General Medicine: Archives

SUMMARY AND COMMENT

Anterior Cutaneous Nerve Entrapment — A Cause of Abdominal Wall PainFree

• May 23, 2013
• Allan S. Brett, MD

A randomized trial suggests that surgery is effective for this syndrome.

• Reviewing:
• Boelens OB et al., Ann Surg 2011 Dec; 254:1054 Boelens OB et al., Ann Surg 2013 May; 257:845

SUMMARY AND COMMENT

Steroid Injection Is Effective for Some Patients with Morton Neuroma

• May 23, 2013
• Allan S. Brett, MD

But the durability of the effect is unclear.

• Reviewing:
• Thomson CE et al., J Bone Joint Surg Am 2013 May 1; 95:790

SUMMARY AND COMMENT

Age-Adjusted D-Dimer Cutoffs in Assessing Suspected Venous Thromboembolism

• May 23, 2013
• Paul S. Mueller, MD, MPH, FACP

Age-based cutoffs improve specificity of D-dimer testing.

• Reviewing:
• Schouten HJ et al., BMJ 2013 May 3; 346:f2492

SUMMARY AND COMMENT

Safety of Sitagliptin: An Observational Study

• May 23, 2013
• Paul S. Mueller, MD, MPH, FACP

Sitagliptin wasn't associated with excess risk for hospitalization or death.

• Reviewing:
• Eurich DT et al., BMJ 2013 Apr 25; 346:f2267

SUMMARY AND COMMENT

Depression in Nursing Home Residents: Prevalent and Serious

• May 23, 2013
• Bruce Soloway, MD

Some evidence supports a multidisciplinary approach to helping residents without dementia.

• Reviewing:
• Leontjevas R et al., Lancet 2013 May 2 Steffens DC., Lancet 2013 May 2 Underwood M et al., Lancet 2013 May 2 Stewart R., Lancet 2013 May 2

SUMMARY AND COMMENT

Discovery of a Natural Heart-Rejuvenating Molecule in Mice

• May 23, 2013
• Anthony L. Komaroff, MD

Raising the serum concentration of GDF11 in old mice rescued the myocardium.

• Reviewing:
• Loffredo FS et al., Cell 2013 May 9; 153:828

CLINICAL PRACTICE GUIDELINE WATCH

2013 ACCP Guideline on Screening for Lung CancerFree

• May 22, 2013
• Allan S. Brett, MD

The American College of Chest Physicians recommends screening with low-dose computed tomography — but only in a carefully defined population.

• Reviewing:
• Detterbeck FC et al., Chest 2013 May; 143:e78S

SUMMARY AND COMMENT

More Data from the National Lung Screening TrialFree

• May 22, 2013
• Allan S. Brett, MD

This report focuses on findings and follow-up testing during the first round of computed tomography screening.

• Reviewing:
• The National Lung Screening Trial Research Team., N Engl J Med 2013 May 23; 368:1980

SUMMARY AND COMMENT

When Should CV Risk Be Remeasured in People at Low or Intermediate Risk?

• May 21, 2013
• Paul S. Mueller, MD, MPH, FACP

Few people whose baseline cardiovascular risk was very low or low became high risk after 8 years.

• Reviewing:
• Bell KJL et al., BMJ 2013 Apr 3; 346:f1895

SUMMARY AND COMMENT

Sleeve Gastrectomy for Morbid Obesity

• May 21, 2013
• Allan S. Brett, MD

Complication rates and weight-loss outcomes were between those of gastric bypass and gastric banding.

• Reviewing:
• Carlin AM et al., Ann Surg 2013 May; 257:791