Features

Features

Meningococcal meningitis: Managing outbreaks among adolescents and young adults

Meningococcal meningitis: Managing outbreaks among adolescents and young adults

Each year clusters of meningitis cases break out in the U.S. in the fall and winter months, particularly among adolescents and young adults.

Alternative Meds Update Xylitol: Low-cost treatment for dental caries, upper respiratory infections

Xylitol: Low-cost treatment for dental caries, upper respiratory infections

Xylitol is a primary sugar alcohol that can be used to help various dental problems as well as upper respiratory and ear infections.

Clinical Challenge Transplant, steroids, and diabetes: Inpatient and outpatient management

Transplant, steroids, and diabetes: Inpatient and outpatient management

A patient, aged 60 years, was admitted to the hospital to undergo renal transplant therapy. He had a history of type 2 diabetes for 15 years.

Features Managing anal fissures

Managing anal fissures

Anal fissures can be confused with hemorrhoids in everyday primary practice but require their own treatment protocol.

Evidence-Based Medicine Percutaneous closure of left atrial appendage may decrease mortality, hemorrhagic stroke risk

Percutaneous closure of left atrial appendage may decrease mortality, hemorrhagic stroke risk

Antithrombotic therapy is consistently recommended for most patients with atrial fibrillation and until recently warfarin, a vitamin K antagonist, has been the antithrombotic of choice.

Evidence-Based Medicine Extending duration of dual antiplatelet therapy in patients with drug-eluting stents yields mixed results

Extending duration of dual antiplatelet therapy in patients with drug-eluting stents yields mixed results

Extending the duration of DAPT may decrease the risk of stent thrombosis, but evidence on the efficacy of DAPT for greater than one year has been inconsistent.

Evidence-Based Medicine Nonsterile glove use may reduce blood stream infections in premature infants

Nonsterile glove use may reduce blood stream infections in premature infants

Hand hygiene and glove use are simple measures that have been shown to reduce infections in cohort studies of preterm neonates and other pediatric populations.

Alternative Meds Update Lysine for treating herpes simplex virus

Lysine for treating herpes simplex virus

Despite a less-than-robust efficacy profile, lysine supplementation is a safe and inexpensive remedy to try in patients with recurrent HSV outbreaks.

Evidence-Based Medicine Clinical prediction rule helps rule out abusive head trauma

Clinical prediction rule helps rule out abusive head trauma

Misdiagnosing abuse can have tragic consequences, as children returned to abusive situations may experience additional abuse or even death.

Clinical Challenge Transitioning a patient with a complex insulin regimen from hospital to home

Transitioning a patient with a complex insulin regimen from hospital to home

When creating outpatient diabetes management plan, the patient's inpatient medication regimen should be considered but not necessarily replicated.

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