Peer-influenced content. Sources you trust. No registration required. This is HCN.
ACP Internist
In the realm of lung cancer screening, understanding the right approach for high-risk patients is paramount. This summary navigates through a quiz about lung cancer screening. Centered on a 63-year-old woman, she’s a former smoker. Moreover, she has COPD. The objective is to identify her optimal screening test. Presented are five options. These comprise chest X-ray, PET scan, low-dose CT, sputum cytology, and opting for no screening. Turning to the NLST for guidance, it emerges that one of these has the upper hand. USPSTF, among other societies, backs the method. Importantly, it’s fitting for high-risk groups. Given her age and past smoking habit, the woman meets the criteria. Consequently, it is suggested the woman receives this screening annually. However, screening bears risks. Potential harms span from further tests to patient distress. Additional concerns include overdiagnosis and radiation exposure. Therefore, advanced facilities are ideal for screening. Two of the choices are ruled out. Strikingly, they don’t improve mortality rates. In fact, one of the choices presented isn’t designed for routine screening. Instead, this type of scan evaluates previously identified nodules or masses. Notably, overlooking this type of screening may lead to premature mortality. This particularly holds for high-risk, asymptomatic patients. The […]
Family Medicine/General Practice May 24th 2023
Psych Congress Network
What percentage of Americans have major depressive disorder (MDD) during the course of a year, according to the DSM-5-TR?
Psychiatry May 23rd 2023
A 51-year-old man presents with a 10-week history of intermittent bright red blood per rectum. His medical history is unremarkable, and he takes no medications. Physical examination reveals normal vital signs and a normal digital rectal examination. Fecal occult blood is positive. A colonoscopy identifies a nonobstructing lesion located 10 cm from the anal verge, while the rest of the colon appears normal. MRI scan results indicate that the lesion is invading into the muscularis but has not breached the full thickness, and there are no abnormal lymph nodes detected. Additionally, a contrast-enhanced CT scan of the chest and abdomen shows no signs of metastases. Biopsy results confirm the presence of adenocarcinoma. What is the most appropriate treatment for this patient?
Family Medicine/General Practice May 18th 2023
Clinical Advisor
A 75-year-old man visited the dermatology clinic with concerns about multiple actinic keratoses and a black discoloration on his right hand and fingers. It is noteworthy that over the past 12 to 14 years, during his retirement, the patient has experienced black discoloration on his right hand after peeling apples for pies multiple times each year. This discoloration occurs on the hand that holds his carbon knife and stainless steel peeler and typically disappears within a few days. Upon examination, the right palm exhibited black macular discoloration along the skin lines, particularly prominent on the palmar aspect of the fingers. The patient’s hands also displayed dryness and roughness upon palpation. Can you identify the diagnosis?
Dermatology May 18th 2023
DentistryIQ
Do you understand how to protect your patients and team from biofilm that can build in dental unit waterlines (DUWLs)? Take this quiz to see how well you understand this critical safety issue.
Dentistry May 15th 2023
The New England Journal of Medicine
This woman presented to the emergency room stating she had been the victim of an assault. What in her findings support the explanation for her injury?
Emergency Medicine May 11th 2023