In the News
Medications may help vaginal menopause symptoms, but data limited, reviews find
Vaginal estrogen, dehydroepiandrosterone (DHEA), and moisturizers and oral ospemifene may improve genitourinary syndrome of menopause, while vaginal testosterone, systemic DHEA, vaginal oxytocin, and oral raloxifene or bazedoxifene have little evidence of benefit.
Naming animals during gait test effectively distinguishes cognitive decline
Having patients walk while naming animals was the most effective of three gait tests for differentiating those with mild cognitive impairment from those with dementia or no cognitive impairment, a trial found.
MKSAP Quiz: 2-day history of cough, fever
A 29-year-old woman is evaluated for cough and fever of 2 days' duration. She has a history of cystic acne, which is treated with a topical retinoid cream and daily minocycline. Following a physical exam and other testing, what is the most appropriate treatment?
MRAs appear effective for heart failure across the range of ejection fractions
Steroidal mineralocorticoid receptor antagonists (MRAs) (e.g., spironolactone and eplerenone) reduced risk for cardiovascular death or heart failure hospitalization in patients with heart failure and reduced ejection fraction (EF), while nonsteroidal MRAs (e.g., finerenone) seemed beneficial in those with mildly reduced or preserved EF, an individual-patient level meta-analysis found.
ACP, Annals of Internal Medicine host forum on H5N1 influenza
A full recording of “H5N1 Influenza: What Physicians Need to Know” is available online.
Article, podcast address impact of physician-patient relationships on adult vaccination rates
Janet Jokela, MD, MPH, MACP, discussed the importance of physician-patient relationships in boosting immunization rates in a recent article and podcast interview on KevinMD.
Vote for your favorite entry
I.M. Matters Weekly from ACP's cartoon caption contest continues. Readers can vote for their favorite caption to determine the winner.