Features

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.

Features Preventing and treating periodontitis

Preventing and treating periodontitis

NPs and PAs must work in collaboration with oral health clinicians to effectively educate patients in the prevention of periodontal disease.

Clinical Challenge Abdominal cramping, foreign body in 
the stool of a child

Abdominal cramping, foreign body in 
the stool of a child

A child presents to the emergency department with a seven-inch live 
worm in his stool.

Alternative Meds Update Consider glucomannan for obesity treatment

Consider glucomannan for obesity treatment

Glucomannan can help treat obesity and comorbid conditions of type 2 diabetes, heart disease, and early mortality.

Clinical Challenge Diabetes control in a patient with multiple hospitalizations

Diabetes control in a patient with multiple hospitalizations

A patient with type 2 diabetes for ten years experienced three recent hospitalizations and a COPD exacerbation that required an increase in maintenance steroids.

Sign Up for Free e-newsletters

March Contest

Click here to get started