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All About Gout for Primary Care: Treating Chronic Disease
Preventing further acute attacks and decreasing the tophi burden becomes a secondary goal. (Source: ConsultantLive)
Source: ConsultantLive - March 27, 2017 Category: Internal Medicine Authors: Rebecca E. Sadun, MD, PhD Robert T. Keenan, MD, PhD Ryan C. Jessee, MD Tags: Special Report Gout Rheumatic Diseases Source Type: news

Gout Rounds: 5 New Developments
Primary care can do more to help reduce gout morbidity, says a new review —plus 4 more studies on gout treatment and prevention. (Source: ConsultantLive)
Source: ConsultantLive - March 27, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Cardiovascular Diseases Special Report Gout Rheumatic Diseases Source Type: news

Update on Hypertension in Pregnancy
Here: at least 5 tips on hypertensive disorders during pregnancy. (Source: ConsultantLive)
Source: ConsultantLive - March 24, 2017 Category: Internal Medicine Authors: Gregory W. Rutecki, MD Tags: Quiz Hypertension Source Type: news

A Family with Flaky Skin
Three siblings share a scaly, lizard-like rash. Neither parent has the condition. What do you think this could be? (Source: ConsultantLive)
Source: ConsultantLive - March 24, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Grateful Doctor Says Goodbye to His Patients
A young cardiology fellow reveals in a letter to his patients that it was being privy to their vulnerability that allowed him access to his own. (Source: ConsultantLive)
Source: ConsultantLive - March 23, 2017 Category: Internal Medicine Authors: Chiduzie Madubata MD Tags: Blog Source Type: news

New OSA Testing Guideline, Summarized
Obstructive sleep apnea ups the risk for many other health issues. Click through a 6-slide summary of updated recommendations for diagnosis. (Source: ConsultantLive)
Source: ConsultantLive - March 23, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Sleep Disorders Source Type: news

All About Gout for Primary Care: Treating Acute Gout
The faster the attack is recognized and treated with medications, the easier it is to control. (Source: ConsultantLive)
Source: ConsultantLive - March 21, 2017 Category: Internal Medicine Authors: Rebecca E. Sadun, MD, PhD Robert T. Keenan, MD, MPH Ryan C. Jessee, MD Tags: Special Report Gout Rheumatic Diseases Source Type: news

All About Gout for Primary Care: The Diagnosis
Clinical presentation, history, and laboratory evaluation can make a diagnosis of gout, but crystal examination is the “gold standard.” (Source: ConsultantLive)
Source: ConsultantLive - March 21, 2017 Category: Internal Medicine Authors: Rebecca E. Sadun, MD, PhD Robert T. Keenan, MD, MPH Ryan C. Jessee, MD Tags: Special Report Gout Rheumatic Diseases Source Type: news

All About Gout for Primary Care
How to regulate “the king of diseases and the disease of kings” is this Patient Care Special Report ' s domain. (Source: ConsultantLive)
Source: ConsultantLive - March 20, 2017 Category: Internal Medicine Authors: Rebecca E. Sadun, MD, PhD Robert T. Keenan, MD, MPH Ryan C. Jessee, MD Tags: Special Report Gout Rheumatic Diseases Source Type: news

& quot;Knarley & quot; Knuckles in a 12-year-old Boy
This 12-year-old boy has had asymptomatic swellings over multiple knuckles all his life. How would you explain the condition to him? (Source: ConsultantLive)
Source: ConsultantLive - March 17, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Source Type: news

Vaccine Education Websites: Which Ones Offer Truth?
Not all vaccine information websites were created with evidence-based medicine in mind. Which of these would you recommend to patients? (Source: ConsultantLive)
Source: ConsultantLive - March 17, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

Severe Ocular Symptoms Caused by Succulent Sap
What is the plant most likely responsible for these symptoms and how would you treat? (Source: ConsultantLive)
Source: ConsultantLive - March 15, 2017 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: What ' s Your Diagnosis Source Type: news

Unseen Vector, Visible Rash
On a tropical vacation, a 60-year-old woman develops a severe pruritic rash after being bitten on the hand by an insect. Can you name the bug? (Source: ConsultantLive)
Source: ConsultantLive - March 15, 2017 Category: Internal Medicine Authors: John Riefler, MD Tags: Skin Diseases Source Type: news

Top 10 Primary Care Drugs Approved in Early 2017
Click through this slide summary for a look at some of the more significant approvals so far for primary care. (Source: ConsultantLive)
Source: ConsultantLive - March 10, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Asthma Pain Skin Diseases Source Type: news

Top 8 Primary Care Drugs Approved in Early 2017
Click through this slide summary for a look at some of the more significant approvals so far for primary care. (Source: ConsultantLive)
Source: ConsultantLive - March 10, 2017 Category: Internal Medicine Authors: Leo Robert Source Type: news

Testosterone Test: 8 Stimulating Questions
Does treatment for older men have beneficial effects for other health issues? Take this quick quiz to test your knowledge. (Source: ConsultantLive)
Source: ConsultantLive - March 9, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Men ' s Health Quiz Source Type: news

Study: Pillbox Gadgets Do Nothing to Improve Rx Adherence
The devices may be simple and intuitive, but it may take more than a gadget to build optimal medication adherence. (Source: ConsultantLive)
Source: ConsultantLive - March 9, 2017 Category: Internal Medicine Authors: Nicole Lou Source Type: news

COPD--Impact of Undertreated Symptoms
A new study reports the impact on work productivity and lifestyle of undertreated COPD in the US, Europe, and China. (Source: ConsultantLive)
Source: ConsultantLive - March 8, 2017 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: COPD Source Type: news

ACP Update on Low Back Pain Treatment Guidelines
The update includes a nod to tai chi as a nondrug intervention and further supports acupuncture. But even new research falls short in 2 important ways. (Source: ConsultantLive)
Source: ConsultantLive - March 8, 2017 Category: Internal Medicine Authors: Steven A. King, MD, MS Tags: Blog Pain Source Type: news

New Genes Linked to COPD
Among the 13 new genes identified in this genome-wide association study, 4 have never before been linked to lung function. (Source: ConsultantLive)
Source: ConsultantLive - March 8, 2017 Category: Internal Medicine Authors: Veronica Hackenthal, MD Tags: COPD Source Type: news

NOACs No Longer Novel
A study of a global registry finds that prescriptions for direct oral anticoagulants have now surpassed those for VKAs. What do you Rx? (Source: ConsultantLive)
Source: ConsultantLive - March 6, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Cerebrovascular Diseases Source Type: news

Dose-Adjusted DOACs: What Efficacy vs Warfarin?
Patients who require dose adjustment when taking direct oral anticoagulants have not been well studied. This large study is a good start. (Source: ConsultantLive)
Source: ConsultantLive - March 6, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Cerebrovascular Diseases Source Type: news

Alopecia and Forehead Lesions in Two Young Females
Two young girls present with nearly identical forehead lesions and mild alopecia. Do you recognize these signs? Can you Dx? (Source: ConsultantLive)
Source: ConsultantLive - March 3, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Patients Aren & #039;t the Only Worried Ones in the Exam Room
At what point in a medical career do we allow identification with the sick and dying we treat to inform who we are? (Source: ConsultantLive)
Source: ConsultantLive - March 2, 2017 Category: Internal Medicine Authors: Jordan Grumet, MD Source Type: news

Testosterone Revisited: 6 New Degrees of Separation
The primary male sex hormone connects with a variety of health factors, and therapy could have positive effects. A quick look at 6 new studies. (Source: ConsultantLive)
Source: ConsultantLive - March 1, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Men ' s Health Source Type: news

Prenatal Fish Oil May Trim Asthma Risks in Children
Risk may be reduced by about one-third in the children of pregnant women who take these supplements. (Source: ConsultantLive)
Source: ConsultantLive - March 1, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Source Type: news

Obesity Balloons With Childhood Asthma
Asthma medications reduced obesity risk. Which type of medication surprised the researchers. (Source: ConsultantLive)
Source: ConsultantLive - March 1, 2017 Category: Internal Medicine Authors: Mark L. Fuerst Tags: Asthma Obesity Source Type: news

Seasonal Allergy Quiz: 5 Questions on a Budding Problem
What is the optimal duration for immunotherapy? Can intranasal steroids be combined with LRTAs? Test your allergy IQ. (Source: ConsultantLive)
Source: ConsultantLive - March 1, 2017 Category: Internal Medicine Tags: Quiz Seasonal Allergies Source Type: news

A Painless, Rapidly-growing Nodule in a 74-year-old Woman
The solitary, keratotic lesion has grown quickly over one month, suggesting infection and neoplasia. What else is in your differential diagnosis? (Source: ConsultantLive)
Source: ConsultantLive - February 27, 2017 Category: Internal Medicine Authors: Eve J. Lowenstein, MD, PhD Sarah Y. Siu Tags: Special Report Skin Diseases Source Type: news

Inflammatory Bowel Disease Prevention Quiz
Test your knowledge by taking this quick quiz on new ACG prevention guidelines. (Source: ConsultantLive)
Source: ConsultantLive - February 23, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Quiz Gastrointestinal Disorders Source Type: news

3 Classic Cases: Snap Dx #1
In this diagnostic quiz: three photos of classic presentations of 3 different diseases in patients of 3 generations. (Source: ConsultantLive)
Source: ConsultantLive - February 22, 2017 Category: Internal Medicine Authors: Robert P. Blereau, MD Tags: Child/Adolescent Source Type: news

Addiction in the US: The Surgeon General ’s Report
The report contains a vast amount of information but overlooks some important issues. (Source: ConsultantLive)
Source: ConsultantLive - February 22, 2017 Category: Internal Medicine Authors: Steven A. King, MD, MS Tags: Blog Pain Source Type: news

Actinic Keratosis and Squamous Cell Carcinoma: Photodamage in Progress
Actinic keratosis and squamous cell carcinoma often are clinically indistinguishable. Get tips on what to look for and how to treat. (Source: ConsultantLive)
Source: ConsultantLive - February 17, 2017 Category: Internal Medicine Authors: Aleksandra Walasek Eve J. Lowenstein, MD, PhD Tags: Special Report Skin Diseases Source Type: news

Immigration and Vaccination: Do you Know What & #039;s Required?
The list of mandatory immunizations for legal immigration status has changed over the years. Are you up-to-date? (Source: ConsultantLive)
Source: ConsultantLive - February 17, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

COPD Quiz: 8 GOLD Guideline Questions
Take this quick quiz to test your knowledge of the disease and the latest guidance for improving patient care. (Source: ConsultantLive)
Source: ConsultantLive - February 16, 2017 Category: Internal Medicine Authors: Leo Robert Tags: COPD Quiz Source Type: news

When to Give Tdap During Pregnancy
The optimal window for administering the Tdap vaccine during pregnancy is later rather than earlier in the third trimester. How much later? (Source: ConsultantLive)
Source: ConsultantLive - February 16, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

Study: Heavier Patients Get Less Hospice Care
Implicit bias among health care providers against obese persons may persist through the final stages of care. (Source: ConsultantLive)
Source: ConsultantLive - February 15, 2017 Category: Internal Medicine Authors: Kristen Monaco Source Type: news

E-cigarettes: Where there & #039;s No Smoke, there & #039;s Still Fire
Several clinical studies have added some clarity to the potential risks. Scroll through the slides for recent findings. (Source: ConsultantLive)
Source: ConsultantLive - February 15, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Cardiovascular Diseases Source Type: news

When Atrial Fibrillation and Diabetes Coexist, How Best to Prevent Stroke?
In these complicated patients, should warfarin or a novel oral anticoagulant be chosen for stroke prevention? (Source: ConsultantLive)
Source: ConsultantLive - February 15, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Cerebrovascular Diseases Diabetes Diabetes Type 2 Source Type: news

Atrial Fibrillation During Pregnancy: Special Population Review
Is aspirin safe as antithrombotic therapy in pregnancy? Is electrocardioversion first-line treatment? Get the answers and other reminders, here. (Source: ConsultantLive)
Source: ConsultantLive - February 14, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Cerebrovascular Diseases Source Type: news

Three Suspicious Lesions on an Elderly Woman & #039;s Face
An 82-year-old woman presents for evaluation of an ear lesion but receives a complete skin exam. Can you identify the 3 other lesions found? (Source: ConsultantLive)
Source: ConsultantLive - February 13, 2017 Category: Internal Medicine Authors: Ahuva Cices Eve J. Lowenstein, MD, PhD Tags: Special Report Skin Diseases Source Type: news

A Pearly-pink Lesion on a 68-year-old Woman
What is this 6-mm shiny nodule on the face of a fair-skinned woman with moderate-to-severe photo damage? (Source: ConsultantLive)
Source: ConsultantLive - February 13, 2017 Category: Internal Medicine Authors: Ahuva Cices Eve J. Lowenstein, MD, PhD Tags: Special Report Skin Diseases Source Type: news

7 Pearls from New Pediatric Obesity Guidelines
Evidence-based clinical practice guidelines address the assessment, treatment, and prevention of child and teen obesity. (Source: ConsultantLive)
Source: ConsultantLive - February 10, 2017 Category: Internal Medicine Authors: Leo Robert Source Type: news

10 Shots of IBD Preventive Care
New ACG inflammatory bowel disease vaccination and screening guidelines call on primary care physicians as comanagers. (Source: ConsultantLive)
Source: ConsultantLive - February 10, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Gastrointestinal Disorders Vaccines Source Type: news

Nausea, Vomiting, and a Suspicious EKG
A middle-aged man who has not seen a doctor in " years " presents with nausea, vomiting, and asthenia that have worsened over " weeks to months. " Your EKG read? (Source: ConsultantLive)
Source: ConsultantLive - February 9, 2017 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: What ' s Your Diagnosis Source Type: news

Updated 2017 GOLD Recommendations for COPD
Important revisions to the GOLD recommendations include a new definition of COPD and refined diagnostic categories. (Source: ConsultantLive)
Source: ConsultantLive - February 9, 2017 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: COPD Source Type: news

High Baseline CRP Predicts Mortality in COPD, Study Says
There are no optimal markers to predict mortality in COPD but results of a new study support further investigation of CRP. (Source: ConsultantLive)
Source: ConsultantLive - February 9, 2017 Category: Internal Medicine Authors: Veronica Hackethal, MD Tags: COPD Source Type: news

Top 3 Pulmonology Apps for Primary Care Physicians
Every primary care physician needs a few specialty references at hand. Check out these 3 for assists with pulmonary patients. (Source: ConsultantLive)
Source: ConsultantLive - February 8, 2017 Category: Internal Medicine Authors: Ted W. James, MD Source Type: news

Nonmelanoma Skin Cancer: A Primer for Primary Care
Primary care physicians will see many patients with early signs of nonmelanoma skin cancers. Test your visual diagnostic skills in this series. (Source: ConsultantLive)
Source: ConsultantLive - February 6, 2017 Category: Internal Medicine Authors: Eve J. Lowenstein, MD, PhD Tags: Special Report Skin Diseases Source Type: news