Questioning Medicine

Questioning Medicine

Join Andrew on a medical rollercoaster as we ask a medical question and answer it based on recent published papers.

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Episoder(397)

Episode 234: 234. Does Size Matter...BP Cuff Size

Episode 234: 234. Does Size Matter...BP Cuff Size

A cuff 1-2 sizes too large underestimated bp by 4-9mm Hg BUT a cuff 1-2 sizes too small overestimated the BP 4-20mm Hghttps://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2807853

6 Feb 20245min

Episode 233: 233. Do GLP1 agonist actually delay gastric emptying?

Episode 233: 233. Do GLP1 agonist actually delay gastric emptying?

GLP1 agonist likely lead to retained gastric products but this effect is larger for once weekly injections than once daily pills.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10204182/

5 Feb 20246min

Episode 232: 232. Is the HPV vaccine that good?

Episode 232: 232. Is the HPV vaccine that good?

During 28 months of follow-up, absolute risks for progression from CIN2 to CIN3 (or worse) were as follows: 23% among women vaccinated before age 15 32% among women vaccinated between ages 15 and 20 3...

2 Feb 20248min

Episode 231: 231. Is Cancer Actually Associated with Weight Loss?

Episode 231: 231. Is Cancer Actually Associated with Weight Loss?

>10% unintentional weight loss is most likely associated with  gastrointestinal, liver, pancreatic, and biliary cancers (relative risks, 3.1–7.4); Leukemia (RR, 4.2) Breast, prostate, and gynecologic ...

1 Feb 20245min

Episode 230: 230. Are PDE5i Bad for Your Health and Cardiovascular Disease?

Episode 230: 230. Are PDE5i Bad for Your Health and Cardiovascular Disease?

PDE5i are bad if your health if you have cardiovascular disease and a provider that didn't read the paper and only looked at the abstract. Go ahead and write for PDE5i for your patients that need it a...

31 Jan 20249min

Episode 229: 229. The Treatment of Chalmydia is...Not Azithromycin

Episode 229: 229. The Treatment of Chalmydia is...Not Azithromycin

Doxy 100mg BID x7days for chlamydia- and consider treating the partner unless you live in West Virginia. https://www.cdc.gov/std/treatment-guidelines/chlamydia.htm

30 Jan 20249min

Episode 228: 228. Is Herpes Zoster Vaccine Efficacy Actually 97.2%?

Episode 228: 228. Is Herpes Zoster Vaccine Efficacy Actually 97.2%?

Overall incidence of zoster (defined as the presence of the specific diagnostic code in the medical record, accompanied by a prescription for acyclovir) was lower among vaccine recipients, with vaccin...

29 Jan 20245min

Episode 227: 227. NEW--Complications of Lung Cancer Screening

Episode 227: 227. NEW--Complications of Lung Cancer Screening

Compared with complication rates in the National Lung Screening Trial, this real-world study had approximately twice the rate of procedural complications (31% vs. 18%) and major complications (i.e., a...

26 Jan 20246min

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