In a review of literature through August 2017, incidentalomas occurred in more than a third of cardiac MRIs and chest CTs, and CT colonoscopy revealed extracolonic incidentalomas 38% of the time.
Percutaneous ablation may be preferred to nephrectomy for selected patients with early-stage renal cancer
Renal cancer-specific and overall survival and complications at 30 and 365 days postintervention were compared in patients with stage T1a disease treated with percutaneous ablation, partial nephrectomy, or radical nephrectomy.
A 34-year-old man is evaluated for several slow-growing, wart-like penile lesions that have progressively enlarged over 3 years. Repeated topical cryotherapy and topical imiquimod have yielded no improvement. The patient has HIV infection and is taking tenofovir, emtricitabine, and efavirenz. There are no other skin findings, and vital signs and the remainder of the physical examination are normal. After obtaining laboratory studies, what is the most appropriate management?
Long-term weight loss of at least 20% helps improve outcomes in overweight, obese patients with knee osteoarthritis
Overweight and obese adults with pain and radiographically confirmed knee osteoarthritis who had participated in the Intensive Diet and Exercise for Arthritis study were characterized according to their weight loss over 18 months: less than 5%, at least 5%, at least 10%, and at least 20%.
Hospital at home plus transition care reduced readmissions, improved patient satisfaction in a case-control study
The study included 295 patients treated under this hospital-at-home (HaH) model and a control group of 212 patients who met HaH eligibility but declined participation or were seen in the ED when an HaH admission could not be initiated.