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10 Opioid Epidemic Updates
A second opioid Rx doubles the risk of opioid use 1 year later. This short slide show highlights more findings from studies into epidemic opioid misuse and abuse. (Source: ConsultantLive)
Source: ConsultantLive - April 28, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Pain Source Type: news

Medicinal Cannabis Treatments Coming, Experts Say
Some eager medical cannabis experts ask why cannabidiol is not mandatory for athletes to address TBI. Others are more cautious. (Source: ConsultantLive)
Source: ConsultantLive - April 27, 2017 Category: Internal Medicine Authors: Ryan Basen Source Type: news

Epigastric Pain, Otherwise Healthy
Epigastric pain x3 days in an otherwise healthy middle-aged man prompts an in-office abdominal ultrasound. What do you see? (Source: ConsultantLive)
Source: ConsultantLive - April 27, 2017 Category: Internal Medicine Authors: Brady Pregerson, MD Tags: Cardiovascular Diseases Source Type: news

Mumps and Rubella: Stepchildren of the MMR?
The number of US cases of mumps in recent years may surprise you. What ' s behind the rise and why don ' t we hear about it? (Source: ConsultantLive)
Source: ConsultantLive - April 27, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

Quiz: 5 Diagnostic Question Marks
Take this quick quiz to test your knowledge of new clinical decision making tools and ideas. (Source: ConsultantLive)
Source: ConsultantLive - April 26, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Quiz Pain Source Type: news

Vaccine Acronyms: Where to Look when You & #039;re Stumped
Vaccine shorthand can simplify or confuse. Test your knowledge of the alphabet soup and get valuable CDC links to help decode. (Source: ConsultantLive)
Source: ConsultantLive - April 26, 2017 Category: Internal Medicine Authors: Terry Brenneman, MD Tags: Vaccines Source Type: news

Lactic Acidosis in an Infant Receiving HIV Prophylaxis
Zidovudine is safe and effective in reducing transmission of HIV from mother to infant but rare serious side effects do occur. Is it worth the risk? (Source: ConsultantLive)
Source: ConsultantLive - April 26, 2017 Category: Internal Medicine Authors: Anne Gargasz, PharmD Melinda Murphy, MD Nicholas Scaturo, PharmD Tags: HIV AIDS Source Type: news

Post-Test on Hepatitis C in Primary Care
Take this brief quiz to see what you ’ve learned about the challenges and opportunities of HCV management. (Source: ConsultantLive)
Source: ConsultantLive - April 24, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

Hepatitis C Drugs Meet Resistance Issues
Resistance-associated variants limit the activity of some drugs, but HIV infection treatment may offer some guidance. (Source: ConsultantLive)
Source: ConsultantLive - April 24, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

Quiz: 5 Skin Signs of Spring
The signs are everywhere. See if you recognize these 5 skin eruptions often seen when man gets back to nature. (Source: ConsultantLive)
Source: ConsultantLive - April 21, 2017 Category: Internal Medicine Authors: Grace Halsey Tags: Skin Diseases Source Type: news

Something Fishy: 8 Ichthyosis Questions
Disfiguring skin signs were seen in all 3 children, but not their parents. Take this quick quiz to test your knowledge of the “fish scale disease.” (Source: ConsultantLive)
Source: ConsultantLive - April 20, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Quiz Skin Diseases Source Type: news

Sports Med Group: Providers Should Help Patients Be More Physically Active
Some patients may not even understand exactly what is meant by " exercise. " How do you promote physical activity in your practice? (Source: ConsultantLive)
Source: ConsultantLive - April 20, 2017 Category: Internal Medicine Authors: Ryan Basen Source Type: news

Atrial Fibrillation: A Spot Quiz
Your atrial fibrillation spot quiz of the week -- take a minute and try these 3 short questions. (Source: ConsultantLive)
Source: ConsultantLive - April 19, 2017 Category: Internal Medicine Authors: Gregory W Rutecki, MD Tags: Atrial Fibrillation Source Type: news

5 Top Apps for Primary Care
You might need: an excellent mobile ECG reference; a gout diagnosis tool; a contraception counseling aid; FPNotebook on mobile, and Klara. (Source: ConsultantLive)
Source: ConsultantLive - April 19, 2017 Category: Internal Medicine Authors: Ted W James, MD Tags: Cardiovascular Diseases Gout Source Type: news

Hepatitis C: What If You Do Not Treat?
Severe outcomes may ensue in a high percentage of patients. The authors discuss the consequences in this brief podcast. (Source: ConsultantLive)
Source: ConsultantLive - April 17, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

Newer Hepatitis C Drugs Mean Direct Action
The “modern era” of treatment features multiple DAAs that target specific steps within the HCV life cycle. (Source: ConsultantLive)
Source: ConsultantLive - April 17, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

Quiz: 5 Spring Sports Injuries
Outdoor recreation is in full swing again. Here are 5 injuries you may need to identify, soon. What are they? (Source: ConsultantLive)
Source: ConsultantLive - April 14, 2017 Category: Internal Medicine Authors: Grace Halsey Tags: Quiz Source Type: news

Unexplained Chest Pain Carries Substantial Cardio Risk
British patients with chest pain who went undiagnosed in primary care had an increased risk of fatal/non-fatal CV events for at least 5 years. (Source: ConsultantLive)
Source: ConsultantLive - April 13, 2017 Category: Internal Medicine Authors: Salynn Boyles Tags: Cardiovascular Diseases Source Type: news

5 Antidotes to Diagnostic Uncertainty
An array of new tools, perspectives, and guidelines to help navigate the gray areas have been reported in recent days. (Source: ConsultantLive)
Source: ConsultantLive - April 13, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Pain Prostate Cancer Source Type: news

5 Antidotes to Diagnostic Uncertainty
Slide Show: An array of new tools, perspectives, and guidelines to help navigate the grey areas have been reported in recent days. (Source: ConsultantLive)
Source: ConsultantLive - April 13, 2017 Category: Internal Medicine Authors: Leo Robert Source Type: news

Opioid Analgesics: The Impact of the Initial Prescription
What factors surrounding a first prescription for opioids influence length of opioid use by the patient? Two new studies begin to answer the question. (Source: ConsultantLive)
Source: ConsultantLive - April 13, 2017 Category: Internal Medicine Authors: Steven A. King, MD, MS Tags: Blog Pain Source Type: news

Colic Quiz: 8 Key Questions About Crying
Take this quick quiz to test your knowledge of crying, fussing, and colic in infants. (Source: ConsultantLive)
Source: ConsultantLive - April 12, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Quiz Source Type: news

Refining Terms in Afib: Moving Away from “Valvular” and “Nonvalvular”
Some call this new study a " game changer " when it comes to AF patient selection for direct-acting oral anticoagulant Rx. What ' s your take? (Source: ConsultantLive)
Source: ConsultantLive - April 10, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Source Type: news

Medicaid Is Tight on Hepatitis C Drug Coverage
State Medicaid programs and private insurance companies have balked at providing these drugs to their insured customers. But the tide is turning. (Source: ConsultantLive)
Source: ConsultantLive - April 10, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

Hepatitis C Report: What Tests to Order
Testing is recommended for the persons who are more likely to have the virus but not know it. (Source: ConsultantLive)
Source: ConsultantLive - April 10, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

Afib, Heart Failure, and Exercise
Is exercise safe in HF patients who have AF? Results of the HF-ACTION study are summarized in this short slide show. (Source: ConsultantLive)
Source: ConsultantLive - April 10, 2017 Category: Internal Medicine Authors: Payal Kohli, MD Tags: Atrial Fibrillation Cardiovascular Diseases Cerebrovascular Diseases Source Type: news

From Head to Toe: An Image-based Quiz
We give you 6 cases with a photo, presenting details, and a differential. Now, what ' s your Dx? (Source: ConsultantLive)
Source: ConsultantLive - April 7, 2017 Category: Internal Medicine Authors: Jonathan A. Schneider, DO Tags: Skin Diseases Source Type: news

Replacing the ACA: A Battle was Won, But the War Isn & #039;t Over
American College of Physicians leaders call for steady opposition to the administration ' s proposed replacement of the Affordable Care Act. (Source: ConsultantLive)
Source: ConsultantLive - April 6, 2017 Category: Internal Medicine Authors: Shannon Firth Source Type: news

8 Baby Steps to Rating Infant Crying
What ' s normal and what ' s not when infants cry? Key findings of a new study are summarized in these slides. (Source: ConsultantLive)
Source: ConsultantLive - April 6, 2017 Category: Internal Medicine Authors: Leo Robert Source Type: news

Hepatitis C: Pre-treatment Testing and Monitoring At-a-Glance
What are the most important labs to monitor before, during, and after HCV treatment? Essentials in this brief slide show. (Source: ConsultantLive)
Source: ConsultantLive - April 6, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Tags: Hepatitis C Source Type: news

Hep C Case Challenges for Primary Care
Test your knowledge of screening and HCV management with these three short case quizzes. (Source: ConsultantLive)
Source: ConsultantLive - April 6, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Tags: Hepatitis C Source Type: news

Hepatitis C Screening for High Risk Patients
Patients can be identified at earlier stages of disease, before serious liver damage develops, and have improved clinical outcomes. (Source: ConsultantLive)
Source: ConsultantLive - April 5, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

SPECIAL REPORT: Hepatitis C and Primary Care
Primary care physicians can play an expanding role in achieving the benefits of testing, care, and treatment to help stem the epidemic. (Source: ConsultantLive)
Source: ConsultantLive - April 3, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

April Allergy Quiz
Our short quiz tests your basic allergy IQ as well as what you might not know about emerging therapy. (Source: ConsultantLive)
Source: ConsultantLive - April 3, 2017 Category: Internal Medicine Tags: Quiz Source Type: news

Hepatitis C Report: Tuning in to a Silent Epidemic
Knowing the origin and causes could help clinicians better determine who to screen and treat. (Source: ConsultantLive)
Source: ConsultantLive - April 3, 2017 Category: Internal Medicine Authors: Merin Varghese, MD Rodger D. MacArthur, MD Tags: Hepatitis C Special Report Infection Source Type: news

New Drugs Quiz, Early 2017
Test your knowledge of recent approvals that are significant for primary care. (Source: ConsultantLive)
Source: ConsultantLive - March 30, 2017 Category: Internal Medicine Authors: Leo Robert Tags: Quiz Skin Diseases Source Type: news

HCV Testing Still Lags
Hepatitis C virus is the leading indication for liver transplant in the US. Is it time for state-mandated HCV testing? (Source: ConsultantLive)
Source: ConsultantLive - March 30, 2017 Category: Internal Medicine Authors: Michael Smith Tags: Hepatitis C Source Type: news

Post-Test on Gout in Primary Care
Use this short test to gauge how much you ’ve learned about a condition that needs more primary care involvement. (Source: ConsultantLive)
Source: ConsultantLive - March 30, 2017 Category: Internal Medicine Authors: Rebecca E. Sadun, MD, PhD Robert T. Keenan, MD, MPH Ryan C. Jessee, MD Tags: Special Report Gout Source Type: news

Gout Clues
Can you spot the x-ray evidence to detect the suspected diagnosis? (Source: ConsultantLive)
Source: ConsultantLive - March 29, 2017 Category: Internal Medicine Tags: Image IQ Gout Source Type: news

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