Clinical

The Centers for Disease Control and Prevention has released its official estimate of the toll of last year’s flu season: An estimated 80,000 Americans died of flu and related complications—the highest death toll in over 40 years. Public health experts usually consider it a “bad year” when flu-related mortality hits the 20,000 mark, according to an interview CDC Director Robert Redfield, MD gave to the Associated Press. The severity was due to a particularly harsh …

Hurricane Florence came and went, with most national media claiming that the Carolinas got off relatively easy compared with the disaster that could have ensued. While that’s small comfort to those who lost loved ones or property, to be sure, the fact is that urgent care centers still have work to do to help local patients in the region. Just days ago, the Centers for Disease Control and Prevention issued a Clinical Guidance urging clinicians …

A new study just published in the Annals of Internal Medicine reveals that almost 30% of opioids prescribed in clinics and physicians’ office in the U.S. are written without a documented reason.  Over 66% of the almost 809 million prescriptions written during outpatient visits over a 10-year period were for noncancer pain; just 5.1% were for cancer-related pain. There was no indication of pain or pain-related diagnoses for the other 28.5%. The lead author of …

In trying to fight the ongoing, nationwide opioid crisis, researchers are working to find new options that will ease patients’ pain without putting them at risk for addiction. The most recent effort was a study, published in the Annals of Emergency Medicine, of adult emergency room patients who were given either 1 mg intravenous hydromorphone or 1 g intravenous acetaminophen for acute pain. The primary outcome of this prospective, randomized, clinical trial was between-group difference …

It’s well established that obstructive sleep apnea and dyslipidemia are risk factors for cardiovascular disease. Now, new research shows evidence of a connection between the two. A cross-sectional analysis of 8,592 patients in the European Sleep Apnea Database turned up a dose response relationship between total cholesterol and oxygen desaturation index (ODI). Breaking down the total cholesterol finding further, triglycerides and LDL concentrations were predicted better by apnea-hypopnea index (AHI) than by ODI. HDL was …

A man who reported to a Kansas City-area urgent care center with an open wound on the bottom of his foot—and who ended up losing his leg when his cellulitis worsened and he ultimately developed gangrene and sepsis—is suing the physician who first saw him, alleging that she failed to prescribe the right antibiotic, never cultured his wound, and declined to order any lab work whatsoever. The suit claims the doctor prescribed broad-spectrum antibiotics that …

Roughly 800,000 children are brought to emergency rooms after sustaining a blow to the head every year, according to the Centers for Disease Control and Prevention. Clearly, many others appear in urgent care centers—and that segment is likely to grow as parents continue to become more aware that urgent care is often the best choice for many complaints. Now the CDC has released new guidelines on evaluation and treatment of children who’ve sustained a blow …

A woman in the United Kingdom has been diagnosed with a “flesh-eating” sexually transmitted disease that is relatively rare in the UK, and even more-so in the United States—but common in many tropical areas. Donovanosis causes genital and anal ulcers and can destroy tissue. Often, patients first notice small, painless sores that expand slowly before becoming raised, red bumps that bleed easily. As it spreads, it can destroy genital tissue and cause the surrounding area …

The Food and Drug Administration has tapped the National Academy of Sciences, Engineering, and Medicine to help it develop guidelines for treating acute, short-term pain related to specific medical conditions and procedures. The FDA says its new standard will “build on” the Centers for Disease Control and Prevention’s updated advisory, which does not distinguish among pain from fibromyalgia, arthritis, neuropathy, or any other medical condition. The FDA’s plan is to be more indication-specific. Another difference: …

Chances are you think long and hard before prescribing opioids, and consider how long a patient will really need that level of pain relief if you do decide they’re necessary, in these days of rampant addiction. An article published in the Journal of General Internal Medicine suggests that physicians should mull that over even more toward the end of their shift, as the likelihood of prescribing an opioid product is 60% higher in the last …