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Can Opiates Be Administered by Nebulizer?
Some clinicians are using nebulized morphine to treat pain and breathlessness in patients with COPD and CHF, but is there evidence to back that up?
Expert Viewpoint, May 2008
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Does a Goiter Always Require Surgery?
Commentary on a study on benign goiters, published March 2008 in the British Journal of Surgery.
Expert Viewpoint, May 2008
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Pain in the Cognitively Impaired Elderly: Guidance for Clinicians
What do you do when your patients can't tell you they are in pain? Can you rely on self-report of pain in patients with dementia? Learn how to ask about pain, behaviors to watch for, and other tips.
Journal Article, May 2008
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Do Patients Undergoing Lichtenstein Hernia Repair Need a General Anesthetic?
Commentary on a study on anesthesia for hernia repair published March 2008 in The Annals of Surgery.
Expert Viewpoint, May 2008
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What's the Best Close for a Hemorrhoid Procedure -- Staples or Sutures?
Commentary on a study on hemorroidectomy, published in February 2008 in the British Journal of Surgery.
Expert Viewpoint, May 2008
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CME/CE
Back Pain in a 39-Year-Old Man from Guatemala
A 39-year-old Guatemalan man presents to the ED with severe and debilitating back pain. He has been previously evaluated for his back pain twice in the past few weeks. The pain is throbbing and diffuse throughout the lower back, with radiation to his left buttock and upper back, and it has been progressively worsening. Mild tenderness to palpation is noted in the midline lower back. A lumbar radiograph and a magnetic resonance imaging scan of the spine are obtained. What is the diagnosis?
Clinical Case, May 2008
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CME
Re-recurrence After Operation for Recurrent Inguinal Hernia. A Nationwide 8-Year Follow-up Study on the Role of Type of Repair
Some surgeons recommend laparoscopic repair of recurrent inguinal hernias, whereas others prefer an open repair. This study may resolve the question.
Journal Article, May 2008
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How Can We Prevent Functional Deterioration in the Hospitalized Elderly?
I work in a long-term care setting and we often find that after a resident is hospitalized, they suffer setbacks in mobility and functional status. Can anything be done to prevent this?
Expert Viewpoint, May 2008
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Do Immigrants Help or Hurt US Healthcare?
Patients are not the only critical piece of the equation. A Web site that examines hot business topics in medicine offers an unusual perspective on this and other issues.
Article, May 2008
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Why the NIH Trial to Assess Chelation Therapy (TACT) Should Be Abandoned
The $30 million, NIH Phase 3 Trial to Assess Chelation Therapy (TACT) exposes subjects to a risky method that is known to be ineffective. The TACT should be abandoned and its origins investigated.
Article, May 2008
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Positive End-Expiratory Pressure Setting in Adults With Acute Lung Injury and Acute Respiratory Distress Syndrome (EXPRESS)
Do different applications of positive end-expiratory pressure improve survival and/or reduce the duration of mechanical ventilation?
Expert Viewpoint, May 2008
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Traumatic Biliary Stricture
A 48-year-old man with a history of short-gut syndrome presented with painless jaundice. Approximately 1 year earlier he was involved in a motor vehicle accident.
Clinical Case, May 2008
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Birth Control for P Values: A Single Scientific Question Should Be Addressed by a Single Statistical Test
Stick to a limited number of P values, says the statistician.
Article, May 2008
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Spotting an Asymptomatic Meckel's Diverticulum During Surgery -- What Next?
Commentary on a study on Meckel's diverticulum, published February 2008 in The Annals of Surgery
Expert Viewpoint, May 2008
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Icyou: How Social Media Is the New Resource for Online Health Information
Prerna Mona Khanna, MD, MPH, Medical Editor, Icyou.com, Charleston, South Carolina, describes another promising use of the health Internet.
Expert Viewpoint, May 2008
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Performing Laparoscopic Cholecystectomy Outside the Hospital -- Is It Safe?
Commentary on a study on laparoscopic cholecystectomy in a nonhospital setting, published February 2008 in The British Journal of Surgery
Expert Viewpoint, May 2008
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Study of Pathology of Brain Death Patients Reveals Heterogeneity
The brain can die in many ways, but the end is the same.
Journal Article, May 2008
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Perspective: Carotid Stenting and the History of Disruptive Technology in Vascular Surgery
Can CAS be considered a disruptive technology? An expert commentary from Frank J. Veith, MD.
Expert Viewpoint, May 2008
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Can A Topical Immunomodulating Agent Obviate Need for Surgery in Vulvar Intraepithelial Neoplasia?
Results of a small placebo-controlled study suggest that a topical cream may serve as an alternative to surgery for some patients with vulvar intraepithelial neoplasia.
Expert Viewpoint, May 2008
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Surgeon Sews for Fun, Sutures for a Living
Ramona Bates, MD, is a plastic surgeon who uses her blog to further her interests in surgical procedures and quilting.
Article, May 2008
