Mdedge Daily News

Physician burnout may jeopardize patient care. The FDA cracks down on companies selling an increasingly popular, unproven alternative to opioids. Multiday seizure cycles in epilepsy may be quite common. And new stroke guidelines raise the bar on mechanical thrombectomy procedures.

One-quarter of emergency department sprained ankle diagnoses result in an opioid prescription. How secondhand smoke in childhood leads to COPD deaths in adulthood. A potential contender to treat antibiotic-resistant blood poisoning falls flat. And be on the lookout for a nasty skin souvenir on international travelers.

Tai chi tempers the risk of falls in older adults. Rosacea’s global reach may be greater than expected. How an MRI at prostate cancer diagnosis shapes disease management. And new guidelines debut for diagnosing and treating mild traumatic brain injury in children.

Why composite risk, not age, is key for timing a patient’s first colorectal cancer screening. EULAR updates its hand osteoarthritis management recommendations for the first time in more than a decade. Why the right medication starting dose shapes success in treating anxiety disorders. And how to avoid fraud and abuse hot spots in your telemedicine ventures.

Fluoroquinolones are recommended for adults with cancer-related immunosuppression. Also today, statins are not preventative in the elderly unless they have diabetes, children born from ART have risk for arterial hypertension, and Supreme Court nominee Judge Kavanaugh testifies on Roe v. Wade.

Single-dose influenza drug baloxavirhas similar efficacy to oseltamivir, according to new data in the New England Journal of Medicine. Also today, the relationship between obstructive sleep apnea and gout, community-based therapy for asthma in African American teens, and the importance of hospital settings for pneumonia.

Diclofenac has emerged as a clear culprit in higher risk for adverse cardiovascular events. Also today, the majority of e-cigarette users are under 35 years of age, a hospital dropped length of stay for neonatal abstinence syndrome, and physician groups continue to call for CMS to drop evaluation and management proposal.

Patients with non-alcoholic fatty liver disease who consumed modest quantities of alcohol had significantly less improvement in NASH. Also today, new AGA guidelines on opioid-induced constipation, a self-management intervention for epilepsy improves quality of life, and fewer enrollees reach the Medicare drug donut hole.

The FDA approves the once-daily oral drugs Delstrigo and Pifeltro for HIV-1 infection. Also today, emicizumab beats factor VIII prophylaxis by a wide margin, orodental issues are often associated with facial port-wine stains, and epilepsy often accompanies congenital Zika infections.

Both low-dose and full-dose rivaroxaban had superior benefit-risk profiles for extended VTE compared with aspirin. Also today, bone biopsy diagnostics for osteomyelitis vary widely, variation in bacterial drug susceptibility are tied to the risk of TB relapse, and CTA cuts MIs in patients with stable chest pain.

Rapid declines in spirometric measures of lung function were associated with higher risks of cardiovascular disease today, risankizumab provides more effect in psoriasis that ustekinumamb, there is no link between screening and liver cancer mortality, and eosinophils are a possible marker for nonceliac gluten or wheat sensitivity.

The worldwide cardiology community has a newly revised universal definition of myocardial infarction and it refines how to distinguish between infarction and injury. Also today, high-sensitivity cardiac troponin levels are linked to cardiovascular outcomes in patients with COPD, mindfulness training for a migraine is gathering steam, and a negative chest x-ray may rule out pediatric pneumonia.

New results from the ASCEND trial snow that neither aspirin nor fish oil provide any net clinical benefit for primary cardiovascular prevention in patients with diabetes. Also today, rivaroxaban is no help for heart failure outcomes, VTE risk is unchanged by rivaroxaban taken after discharge, and the AAP cautions against marijuana use during pregnancy and breastfeeding. Subscribe to the MDedge Daily News wherever you get your podcasts.

Lorcaserin is the first weight-loss drug proven to have cardiovascular safety. Also today, live attenuated flu vaccine gets the nod for upcoming flu season, PCSK9 inhibition helps patients with metabolic syndrome, and breastfeeding may reduce the risk of stroke decades later. Subscribe to the MDedge Daily News wherever you get your podcasts.

New data leads one clinician to conclude that it’s time for primary care physicians to take over care for patients with chronic hepatitis C virus. Also today a draft consensus statement on managing hyperglycemia in type 2 diabetes, the prescription opioid epidemic hits migraine patients hard, and mailing out fecal tests may improve screening rates for colorectal cancer.

Screen women for cervical cancer with basic cytology starting at 21 years old. Also today, alopecia areata is linked to mental health disorders, the feds take a baseline on EHR interoperability, and new Valsalva maneuver for supraventricular tachycardia beats all others.

Two experts give five myths about HIPAA in the digital age. Also today, nighttime media use threatens sleep and may cause teen depression, breastfeeding starts slowly before dropping off in the U.S., and a new, simple aid for DVT diagnosis for under $20. Subscribe to the MDedge Daily News wherever you get your podcasts.

A new app is tied to a reduction in insomnia and depression in adults, Also today, migraines take a toll on intimate relationships, two different approaches lowered opioid use after cesarean deliveries, and the AHA warns that Chagas disease and its heart effects have come to America. Subscribe to the MDedge Daily News wherever you get your podcasts.

Non-alcoholic fatty liver disease, or NAFLD, is the 21st century epidemic in liver disease according to Dr. Zobair Younossi speaking at the annual meeting of the American College of Physicians in New Orleans. Also today, how smoking and drinking impact risk for SLE among black women in the U.S., the FDA approves the first EpiPen generic, and final 15-year data from the veterans affairs diabetes trial.

Two studies published in the New England Journal of Medicine support managing cardiovascular risk in patients with type 2 diabetes. Also today, spontaneous intracranial hypotension is a triple misnomer, prolonged antimalarial therapy is linked to elevated cardiac biomarkers and cardiomyopathy, and breast arterial calcification and low bone mass predict coronary artery disease in women. Subscribe to the MDedge Daily News wherever you get your podcasts.