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Articles for June 22, 2021

Selected articles for Primary Care Providers
Collected By Dr. Bruce Peyser
PSYCHIATRY
Medical Complications of Bulimia Nervosa 
Cleveland Clinic Journal of Medicine

This problem is 4 times more common than anorexia nervosa. Most patients are young and of normal weight. Cognitive-behavioral therapy is recommended first-line treatment.
                                                                                                       
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INFECTIOUS DISEASE
 HIV Infection-Screening, Diagnosis, and Treatment
NEJM

One out of every 7 individuals with HIV infection is unaware of their infection. With successful antiretroviral therapy and long-term commitment to care, patients with HIV infection can have a near-normal life span, and transmission of HIV to others can be eliminated.
       
                                                                                          READ MORE >>

 
OTOLARYNGOLOGY
Tinnitus: Diagnosis and Management
American Family Physician

Tinnitus is the sensation of hearing a sound in the absence of a source. It is commonly benign and idiopathic and is strongly associated with sensorineural hearing loss.
                   
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OB-GYN

Out-of-Hospital Birth
American Family Physician

This is happening more often.  Between 2004 and 2017, the number of out-of-hospital births increased by 75%.

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INFECTIOUS DISEASE
Appropriate Use of Short-Course Antibiotics in Common Infections: Best Practice Advice from the American College of Physicians
Annals of Internal Medicine

Short summary-If antibiotics are going to be used, keep the duration of therapy short for illnesses such as bronchitis in patients with COPD,  community-acquired pneumonia, and UTI, and even cellulitis.

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NEUROLOGY
Multiple Sclerosis
Annals of Internal Medicine-In the Clinic

Super helpful review article.  Check out Table 1 which contains a differential diagnosis listing.  I always have trouble remembering the meds that are used, primarily because neurology usually prescribes them.  There is a section that covers the meds, their benefits, and potential harms and costs.

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HEMATOLOGY
Polycythemia Vera
American Family Physician

A great, brief review of important topics.

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