Clinical
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Avoid Surprise Migraine Triggers
The degree of unexpectedness or “surprisal” associated with known migraine triggers is a predictor of headache attacks. Social avoidance behavior is positively correlated with headache disability, pain, and depression, but there is a negative correlation between headache pain endurance and anxiety.
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Alcohol Consumption and Migraine
In this observational, cross-sectional survey performed via an online questionnaire, researchers confirmed that alcohol consumption is a common trigger for migraine, and red wine is the type of alcohol cited as a trigger most frequently.
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Sleep Tight, and Don’t Let the Ectoparasites Bite: Part 2
Providers in the pediatric emergency department frequently encounter ectoparasitic infestations. Infestations require early recognition and knowledge of effective treatment strategies. Last month, the author reviewed scabies, chiggers, and lice. This month, the bedbugs and ticks will come biting!
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Estrogens Used in Hormonal Therapy
To practice as a consultant in reproductive medicine, clinicians require a strong background in hormonal therapy. In this feature, we will review the role of steroidal estrogens used in contraceptive and hormone therapy.
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Perioperative Antibiotics in Gynecologic Surgery: The Case for Myomectomy
The authors of a retrospective cohort study suggest that perioperative antibiotics reduce the risk of surgical site infection in women undergoing myomectomy.
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Does Hormone Therapy Increase the Risk of Alzheimer’s Disease?
A large Finnish case-control study suggests that postmenopausal hormone therapy results in a 9-17% increase in the risk of Alzheimer’s disease. However, the small effect size, and likely confounding of use effect, does not provide strong evidence for a causal relationship.
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Multimodal Stepwise Post-Cesarean Pain Control Reduces Opioid Use
These investigators found that the routine use of acetaminophen alone rather than a combination acetaminophen-opioid significantly reduced overall and daily opioid use. In addition, there was no worse effect on overall pain score or length of stay.
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Can You Predict the Anatomy?
The ECG in the figure was recorded from an elderly woman with new-onset chest pain. How would one assess this ECG? Is there a “culprit” artery?
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Romosozumab-aqqg Injection (Evenity)
Romosozumab is prescribed to treat osteoporosis in postmenopausal women at high risk for fracture.
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REM Behavior Disorder, Dementia, and Parkinson’s Disease
In this well-designed prospective cohort study of patients with REM behavior disorder, the investigators reported that 73.5% of patients developed a neurodegenerative disorder after a 12-year follow-up.