A Patient With Schizophrenia and Hyponatremia
Which of this complicated patient's risk factors should you examine first? <br /> <i>Medscape Psychiatry & Mental Health</i>

Evidence-Based Surgical Care and the Evolution of Fast-Track Surgery
The integration of unimodality evidence-based perioperative care principles into a multimodal fast-track rehabilitation program is now well documented. <br /> <i>Annals of Surgery</i>

Prednisolone and Naproxen Both Work for Pain Relief in Acute Gout
Dr. George Lundberg discusses prescribing prednisolone and naproxen for pain relief in acute gout. <br /> <i>The Medscape Journal of Medicine</i>

Tumor Size Important Indicator for Survival in Lung Cancer
Among patients with resected non-small-cell lung carcinoma, tumors over 15 mm in diameter are associated with an increased risk for metastases and shorter survival. <br /> <i>Medscape Medical News</i>

Obese Patients With Asthma May Have Greater Risk for Hospitalization
A study showed that obesity is associated with worse outcomes for asthma, especially hospitalizations, even after adjustment for other patient characteristics and treatment. <br /> <i>Medscape Medical News</i>

Advanced Paternal Age Linked to Increased Risk for Bipolar Disorder
In a large, population-based Swedish study, having an older father was linked with increased risk of bipolar disorder, especially the early-onset form. <br /> <i>Medscape Medical News</i>

Exercise May Improve Cognition in Adults With Memory Impairment
Results of a randomized trial in older adults with subjective memory impairment but without dementia show a "modest" improvement in cognitive function after a 6-month exercise program. <br /> <i>Medscape Medical News</i>

Patient Deaths Spark Stronger Warnings for TNF Blockers
Patients should be monitored for signs and symptoms of fungal infection both during and after therapy. <br /> <i>Medscape Medical News</i>

High-Risk Patients With Atrial Fibrillation Not Anticoagulated Before Stroke
Results of a study show that among high-risk patients with atrial fibrillation admitted for a stroke, 90% were either not receiving warfarin or were in subtherapeutic ranges at the onset of stroke. <br /> <i>Medscape Medical News</i>

Algorithm Aids Management of Hypersensitivity Reactions After Vaccination
A detailed algorithm offers a rational and organized strategy to evaluate and treat patients with suspected immediate hypersensitivity reactions after vaccination. <br /> <i>Medscape Medical News</i>

Continuous Transvaginal Contraceptive Ring Use May Reduce Bleeding, Pelvic Pain
In patients using the transvaginal contraceptive ring, continuous use was effective in reducing bleeding and pelvic pain, according to findings from a randomized controlled trial. <br /> <i>Medscape Medical News</i>

Noncoital Sexual Activity May Not Be "Safe" Sex
The American College of Obstetricians and Gynecologists has issued a committee opinion about the health risks associated with noncoital sexual activity. <br /> <i>Medscape Medical News</i>

FDA Approvals: Nplate, Aloxi, Vidaza
The FDA has approved romiplostim subcutaneous injection (Nplate), an oral capsule formulation of palonosetron HCl (Aloxi), and an expanded indication for azacitidine injection (Vidaza). <br /> <i>Medscape Medical News</i>

Stroke Incidence Declines Among Diabetics in Sweden
For the first time, researchers are reporting a reduction in the incidence of stroke in this population. <br /> <i>Medscape Medical News</i>

Do Corticosteroids Reduce Mortality in Pediatric Patients With Bacterial Meningitis?
A study published in the May 7, 2008, issue of JAMA looks at whether steroids confer a mortality benefit on children with meningitis. <br /> <i>Medscape Pediatrics</i>

U.S. FDA Staff Note Deaths in Pfizer Bone Drug Study
Osteoporosis patients who received a low dose of an experimental Pfizer Inc pill were more likely to die within five years than others who got a placebo, U.S. drug reviewers said in an analysis released on Thursday. <br /> <i>Reuters Health Information</i>

Insidious Swelling in the Neck of a 45-Year-Old Man
A 45-year-old man complains of gradual swelling in his neck over the past 6 months; he has a nontender, nonerythematous, fluctuant mass in the midline of the lower neck. He has not experienced any pain, fevers, difficulty swallowing, or alteration of his voice. What is the diagnosis? <br /> <i>eMedicine Case Presentations</i>

Depot Medroxyprogesterone Acetate May Be Safe for Long-Term Contraception
The American College of Obstetricians and Gynecologists states that the effects of this contraceptive on bone mineral density should not prevent clinicians from prescribing it to patients. <br /> <i>Medscape Medical News</i>

Massive Hemorrhage in Pregnancy Caused by a Diffuse Cavernous Hemangioma of the Rectum -- EUS as Imaging Modality of Choice
This Case Report describes a young pregnant woman who developed life-threatening rectal bleeding requiring early delivery. Doppler images of pulsatile flow through the cavernous hemangioma are shown. <br /> <i>The Medscape Journal of Medicine</i>

No Neuroprotective Effect of Dipyridamole, Aspirin, or Telmisartan in Recurrent Stroke
In this third factorial analysis of the PROFESS trial, researchers found no sign of neuroprotection from a recurrent stroke with dipyridamole, aspirin, or telmisartartan. <br /> <i>Medscape Medical News</i>