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Clinical value of some knee and hip MRIs questioned

AuntMinnie

While MRI-detected biomarkers may serve a beneficial role for people with hip and knee pain, the modality's clinical utility may be limited in patients over the age of 45 in patients with advanced osteoarthritis, according to an article published in the American Journal of Roentgenology ( AJR ). Erin Alaia, MD.

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AuntMinnie 2015: CMS issues final CT lung cancer screening approval

AuntMinnie

Our top article in 2015 reported on the momentous CMS decision on CT lung cancer screening reimbursement. Editor's note: As part of the celebration of AuntMinnie.com's upcoming 25th anniversary, we're presenting 25 for 25 -- a series featuring our most popular content for each of the last 25 years.

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Clinical practice LCS program finds more disease than NLST

AuntMinnie

Over a five-year period, a clinical practice lung cancer screening program at Duke University Medical Center in Durham, NC, found more disease than did the National Lung Screening Trial (NLST), researchers have reported. The study included 3,326 patients who underwent 5,150 LCS exams between January 2015 and June 2020. versus 2.4%.

Disease 83
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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Clinical Scenario: A 45-year-old woman with hypertension presents with a productive cough and fever. Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ).

Clinic 99
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Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

REBEL EM

Clinical Scenario: A 45-year-old woman presents with cough and shortness of breath. One side argues that fever places additional physiological stress on patients, who are already ill ( Young 2015 ). The HEAT trial represents the highest quality evidence on the topic ( Young 2015 ). NEJM 2015; 373(23): 2215-24.

Clinic 55
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Clinical Conundrums: Should Ketamine be Preferred Over Etomidate in RSI?

REBEL EM

Clinical Scenario: A 48 year old man presents with fever, hypotension, hypoperfusion and hypoxemia. Proponents of its use often dismissed this effect of the drug as there had never been any evidence it impacted clinical outcomes. Ann Emerg Med 2015; 65(1): 43-51. Intensive Care Med. 2011;37(6):901-910.

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GE HealthCare Announces FES PET Imaging Recommendation in NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines)

Imaging Technology

Currently, when treating metastatic breast cancer patients, oncologists base clinical decisions on diagnostic tools including biopsy results which only represent the sampled area of the tumor. Projecting the Prevalence and Costs of Metastatic Breast Cancer From 2015 through 2030. In the U.S., doi: 10.2967/jnumed.123.265420

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