Primary Care Update

This week John, Henry and Mark discuss dual antiplatelet therapy after stroke, updated recommendations for management of gout, and long-term follow up of hormone replacement for post menopausal women.

We review 9 more of the top COVID-19 research studies to date, including studies on transmission, treatment, and prognosis.

In this episode we summarize 9 top COVID-19 studies in a special episode prepared for the Indiana Academy of Family Physicians.

This week, we discuss hopefully the last two studies of hydroxychloroquine for patients with COVID (still doesn't work), pulmonary rehab in patients with COPD, and the use of special footwear in patients with knee DJD.

This week, a COVID-19 outbreak in an Israeli high school, the accuracy of antibody studies, denervation to treat hypertension, and identifying low-risk patients with syncope. Plus the quiz, and a recommendation. 

This week, an all COVID-19 episode covers 7 new studies in just 24 thrill-packed minutes: 2 phase 2 vaccine trials just out yesterday, outpatient monitoring of patients with COVID-19, hydroxychloroquine in mildly ill patients, and transmission of COVID-19 by children

This week we discuss COVID research on how many are asymptomatic and for how long people are infectious , managing overactive bladder symptoms in men, and perioperative probiotics and synbiotics for patients undergoing abdominal surgery.

2  COVID papers on seroprevalence and total vs confirmed cases, treating UTI with telehealth, migraine prophylaxis for kids, and variation in lab values.

This week, 6 COVID-19 updates: corticosteroids reduce mortality for sickest patients, non-drug approaches to controlling COVID, a review of the multisystem inflammatory syndrome in kids, another study on COVID 19 mortality and race, asymptomatic COVID and a report from the CDC on factors related to hospital and ICU use among patients with COVID-19.

This week on Primary Care Update: 2 COVID-19 studies (convalescent plasma RCT and accuracy of patient self-sampling), plus managing pneumothorax, and something that seems to work for infantile colic. 

A lot to cover: remdesivir updates, the effect of cancer treatment on COVID mortality, hypertensive medications, last call for HCQ, and racial disparities.

This week on primary care update: safety of convalescent sera, two social distancing studies, cellulitis diagnosis, and treating COPD exacerbations. Plus a bonus beer POEM.

This week: salivary testing for COVID, COVID immunity, ACR guidelines for managing patients with degenerative joint disease, and the use of old forms of insulin in managing patients with type 2 diabetes.

In episode 46 we again cover all things COVID-19: 2 trials of remdesivir, news on viral shedding, COVID mortality, thrombotic events and risk of infection among COVID contacts. You can get all of our research briefs on COVID-19 here: https://www.aafp.org/journals/afp/explore/covid-19-daily-briefs.html

This week, 2 new COVID-19 studies (doi:10.1001/jama.2020.6771 and doi: 10.1001/jama.2020.6775), an effective treatment for irritable bowel syndrome ( https://www.ncbi.nlm.nih.gov/pubmed/31852769 ), and trends in prostate cancer screening ( https://www.ncbi.nlm.nih.gov/pubmed/31794057 ).

This week, research updates about COVID-19: the largest trial to date of hydroxychloroquine ( https://doi.org/10.1101/2020.04.10.20060558 ), the first serosurvey results ( https://doi.org/10.1101/2020.04.14.20062463 ), doing telehealth ( www.bmj.com/content/368/bmj.m1182 ) , masks ( https://doi.org/10.17226/25776 ) , the effect of temperature ( https://doi.org/10.1101/2020.04.14.20062463 ) and vir...

This week, a couple of COVID-19 updates, plus POEMs on breast cancer prevention ( https://www.ncbi.nlm.nih.gov/pubmed/31839281 ) and a cool new (old) way to reduce bad things after an MI ( https://www.ncbi.nlm.nih.gov/pubmed/31733140 ).

All COVID-19 all the time this week with 6 updates: 2 HCQ studies, the new antibody tests, case fatality rates, whether handwashing really works, and an editorial from NEJM. We'll be doing regular podcasts focused on COVID-19, plus our regular podcasts covering all the rest.

This week: 3 brief summaries of breaking research on COVID-19 (convalescent sera, hydroxychloroquine, and risk stratification); whether you really need surgery for a mid-clavicular fracture ( https://www.ncbi.nlm.nih.gov/pubmed/30835150 ); and whether acetaminophen does anything ( https://www.ncbi.nlm.nih.gov/pubmed/31892511 ). 

This week: preventing food allergies ( https://www.ncbi.nlm.nih.gov/pubmed/31633778 ), choosing the right BP target long-term after stroke ( https://www.ncbi.nlm.nih.gov/pubmed/31355878 ), and improving uptake of colorectal cancer screening ( https://www.ncbi.nlm.nih.gov/pubmed/30915656 ).

This week: the results of screening for autism ( https://www.ncbi.nlm.nih.gov/pubmed/31562252 ), does soccer cause dementia ( https://www.ncbi.nlm.nih.gov/pubmed/31633894 ), and the best way to diagnose hip OA on exam ( https://www.ncbi.nlm.nih.gov/pubmed/31846019 ).

We finish our top 20 from 2019: bleeding risk with different DOACs ( https://www.ncbi.nlm.nih.gov/pubmed/30512099 ), whether higher doses of ibuprofen are better than low ( https://www.ncbi.nlm.nih.gov/pubmed/31383385 ), a comparison of Shingrix with Zostavax ( https://www.ncbi.nlm.nih.gov/pubmed/30361202 ), and whether exercise really prevents falls ( https://www.ncbi.nlm.nih.gov/pubmed/30592475...

Part 2 of our review of the top 20 POEMs of 2019. This week infections (ruling out CAP, typical duration of RTI in kids, and 5 vs 10 days for strep throat) and colorectal cancer screening (yield of FIT over 10 years ~ colonoscopy, no need to stop NSAID or anticoagulant, and family history effect on risk). 

In part 1 this week, we discuss 10 of 2019's top 20 POEMs. POEMs address hypertension, lipid management, behavioral medicine, and aspirin. This is the best of the best of the best for 2019...enjoy!

This week: Dapagliflozin...for heart failure, not T2DM? ( https://www.ncbi.nlm.nih.gov/pubmed/31535829 ) Do muscle relaxants add anything to NSAIDs for back pain? ( https://www.ncbi.nlm.nih.gov/pubmed/30955985 ) And early vs delayed surgery for gallstone pancreatitis ( https://www.ncbi.nlm.nih.gov/pubmed/31268184 ). Plus the quiz and a recommendation.