The 2017 Highlights session features summaries from three top clinician-educators on what they found to be the most important take-away information from Internal Medicine Meeting 2017. These crucial pieces of information are often things that most physicians don’t know and find extremely useful in their day-to-day practice.
Highlights Moderator: Lisa L. Ellis MD, FACP
Alan W. Dow MD, MSHA, FACP
Mark E. Pasesnen, MD, FACP
Jon M. Sweet, MD, FACP
1. Procalcitonin testing reduces antibiotic use in patients with community-acquired pneumonia.
2. Celecoxib has the same cardiovascular risk as other NSAIDs.
3. Twice weekly potent statins often tolerated when daily statins are not.
4. Cognitive behavioral therapy is the recommended initial therapy for chronic insomnia.
5. Statins reduce cardiovascular risk 20-30% regardless of LDL cholesterol concentration.
6. Hormonal contraception appears safe in women actively anticoagulated for venous thromboembolism.
7. Prothrombin complex concentrate is the treatment of choice for emergent warfarin reversal.
8. Best iron replacement dose is 325 mg every other day.
9. Patients with pre-diabetes benefit from either metformin or weight loss but not both.
10. Diet and exercise may cut cancer risk by a third.
11. Shellfish allergy does not increase your risk for contrast allergy.
12. Sacubitril/valsartan is likely best heart failure treatment for those who tolerate an angiotensin-converting enzyme inhibitor and have a systolic blood pressure greater than 100 mm Hg.
13. Abrupt tobacco cessation is more effective than gradual cessation.
14. Twice daily ambulation of elderly hospitalized patients preserves post-discharge community mobility without an increase in inpatient falls.
15. Pulmonary embolism accounts for 17% of first episodes of syncope in older patients requiring hospital admission.