Professor
Brian Andrews NEJM Recommendations for Medical Students and Tutors
Week
of 22nd December 2016 (#74)
University
of Notre Dame Australia (Fremantle Campus)
Occasional Editorial Comment
None
Must Read Articles
Perspective
All
in a Day’s Work — Equity vs. Equality at a Public ICU in Brazil
Every
day, Brazilian intensivists face cruel choices about which patients will be
given the care they need. Should a 32-year-old woman with respiratory failure
receive extracorporeal membrane oxygenation? Or should the money be spent
instead on 1250 doses of antibiotics?
Articles Recommended for Medical Students
EDITORIAL
Acute
Otitis Media — The Long and the Short of It
ORIGINAL ARTICLE
Shortened
Antimicrobial Treatment for Acute Otitis Media in Young Children
In
children 6 to 23 months of age with otitis media, 5 days of antibiotic therapy
was associated with less-favorable outcomes than standard 10-day treatment. The
shorter course did not result in a lower rate of adverse events or of emergence
of antimicrobial resistance.
REVIEW ARTICLE
Neonatal
Abstinence Syndrome
Infants
born to mothers who take opioids may have symptoms of opioid withdrawal after
birth. Early detection and holistic treatment that incorporates pharmacologic
and nonpharmacologic interventions can help improve outcomes for affected
infants.
IMAGES IN CLINICAL MEDICINE
Acute
Rheumatic Fever with Erythema Marginatum
A
36-year-old man presented with fever and pain in both shoulders and knees,
which had been preceded by a sore throat. His symptoms abated after
administration of an NSAID. One week later, painless, nonpruritic, red annular
macules appeared on the upper limbs and abdomen.
IMAGES IN CLINICAL MEDICINE
Uterine
Rupture with Protruded Legs in a Large Amniocele
A
33-year-old woman presented at 22 weeks of gestation with a large herniation of
the amniotic sac, detected by routine ultrasonography. MRI revealed a 2.5-cm
rupture of the left uterine wall and a large amniocele that contained fetal
legs.
CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL
Case
39-2016 — A 74-Year-Old Man with Rectal Bleeding and a History of Prostate
Cancer
http://www.nejm.org/doi/full/10.1056/NEJMcpc1613458
A
74-year-old man with a history of prostate cancer presented with rectal
bleeding of 6 months' duration. Examination revealed a rectal mass. A
diagnostic procedure was performed, and management decisions were made.
EDITORIAL
Atrial
Fibrillation and PCI — Do We Still Need Aspirin?
Important Articles Related to Mechanisms of Disease and
Translational Research
CLINICAL IMPLICATIONS OF BASIC RESEARCH
Tracking
the Fate of Cells in Health and Disease
A
new method that involves marking DNA by changing its sequence may provide a
more accurate understanding of developmental disorders and cancer in models of
disease.
Other Articles which should interest medical students
ORIGINAL ARTICLE
Hypothermia
for Neuroprotection in Convulsive Status Epilepticus
In
patients with convulsive status epilepticus, the addition of cooling to 32 to
34°C for 24 hours did not have a significant effect on the percentage of
patients with good outcomes at 90 days as compared with standard seizure
treatment alone.
New Pharmacological Therapies
None
Other articles which may be of interest to certain students
None
