Practice Management
Analysis of U.S. surveillance data found that HIV coinfection occurs in about 1 in 12 adolescents diagnosed with early syphilis, though the proportion has declined in recent years. Among 28,965 adolescents ages 15 to 19 with primary, secondary, or early latent syphilis from 2014–2023, 9% also had HIV, as reported in MedPage Today reporting on the Conference on Retroviruses and Opportunistic Infections. Additionally, 27% of the adolescents had unknown HIV status. In terms of trends, …
Read More
Review of Evidence for Links of Autism with Maternal Acetaminophen Use Take Home Point: Existing evidence does not clearly link maternal acetaminophen (paracetamol) use during pregnancy with autism or attention deficit hyperactivity disorder (ADHD) in children. Citation: Sheikh J, Allotey J, Sobhy S, et al. Maternal paracetamol (acetaminophen) use during pregnancy and risk of autism spectrum disorder and attention deficit/hyperactivity disorder in offspring: umbrella review of systematic reviews. BMJ. 2025;391:e088141. doi:10.1136/bmj-2025-088141 Relevance: Recent public discussion …
Read More
A 28-year-old female presents to urgent care with mild left lower quadrant (LLQ) abdominal pain that began earlier in the day. The discomfort is dull, intermittent, and non-radiating. She denies vaginal bleeding, fever, nausea, vomiting, or urinary symptoms. Her last menstrual period was approximately 2 months ago, although she reports a history of irregular cycles. She appears well and is hemodynamically stable. An abdominal exam reveals mild LLQ tenderness without rebound or guarding. A pelvic …
Read More
Women are having babies later in life, according to a new National Vital Statistics Report from the Centers for Disease Control and Prevention. The mean age for giving birth rose from 28.7 years old in 2016 to 29.6 years old in 2023, following a steady upward trendline. With the exception of the year 2006, the age of mothers at birth has either increased or remained stable every year since 1970. For first-time mothers, the age …
Read More
The U.S. Preventive Services Task Force (USPSTF) in a recommendation statement published this week in JAMA reaffirmed its highest recommendation for early and universal syphilis screening in pregnancy, which aligns with its 2018 guidance. The recommendation emphasizes screening for all pregnant adolescents and adults at the first prenatal opportunity, regardless of individual risk factors, using both treponemal and non-treponemal tests. The directive is based on high-certainty evidence that syphilis screening during pregnancy provides a substantial …
Read More
The Centers for Disease Control and Prevention (CDC) issued a new health alert, calling attention to unusually high testing positivity rates for the highly transmissible parvovirus B19 as well as clusters of complications among individuals at high risk, such as those with sickle cell disease and pregnant women. Fetal infection can lead to myocarditis and aplastic crisis, and some cases of fetal anemia have required blood transfusions, according to NBC News. Also referred to as …
Read MorePediatric Burns and Cool, Clear Water Limit Screen Time After Concussion? Gastroenteritis in Children Diagnosing Giant Cell Arteritis POCUS and Ectopic Pregnancy Detecting C diff Vaccinating Adolescents Against COVID-19 Ivan Koay MBChB, FRNZCUC, MD First Aid for Pediatric Burn Patients Take-home point: Many children with burns receive inadequate cooling after burns when presenting for emergency care. Citation: Frear C, Griffin B and Kimble R. Adequacy of cool running water first aid by healthcare professionals in …
Read More
Despite the fact that pregnant women and infants are increased risk for severe, influenza-related illness, nearly half of women approaching childbirth fail to get a flu shot, according to the Centers for Disease Control and Prevention. However, in a recently published study, the CDC also found that simply offering to give a pregnant woman a flu shot increased the rate of coverage from 56% to around 70%. The report is careful to distinguish making a …
Read More
A 30-year-old woman in her second trimester of pregnancy complained of multiple skin lesions that occurred in wheal patterns whenever she pressed firmly on her skin. Sometimes her skin would itch, causing her to apply pressure or rub and produce the wheal. Upon exam, the doctor could see a linear configuration on her arms from scratching and geometric configurations on her back, produced by her clothing View the image taken (Figure 1) and consider what …
Read More
Urgent message: When a test does not confirm a patient’s theory about the cause of her symptoms, both patient and provider must look elsewhere. SEAN MCNEELEY, MD Introduction When a mother of three complains of symptoms of pregnancy, the test usually confirms that she is right. Occasionally, however, the results are surprising, as this case illustrates. Case Presentation WM, a 28-year-old female, presented to an urgent care with concerns that she might be pregnant and …
Read More