Coding Bias for “Sinusitis” to Justify Antibiotic Prescribing
Physicians who wrote for the most antibiotics were also the ones who diagnosed sinusitis most often. To justify writing for an antibiotic, there was a coding bias to call it “sinusitis” when in fact, it probably was just a cold.
Fluoroquinolones and Sudden Death
Fluoroquinolone (FQ) antibiotics were associated with an increased odds of serious arrhythmic event (SAE) from 7 up to 90 days after taking them.
How Your Compassion Helps Patients Heal
Showing compassion to patients in the ED with a life threatening emergency reduced the odds of PTSD at one month.
Gabapentinoids – Not Only Ineffective But Harmful
Gabapentinoids were associated with increased risk of suicidal behavior, overdose, injuries, and car crashes.
Do We Still Need Annual TB Skin Testing?
The CDC no longer recommends* annual TB screening of health care providers in the absence of a known exposure or ongoing transmission.
Tramadol Isn’t Addictive, Right?
Use of tramadol post-op was associated with an increased risk of prolonged use compared with other short acting opiates.
Video on Hand and Wrist Exam – DeQuervain, Dupuytren, Durkan, Digitorum
Examining the hand and wrist is challenging. Watch this video on NEJM to learn proper techniques and how to diagnose 9 common hand/wrist problems.
Lemierre’s Syndrome – Sore Throat Gone Wrong
Sometimes sore throat isn’t just sore throat - it could be a life threatening complication. Learn about Lemierre’s syndrome with this quick-hitter teaching case from NEJM.
Off-Label Gabapentin and Pregabalin – Sketchy Evidence
Gabapentinoids play a limited role for specific types of neuropathic pain, and pain reduction is modest at best. Side effects of dizziness, somnolence, and gait problems occur frequently.
Do Muscle Relaxers Help Back Pain?
There was no benefit in functional outcome or pain at one week by using ibuprofen + either baclofen, metaxolone, or tizanidine over ibuprofen + placebo.