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ACOG Calls for Later and Fewer Pap Tests (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Women can wait longer to have a first Pap smear and repeat the test less frequently, according to recommendations from the American College of Obstetricians and Gynecologists. (Source: MedPage Today Hematology/Oncology)
Source: MedPage Today Hematology/Oncology - November 20, 2009 Category: Hematology Source Type: news

Beta-2 Receptor Variants Don't Affect LABA Response in Asthma (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Against expectations, asthma patients with different genotypes for the beta-2 adrenergic receptor all responded well to long-acting beta agonist (LABA) asthma drugs, researchers said. (Source: MedPage Today Allergy)
Source: MedPage Today Allergy - November 20, 2009 Category: Allergy & Immunology Source Type: news

Newer diagnostic techniques for tuberculosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article address the new diagnostic techniques for Tuberculosis. These techniques help in early daignosis of tuberculosis. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Nazish Fatima Source Type: journals

High frequency oscillatory ventilation in children: an overviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The last 30 years, high frequency ventilation (HFV) has found its way from the neonatal to the paediatric and adult ICU. With its small tidal volumes, strict intrathoracic pressure variations and disengagement of ventilation from oxygenation, HFV fits in our insights nowadays in lung protective ventilation. This review provides you with an understanding of the different modes of HFV, gas exchange mechanisms during HFV which uses tidal volumes below dead space volume, and some information on nursing and weaning a child on HFV. Focus will be on the clinical use of high frequency oscillatory ventilation with a pract...
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: E.L.IM. Duval, D.G. Markhorst, A.J. van Vught Source Type: journals

Congenital lobar emphysema in a teenager presented by a persisting pneumothoraxEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a 14-year-old girl with a spontaneous pneumothorax, which persisted on thorax drainage and was caused by a newly diagnosed CLE. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: J.M. Douwes, R.F.H.M. Tummers, A.G. Hensens, M. Wagenaar, B.J. Thio Source Type: journals

Mounier–Kuhn syndrome: A rare cause of bronchial dilatation: A case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of TBM with refractory lower respiratory infection and haemoptysis.The patient was a 53-year-old man with recurrent haemoptysis and without fever, wheezes, chest pain, weight loss or any respiratory disease. Chest helical computed tomography (CT) scan showed tracheomegaly with transversal diameters of the trachea of 50mm. A bronchoscopy was performed and revealed markedly enlarged airways and traces of bleeding arising from the right airways. The haemoptysis was stopped only after bronchial artery embolization. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: A. Abdelghani, H. Bouazra, A. Hayouni, S. Slama, A. Garrouche, S. Mezghani, N. Klabi, M. Benzarti Source Type: journals

A case of an airway obstruction secondary to blood clot formation after an episode of massive hemoptysis in a smear positive pulmonary tuberculosis pregnant ladyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Here we report an interesting case of airway obstruction secondary to blood clot formation after an episode of massive hemoptysis in a pregnant lady and removal of clot with rigid bronchoscopy after an attempt of faliure with flexible bronchoscopy with review of literature. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Sameer Singhal, S.N. Mahajan, S.K. Diwan Source Type: journals

Negative pressure pulmonary hemorrhageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of negative pressure pulmonary hemorrhage secondary to partial strangulation. The patient's symptoms rapidly abated within 48h with supportive therapy. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Khalil Diab, Aliya Noor Source Type: journals

Successful use of high-frequency oscillator ventilation for acute respiratory distress syndrome with pneumomediastinumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the successful use of high-frequency oscillatory ventilation without recruitment maneuvers in a patient with ARDS and severe hypoxemia who developed a pneumomediastinum during conventional mechanical ventilation. High-frequency ventilation is an attractive modality for the treatment of pneumomediastinum, especially when the airway pressures cannot be reduced by variation in the settings of the conventional mechanical ventilator. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Adriano R. Tonelli, Orlando I. Ruiz-Rodriguez, Edgar J. Jimenez Source Type: journals

Rituximab-induced nonspecific interstitial pneumonia like reaction in a patient with idiopathic thrombocytopenic purpuraEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the second case to develop this complication for a non-malignant disorder. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Charalambos Protopapadakis, Katerina M. Antoniou, Argiro Voloudaki, Katerina Samara, Athanasia Proklou, Giorgos Margaritopoulos, Nikolaos M. Siafakas Source Type: journals

Urinothorax: An uncommon cause of pleural effusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a man who developed a right-sided urinothorax following percutaneous nephrolithotomy, and briefly discuss the pathophysiology, diagnosis, and management of this uncommon problem. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Benjamin Wei, Hiroo Takayama, Matthew D. Bacchetta Source Type: journals

Everolimus associated interstitial pneumonitis: 3 Case reportsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report herein three cases of hypersensitivity pneumonitis due to everolimus. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: G. Bouvier, L. Cellerin, B. Henry, P. Germaud, M. Hourmant, C. Sagan, A. Magnan Source Type: journals

Situation of multidrug-resistant tuberculosis in the Czech Republic, unusual case studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Multidrug-resistant tuberculosis has been a serious medical and epidemic problem all over the world. Management of patients suffering from multidrug-resistant tuberculosis is complicated and therapy is successful in 60–70% of cases only. Therapeutic strategies recommend the application of standardized or an individual treatment regimen based on the results of susceptibility drug tests for second-line antituberculous drugs. The case study describes treatment for multidrug-resistant tuberculosis with individual drug regimen adjusted according to the results of susceptibility tests. Although smear and culture nega...
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Vaclava Bartu, Emilie Kopecka Source Type: journals

Minor trauma resulting in massive subcutaneous emphysema and pneumomediastinumEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: A 79-year-old woman was admitted after a fall at home. Crepitations were detected on palpation of the chest, neck, and face. A chest X-ray film and Computed tomography revealed massive subcutaneous emphysema and pneumomediastinum. Very rarely, as in the present case, rib fracture results in laceration of the pleura, causing subcutaneous emphysema. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Gideon Berger, Oren Fruchter Source Type: journals

Management of right upper airway patency by a silicon stent in a case of endobronchial metastasisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The tumor was successfully resected using a multidisciplinary approach and a novel method of silicone stent placement using the usual rigid bronchoscopic technique was employed to maintain complete right airway patency. (Source: Respiratory Medicine CME)
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: Ran Shioi, Masanori Yasuo, Atsuhito Ushiki, Tsuyoshi Tanabe, Kenji Tsushima, Masayuki Hanaoka, Keishi Kubo, Hideaki Moteki, Yutaka Takumi, Satoshi Kawakami, Masahiro Kurozumi, Yoshiki Hirose Source Type: journals

Peritoneal dialysis – An unusual cause of pleural effusion (“sweet hydrothorax”)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe three patients with pleural effusions secondary to CAPD. Because of the late onset of pleural effusion and pulmonary symptoms, i.e. months after CAPD treatment was initiated, the pleural effusion was not directly regarded as a complication of CAPD.After thoracocentesis with biochemical analysis of crystal clear pleural fluid and in two patients Tc-99 peritoneal scintigraphy/contrast enhanced CT-scanning, which demonstrated pleuroperitoneal communication, we concluded that pleural effusion was secondary to CAPD in these three subjects.All patients were treated with hemodialysis after cessation of CAPD and becaus...
Source: Respiratory Medicine CME - November 20, 2009 Category: Respiratory Medicine Authors: I. Krivokuca, J.-W.J. Lammers, J. Kluin Source Type: journals

Surveillance is Safe for Probable Benign Breast Masses (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Short-term follow-up is a reasonable alternative to biopsy of palpable breast lesions with benign imaging features, researchers say. (Source: MedPage Today Hematology/Oncology)
Source: MedPage Today Hematology/Oncology - November 20, 2009 Category: Hematology Source Type: news

Time Breast MRI by Progesterone Level (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Measurement of serum progesterone concentrations can aid in scheduling breast MRI in premenopausal women who do not have regular menses, a small retrospective study found. (Source: MedPage Today Hematology/Oncology)
Source: MedPage Today Hematology/Oncology - November 20, 2009 Category: Hematology Source Type: news

CT, Ultrasound Equivalent in Pediatric Pneumonia (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In pediatric patients with complicated pneumonia, chest ultrasound works as well as CT scanning to detect complications such as loculated pleural effusion or lung abscess, researchers said. (Source: MedPage Today Infectious Disease)
Source: MedPage Today Infectious Disease - November 20, 2009 Category: Infectious Diseases Source Type: news

Stocking Up on Meds Saves Money (CME/CE, with video)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Buying prescription drugs in bulk reduces costs for both patients and their insurers, researchers say. (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - November 20, 2009 Category: American Health Source Type: news

Baby Boomers Don't Use Preventive ServicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Only about a quarter of baby boomers take advantage of preventive services such as flu vaccines and cancer screenings, a new report from three health groups says. (Source: MedPage Today State Required CME)
Source: MedPage Today State Required CME - November 19, 2009 Category: Consumer Health News Source Type: news

Sleep Apnea Raises BP for Kidney Transplant Patients (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sleep apnea is common among kidney transplant patients, and those with the sleep disorder have higher systolic blood pressure despite taking more antihypertensive medications, a new study found. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

AHA: Obesity and Smoking Major Risk Factors for VTE (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Overweight smokers have the greatest risk of a venous thrombotic event, according to a review of data from the Copenhagen City Heart Study reported here. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

AHA: Weight-Loss Surgery Ups Cardiac Function in Kids (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Bariatric surgery led to sustained improvements in left ventricular mass and diastolic function in morbidly obese teenagers, a researcher reported here. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

Social Skills Improved for Alcohol-Damaged Kids (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Teaching children social skills can overcome some of the damage caused by prenatal alcohol exposure, researchers said. (Source: MedPage Today Pediatrics)
Source: MedPage Today Pediatrics - November 19, 2009 Category: Pediatrics Source Type: news

Intervention Cuts Risky Drinking in DWI Offenders (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A brief intervention designed to motivate change among repeat drunk drivers had uneven results, but showed some promise in curtailing their problem drinking, researchers found. (Source: MedPage Today Psychiatry)
Source: MedPage Today Psychiatry - November 19, 2009 Category: Psychiatry Source Type: news

AHA: Air Pollution Link to Thrombosis Fades Away (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Researchers said they were unable to replicate a link between ambient particulate matter air pollution and venous thromboembolism in women using estrogens. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

AHA: Drilling Down in JUPITER Confirms Benefit for Women (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- A subset analysis of data from the JUPITER trial indicates that apparently healthy women treated with rosuvastatin (Crestor) reduced their relative risk of major cardiovascular events by 46%, slightly higher than the 42% reduction seen in men. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

AHA: Diuretics Measure Up to Newer BP Drugs (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Over the long term, diuretics fight hypertension as well as newer, more expensive blood pressure medications, researchers said here. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

AHA: Obesity Okay with Some People (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Nearly one obese person in 10 feels no need to lose weight or prevent further weight gain, researchers found. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

AHA: Cardiac Care No Better with Report Cards (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Issuing public report cards on various aspects of hospitals' delivery of cardiovascular care did not improve overall care, a Canadian study showed. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

AHA: Newer Anticoagulants Beat Heparin for PCI (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Acute myocardial infarction patients pretreated with anticoagulants before percutaneous coronary interventions appear to fare better with fondaparinux or enoxaparin than unfractionated heparin, researchers reported. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

Continuing Medical Education@;DELIM@;From the Archives of the AFIP: Musculoskeletal Fibromatoses: Radiologic-Pathologic Correlation [AFIP Archives]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The article describes the clinical and imaging features, as well as the treatment options and prognoses, of the musculoskeletal fibromatoses, with emphasis on pathologic correlation. (Source: Radiographics recent issues)
Source: Radiographics recent issues - November 19, 2009 Category: Radiology Authors: Murphey, M. D., Ruble, C. M., Tyszko, S. M., Zbojniewicz, A. M., Potter, B. K., Miettinen, M. Tags: Musculoskeletal Radiology AFIP Archives Source Type: journals

Instructions for Category 1 CME CreditEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - November 19, 2009 Category: Dermatology Tags: Frontmatter Source Type: journals

CME examinationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - November 19, 2009 Category: Dermatology Source Type: journals

Answers to CME examinationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - November 19, 2009 Category: Dermatology Source Type: journals

Earn CME and MOC Credits Through a New Online e-Blue FeatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American Academy of Dermatology)
Source: Journal of the American Academy of Dermatology - November 19, 2009 Category: Dermatology Source Type: journals

Angiogenesis in cutaneous disease: Part IEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Angiogenesis is an important process in normal physiology and disease pathogenesis. Angiogenesis is controlled in a healthy body by a system of angiogenic growth factors and angiogenesis inhibitors. When angiogenic growth factors are predominantly expressed, blood vessel growth occurs and disease may result. Successful therapies have been developed that target growth factors, their receptors, or the cascade pathways that are activated by growth factor/receptor interactions. There is good evidence that angiogenesis plays an important role in a wide range of cutaneous maladies, and angiogenesis-targeting therapies are playin...
Source: Journal of the American Academy of Dermatology - November 19, 2009 Category: Dermatology Authors: Amy Nguyen, Van Hoang, Vivian Laquer, Kristen M. Kelly Tags: continuing medical education Source Type: journals

AHA: Low Bleeding Rates Observed in Dabigatran Dose-Ranging Trial (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- The oral anticoagulant dabigatran did not appear to markedly increase major bleeding rates among post-MI patients who were already being treated with aspirin and clopidogrel (Plavix), researchers said here. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 19, 2009 Category: Cardiology Source Type: news

Preeclampsia Tied to Future Thyroid Issues (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Women who develop preeclampsia during pregnancy are at increased risk of hypothyroidism later in life, researchers said. (Source: MedPage Today Endocrinology)
Source: MedPage Today Endocrinology - November 19, 2009 Category: Endocrinology Source Type: news

Alcohol Cuts CHD Risk in Men (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Consumption of alcohol in almost any quantity is associated with a nearly one-third reduction in the incidence of coronary heart disease (CHD) (MedPage Today) -- at least in men, a large Spanish study confirmed. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 18, 2009 Category: Cardiology Source Type: news

AHA: Prasugrel Incorporated into New STEMI Guidelines (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- A 60-milligram loading dose of prasugrel (Effient) is now a recommended alternative to clopidogrel for patients with ST-elevation myocardial infarction (STEMI) who undergo primary percutaneous coronary intervention, according to updated guidelines. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 18, 2009 Category: Cardiology Source Type: news

Mouse Study Points to Possible Down Syndrome Treatment (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Drugs that stimulate norepinephrine signaling might allow for normal cognitive development in children with Down syndrome, said researchers who tested the hypothesis in mice. (Source: MedPage Today Pediatrics)
Source: MedPage Today Pediatrics - November 18, 2009 Category: Pediatrics Source Type: news

Pregnancy Generally Safe for Women with MS (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Women with multiple sclerosis are only slightly more likely to carry babies that develop slowly in the womb and require cesarean deliveries than women without MS, a study found. (Source: MedPage Today Neurology)
Source: MedPage Today Neurology - November 18, 2009 Category: Neurology Source Type: news

AHA: Rivaroxaban Cuts Risk of VTE in Joint Replacement (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Rivaroxaban, an investigative oral factor Xa inhibitor, appears to reduce the risk of deep vein thrombosis by 50% among hip and knee replacement patients when compared with enoxaparin (Lovenox), researchers reported here. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 18, 2009 Category: Cardiology Source Type: news

AHA: VTE a Risk for Adult Survivors of Fontan Surgery (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Adults who survived the life-saving, but grueling Fontan heart procedure in childhood appear to be at an increased risk of experiencing venous thromboembolic events. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 18, 2009 Category: Cardiology Source Type: news

AHA: Beating Heart Bypass Better for Brain than PCI (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Percutaneous coronary intervention (PCI) may be worse for the brain than coronary artery bypass grafting (CABG) without the heart-lung machine, researchers reported here. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 18, 2009 Category: Cardiology Source Type: news

AHA: Daily Gym Class Reduces CV Disparities (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ORLANDO (MedPage Today) -- Daily exercise at school may mitigate the impact of poverty and other socioeconomic forces on future cardiovascular risk, German researchers found. (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - November 18, 2009 Category: Cardiology Source Type: news