Questioning Medicine

Questioning Medicine

Join Andrew on a medical rollercoaster as we ask a medical question and answer it based on recent published papers.

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Episoder(394)

Episode 231: 231. Is Cancer Actually Associated with Weight Loss?

Episode 231: 231. Is Cancer Actually Associated with Weight Loss?

>10% unintentional weight loss is most likely associated with  gastrointestinal, liver, pancreatic, and biliary cancers (relative risks, 3.1–7.4); Leukemia (RR, 4.2) Breast, prostate, and gynecologic ...

1 Feb 20245min

Episode 230: 230. Are PDE5i Bad for Your Health and Cardiovascular Disease?

Episode 230: 230. Are PDE5i Bad for Your Health and Cardiovascular Disease?

PDE5i are bad if your health if you have cardiovascular disease and a provider that didn't read the paper and only looked at the abstract. Go ahead and write for PDE5i for your patients that need it a...

31 Jan 20249min

Episode 229: 229. The Treatment of Chalmydia is...Not Azithromycin

Episode 229: 229. The Treatment of Chalmydia is...Not Azithromycin

Doxy 100mg BID x7days for chlamydia- and consider treating the partner unless you live in West Virginia. https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

30 Jan 20249min

Episode 228: 228. Is Herpes Zoster Vaccine Efficacy Actually 97.2%?

Episode 228: 228. Is Herpes Zoster Vaccine Efficacy Actually 97.2%?

Overall incidence of zoster (defined as the presence of the specific diagnostic code in the medical record, accompanied by a prescription for acyclovir) was lower among vaccine recipients, with vaccin...

29 Jan 20245min

Episode 227: 227. NEW--Complications of Lung Cancer Screening

Episode 227: 227. NEW--Complications of Lung Cancer Screening

Compared with complication rates in the National Lung Screening Trial, this real-world study had approximately twice the rate of procedural complications (31% vs. 18%) and major complications (i.e., a...

26 Jan 20246min

Episode 226: 226. Aspirin for Primary Prevention

Episode 226: 226. Aspirin for Primary Prevention

Ask about and stop aspirin in patients taking it for primary preventionLi DK et al. Trends in upper gastrointestinal bleeding in patients on primary prevention aspirin: A nationwide emergency departme...

25 Jan 20245min

Episode 225: 225. Is Nonoperative Management of Appendicitis Worth It?

Episode 225: 225. Is Nonoperative Management of Appendicitis Worth It?

At 25yrs the odds of still having your appendix if you were initially managed nonoperatively was 60%.https://jamanetwork.com/journals/jamasurgery/article-abstract/2808133

24 Jan 20244min

Episode 224: 224. Lactated Ringers or Normal Saline for Acute Pancreatitis

Episode 224: 224. Lactated Ringers or Normal Saline for Acute Pancreatitis

Although an observational trial, it appears lactated ringers is better than normal saline for those individuals with acute pancreatitis to prevent organ failure or local complications. https://journal...

23 Jan 20246min

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