Latest Updates

Contraception

    • Clinicians may often be able to initiate all types of contraception safely during a patient’s initial office visit, even outside the first week of menses.
    • The CDC issues guidelines to assist with choosing a suitable contraceptive method in the setting of coexisting medical problems.
    • Long-acting reversible contraception such as intrauterine devices and the subdermal contraceptive implant are highly effective and require little action on the user’s part. Clinicians should offer them as first-line options whenever possible.

Nonalcoholic Fatty Liver Disease

    • Imaging modalities in the assessment of NAFLD
    • Controlled attenuation parameter as a point of care measure for hepatic steatosis
    • Proton density fat fraction as MRI based measure for hepatic steatosis
    • Liver stiffness measurement on elastography as a correlate of hepatic fibrosis or cirrhosis
    • Active clinical trials in phase 2b and 3, yet no FDA approved therapy
    • Intense lifestyle changes with 5-10% weight loss can improve fibrosis and steatosis

Pediatric Hematologic And Oncologic Emergencies

    • Rasburicase has been shown to be slightly more beneficial than allopurinol for pretreatment and treatment of tumor lysis syndrome.
    • Point-of-care ultrasonography is highly specific and sensitive for diagnosing acute chest syndrome in sickle cell patients.
    • Magnetic resonance imaging can be more sensitive to detect acute hemorrhages and infarcts in sickle cell patients.

Management of Nonthrombotic May-Thurner Syndrome

    • Early diagnosis of patients with MTS
    • Utilization of intraoperative intravascular ultrasonography in confirming the diagnosis and guiding treatment
    • Role of angioplasty stenting in treating MTS
    • Appropriate intervention for patients presenting with MTS associated with pelvic congestion syndrome

Pediatric Hematologic And Oncologic Emergencies

    • Rasburicase has been shown to be slightly more beneficial than allopurinol for pretreatment and treatment of tumor lysis syndrome.
    • Point-of-care ultrasonography is highly specific and sensitive for diagnosing acute chest syndrome in sickle cell patients.
    • Magnetic resonance imaging can be more sensitive to detect acute hemorrhages and infarcts in sickle cell patients.

Management of Nonthrombotic May-Thurner Syndrome

    • Early diagnosis of patients with MTS
    • Utilization of intraoperative intravascular ultrasonography in confirming the diagnosis and guiding treatment
    • Role of angioplasty stenting in treating MTS
    • Appropriate intervention for patients presenting with MTS associated with pelvic congestion syndrome

Pediatric Hematologic And Oncologic Emergencies

    • Rasburicase has been shown to be slightly more beneficial than allopurinol for pretreatment and treatment of tumor lysis syndrome.
    • Point-of-care ultrasonography is highly specific and sensitive for diagnosing acute chest syndrome in sickle cell patients.
    • Magnetic resonance imaging can be more sensitive to detect acute hemorrhages and infarcts in sickle cell patients.

Pediatric Hematologic And Oncologic Emergencies

    • Rasburicase has been shown to be slightly more beneficial than allopurinol for pretreatment and treatment of tumor lysis syndrome.
    • Point-of-care ultrasonography is highly specific and sensitive for diagnosing acute chest syndrome in sickle cell patients.
    • Magnetic resonance imaging can be more sensitive to detect acute hemorrhages and infarcts in sickle cell patients.
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