive - August 22, 2017 Category: Internal Medicine Authors: Susan Hutchinson, MD Tags: Special Report Pain Migraine Source Type: news

A Case of Worsening Dyspnea and Cough
Bob is a 72-year-old male, with a 40-pack-year smoking history. He quit about 8 years ago, when severe COPD was diagnosed. Until last year, he had been stable on his regimen of Advair 250/50 and Spiriva Handihaler, other than an occasional “bronchitis,” usually treated with an antibiotic and/or steroids. Over the past year or so, however, he has noticed a marked turn for the worse. He no longer can walk up the steps in his house without stopping and gasping for breath. (Source: ConsultantLive)
Source: ConsultantLive - August 22, 2017 Category: Internal Medicine Authors: Jonathan Ilowite, MD Tags: Respiratory Diseases Source Type: news

Gardasil or Meningococcal Vaccine: Which Would Spock Choose?
The topic of HPV vaccination can be a loaded one for parents. Click here for some rational data to help then face facts. (Source: ConsultantLive)
Source: ConsultantLive - August 21, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Special Report Vaccines Source Type: news

How to Pump up the Volume on Gardasil Coverage
Fingers point in all directions when the topic of low US HPV vaccination rates comes up. How to skip the drama? Just do it. (Source: ConsultantLive)
Source: ConsultantLive - August 21, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Special Report Vaccines Source Type: news

How Long is that Vaccine Good?
Once a vaccine is drawn up, the clock starts ticking. How long do you actually have? Try these 2 questions, and download a CDC guide at the end. (Source: ConsultantLive)
Source: ConsultantLive - August 16, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

Vaccine Administration Errors: The Wrong Route
Which vaccines should you repeat when a SQ injection is given IM or vice versa? (Source: ConsultantLive)
Source: ConsultantLive - August 16, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

A Lump, Two Bumps, and One Odd Pigmentation
Can you identify these 4 lesions seen in a primary care setting? Should biopsy be performed on any? All? Test your visual diagnostic skills. (Source: ConsultantLive)
Source: ConsultantLive - August 15, 2017 Category: Internal Medicine Authors: Robert P. Blereau, MD Tags: Skin Diseases Source Type: news

Cancer Survival Takes a Hit with Alternative Medicine
Experts caution that younger, more affluent cancer patients are being " sold snake oil " by purveyors of alternative medicine. (Source: ConsultantLive)
Source: ConsultantLive - August 15, 2017 Category: Internal Medicine Authors: Charles Bankhead Source Type: news

Quadracel Approved: Take the PI Test
Find out what you know about on- and off-label use of the newest DTaP/IPV combination vaccine based on this short scenario. (Source: ConsultantLive)
Source: ConsultantLive - August 11, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Special Report Vaccines Source Type: news

When to Say No to MMR Vaccination
There are conditions under which the MMR vaccine should not be given —even when a parent begs. Which of the children in these 4 scenarios should not receive the vaccination? (Source: ConsultantLive)
Source: ConsultantLive - August 11, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Quiz Special Report Vaccines Source Type: news

NSAIDs for Chronic Low Back Pain: True or False?
More effective vs placebo? Less effective than opioids? Equally as potent as APAP? What ’s true and what false about NSAIDs? (Source: ConsultantLive)
Source: ConsultantLive - August 11, 2017 Category: Internal Medicine Authors: Steven A. King, MD, MS Tags: Pain Musculoskeletal Disorders Source Type: news

Weakness, DOE, and WBC & gt; 100K: What & #039;s Your Diagnosis?
A 75-yo man presents with worsening asthenia and exertional dyspnea x2 weeks. Based on labs and CXR, what is your next step? (Source: ConsultantLive)
Source: ConsultantLive - August 10, 2017 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: What ' s Your Diagnosis Source Type: news

Medicare Ups Provider Incentive for Prediabetes Intervention
Providers may now be paid up to $785 (increased from $450) for each patient who loses 5% of their body weight. (Source: ConsultantLive)
Source: ConsultantLive - August 9, 2017 Category: Internal Medicine Authors: Cheryl Clark Tags: Diabetes Complications Diabetes Type 2 Obesity Source Type: news

Could AF Ablation have a & quot;Placebo & quot; Effect?
A small study raises big questions about patients'perceptions of AF symptoms after pulmonary vein ablation. What do you think? (Source: ConsultantLive)
Source: ConsultantLive - August 7, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Source Type: news

Subclinical Atrial Fibrillation Rears its Head, Again
Increased detection of subclinical atrial fibrillation intensifies a common clinical quandary in AF patients: to anticoagulate, or not? (Source: ConsultantLive)
Source: ConsultantLive - August 7, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Source Type: news

Previous Asthma Exacerbations Predict Future Events in Mild, Moderate Disease
Study authors propose a new asthma patient “phenotype” in which a previous severe event is the sole predictor of another one. (Source: ConsultantLive)
Source: ConsultantLive - August 7, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

Lipid Levels Linked to Inflammation in Atopic Asthma
Results of a recent study into the role of lipids in atopic asthma could help identify new targets for therapy. (Source: ConsultantLive)
Source: ConsultantLive - August 7, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Respiratory Diseases Source Type: news

Top Six Vaccine-Preventable Diseases Still Deadly to Children
How do US figures on child mortality from vaccine preventable diseases compare with global stats? Update here, plus a brief review of vaccine efficacy. (Source: ConsultantLive)
Source: ConsultantLive - August 7, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Quiz Special Report Vaccines Source Type: news

3 Suspicious Orofacial Findings
Three men over age 50 years, three different lesions: which would concern you? (Source: ConsultantLive)
Source: ConsultantLive - August 4, 2017 Category: Internal Medicine Authors: Robert P. Blereau, MD Tags: Skin Diseases Source Type: news

3 Suspicous Orofacial Findings
Three men over age 50 years, three different lesions: which would concern you? (Source: ConsultantLive)
Source: ConsultantLive - August 4, 2017 Category: Internal Medicine Authors: Robert P. Blereau, MD Tags: Skin Diseases Source Type: news

SPECIAL REPORT: Pediatric Vaccines
This Patient Care Special Report updates you on pediatric vaccines in a series of clever clinical scenarios. First, the intro and pretest. (Source: ConsultantLive)
Source: ConsultantLive - July 31, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Case Studies Special Report Vaccines Source Type: news

5 Top Diabetes Apps for Patients and their PCPs
Help your patients with diabetes help themselves--and you. See 5 apps at-a-glance you can discuss at the next visit. (Source: ConsultantLive)
Source: ConsultantLive - July 27, 2017 Category: Internal Medicine Authors: Ted W. James, MD Tags: Diabetes Diabetes Type 2 Source Type: news

Adding Pounds in Adulthood Ups Major Health Risks
Study: each gain of 5 kg was linked to a 17% drop in odds of healthy aging. A powerful message for young patients. (Source: ConsultantLive)
Source: ConsultantLive - July 27, 2017 Category: Internal Medicine Authors: Jeff Minerd Tags: Diabetes Diabetes Type 2 Hypertension Obesity Source Type: news

Improving Diet Over Time May Reduce Risk of Death
A new study found an increase in diet-quality scores over 12 years was linked to an 8%-17% reduction in mortality. (Source: ConsultantLive)
Source: ConsultantLive - July 19, 2017 Category: Internal Medicine Authors: Alexandria Bachert, MPH Tags: Cardiovascular Diseases Source Type: news

5 Top Apple Watch Apps for PCPs and their Patients
Get a top-line review of 5 apps for the Apple watch that can help you help your patients track their exercise, fluid intake, and their interactions with you. (Source: ConsultantLive)
Source: ConsultantLive - July 19, 2017 Category: Internal Medicine Authors: Ted W. James, MD Source Type: news

Asthma Diagnosis Associated with Type 1 Diabetes
Results from studies on the asthma-diabetes connection are inconsistent. A novel analysis may help clarify directionality. (Source: ConsultantLive)
Source: ConsultantLive - July 17, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Diabetes Source Type: news