Blog - INTERNET MÉDICA

Gastroenterologia & Coloproctologia: Five Things to Know about Online (Gastroenteroloy & Coloproctology: Five Things to Know about)

Por Paulo Leite 27/02/2020

■ Inflammatory bowel disease in children and adolescentes

N Chanchlani, R K Russel

CMAJ 2019, vol 191 (6): E164

1 – Diagnostic delay is common in pediatric inflamm3 atory bowel disease

2 – Extraintestinal manifestation of pediatric inflammatory bowel disease can occur before diagnosis

3 – The presence of perianal disease can be a highly specific finding when Crohn disease is suspected

4 – Once infection has been excluded, investigation of nonbloody diarrhea lasting longer than 2 weeks should be started in primary care

5 – Fecal calprotectin testing cana id in the diagnosis, as high levels indicated intestinal mucosa inflammation

https://www.cmaj.ca/content/191/6/E164

■ Reactivation of hepatites B vírus associated with immunosuppression therapy

J G H Lee, M Carruthers, H H Ko

CMAJ 2019, vol 191 (43): 2884

1 – Individuals with past hepatites B vírus (HBC) infection on immunosuppressive therapy are at risk of HBC reactivation

2 – Reactivation of HBV associated with immunosuppression therapy is a preventable cause of morbidity and mortality

3 – Onset of HBC reactiviation is variable

4 – Multiple factors play a role in the risk of HBV reactivation with immunosupression therapy

5 – Prophylactic antiviral therapy should be considered for those who are at moderate or high risk of HBV reactivation

https://www.cmaj.ca/content/190/43/E1284

■ Anal fissures

M A Dykstra, W Donald Buie

CMAJ 2019, vol 191 (26): E737

1 – Anal fissure may be acute or chronic

2 – Fissures that are off midline require further investigation

3 – Most fissures will resolve with conservative or medical management

4 – Topical calcium channel blockers are recommended as first line medical therapy for chronic fissures

5 – The presence of fissure should not preclude investigation of rectal bleeding for patients at higher risk

https://www.cmaj.ca/content/191/26/E737

■ Gastroenterologia: Five Things to Know About Online (Gastroenterology: Five Things to Know About)

https://internetmedica.com.br/gastroenterologia-five-things-to-know-about-online-gastroenterology-five-things-to-know-about/

■ Dr Paulo Fernando Leite

Cardiologia/Prevenção Cardiovascular

Estratificação de Risco Cardiovascular

Consultório: Rua Padre Rolim 815/sala 601

Tel: 33245518

CRMMG: 7026

Email: pfleite1873@gmail.com

Data: Fev 2020

Urologia: Five Things to Know about Online (Urologia: Five Things to Know About)

Por Paulo Leite 27/02/2020

■ Testicular torsion

M Keays, H Rosenberg

CMAJ 2019, vol 191 (28): E792

1 – Testicular torsion occurs primarily in pubertal boys and Young men

2 – Testicular torsion should be considered in patients with acute testicular pain or lower abdominal pain

3 – Testicular torsion accounts for a minority of cases of acute scrotum

4 – Doppler ultrasography is the modality of choice for diagnosis

5 – Testicular torsion is a surgical emergency

https://www.cmaj.ca/content/191/28/E792

■ Mycoplasma genitalium infection

A E Singh, A L Labbé, U Auguste

CMAJ 2019, vol 191 (4): E10

1 – Mycoplasma genitalium infection is an emergente, sexually transmitted infection (STI) that causes similar manifestations to gonorrhea and chlamydia

2 – Mycoplasma genitalium infection is common worldwide

3 – Routine testing for Mycoplasma genitalium infection is not recommended

4 – Treatment options for Mycoplasma genitalium infection are limited by antimicrobial resistance

5 – Sexual partners should be treated with the same therapy as the index case

https://www.cmaj.ca/content/191/4/E103

■ Marijuana and fertility

S Ilnistsky, S Van Uum

CMAJ 2019, vol 191 (23): E638

1 – Tetrahydrocannabinol acts on the endocannabinoid system, wihich is ubiquitous in reproductive tissues

2 – Marijuana use can decrease sperm count

3 – Marijuana use may delay or inhibit ovulation

4 – For most couples, smoking marijuana does not affect their ability to conceive, but for couples with subfertiligy or infertility, it could be a contributing fator

5 – More and better-quality research on the fertiligy implications of recreational marijuana use is needed

https://www.cmaj.ca/content/191/23/E638

■ Transgender-inclusive care

J S H Lam and A Abramovich

CMAJ 2019, vol 191 (18) E505

1 – Population studies estimate that 0,5% of adults (about 25 million people worldwide) identify as transgender

2 – Medical guidelines on providing care for transgender individuals have been published

3 – Trangender men with a cérvix are less likely than cisgender women to have up-to-date Papanicolau screening

4 – Fertility preservation should be discussed with transgender individuals before starting therapy

5 – Transgender individuals should be asked about suicidality and their mental health

https://www.cmaj.ca/content/191/3/E79

■ Foreskin care in childhood

R McLarty and D Kiddoo

CMAJ 2019, vol 191 (13): E365

1 – Rate of neonatal circumcision are declining in Canada

2 – Physiologic phimosis decreases with age

3 – Retraction of physiologic phimosis should not be forced

4 – Routine foreskin care can prevent problems

5 – Physiologic phimosis with complication or pathologic phimosis should prompt treatment

https://www.cmaj.ca/content/191/13/E365