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News
PHM16: The New AAP Clinical Practice Guideline on Evaluating, Managing Febrile Infants
August 1, 2016
One of PHM16’s most highly-attended sessions was an update on the anticipated AAP guidelines for febrile infants between ages 7-90 days given by Dr. Kenneth Roberts. The goal is to give evidence-based guidelines, not rules, from the most recent literature available.
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Opinion
Simple Strategy for Addressing Problematic Patient Behavior
August 1, 2016
Linden Spital, NP, a psychiatric mental-health nurse practitioner, staffs the Psychiatric Consultation Liaison Service at the University of Michigan in Ann Arbor.
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Genetic Makeup Influences Risk of Diabetes: Study
July 22, 2016
CHICAGO - A study examining the genes of more than 120,000 people from Europe, Asia, Africa and the Americas has offered the clearest picture yet of the genes that drive type 2 diabetes. The study, published July 11 in the journal Nature, puts to rest a decades-long debate over the genetics that
News
Atrial Fibrillation Linked with Greater Alcohol Access
July 20, 2016
NEW YORK - Greater access to alcohol is linked with more atrial fibrillation but less myocardial infarction and congestive heart failure, researchers report. Dr. Gregory M.
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News
PAs, NPs Seizing Key Leadership Roles in HM Groups, Health Systems
July 8, 2016
Since hospital medicine’s early days, hospitalist physicians have worked alongside physician assistants (PAs) and nurse practitioners (NPs).
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CT Scans Reliable Determinants of Blunt Trauma
July 5, 2016
NEW YORK - CT scans identify all clinically significant cervical spine injuries in intoxicated patients with blunt trauma, according to a new study. "I don't think any of the results were particularly surprising to any of us who regularly do trauma care, but what I do think is remarkable about th
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Is It Safe to Discharge a Patient with IDU History, PICC for Outpatient Antimicrobial Therapy?
July 4, 2016
Case A 42-year-old female with a history of intravenous (IV) drug use presents with severe neck pain, gait instability, and bilateral C5 motor weakness. A cervical MRI shows inflammation consistent with infection of her cervical spine at C5 and C6 and significant boney destruction.
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LETTER: Point-of-Care Ultrasound: The (Sound) Wave of the Future for Hospitalists
July 3, 2016
Small devices carried in pockets during rounds can enable hospitalists to make quick decisions at the bedside, enhance and teach physical exam skills, streamline patient flow through the hospital, and potentially avoid the cost and risk of exposure to radiation.
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News
Metformin Continues to Be First-Line Therapy for Type 2 Diabetes
July 1, 2016
Clinical question: Which medications are most safe and effective at managing type 2 diabetes? Background: Patients and practitioners need an updated review of the evidence to select the optimal medication for type 2 diabetes management. Study design: Systematic review. Synopsis: The authors
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News
Reevaluating Cardiovascular Risk after TIA
July 1, 2016
Clinical question: What is the prognosis of patients who have a TIA or minor stroke? Background: Prior studies had estimated the risk in the three months following a TIA or minor stroke of having a stroke or acute coronary syndrome (ACS) as 12% to 20%, but this may not reflect the risk of modern
