New and Updated Topics
New and Updated Topics
Updated Health and Disease Topics
primary care physician and/or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.
- Achilles Tendon Problems:
- Surgery: We say most surgeons will wait a few days for swelling to go down, then do the surgery as soon as possible, usually within 4 to 6 weeks.
- Other Treatment: Under "Experimental treatment," we note that treatments being studied include topical nitric oxide and glyceryl trinitrate, ultrasonic or shock waves, and platelet-rich protein injection.
- Other Treatment: We now include dermabrasion, microdermabrasion, laser skin resurfacing, and dermal fillers as treatments that can make acne scars less noticeable.
- Age-Related Macular Degeneration:
- Other Treatment: We now mention clinical trials for new therapies that are being developed.
- Anticoagulants Other Than Warfarin for Atrial Fibrillation (Drug Detail): We added apixaban (Eliquis) as an anticoagulant option.
- Atrial Fibrillation:
- Medications: We added apixaban (Eliquis) as an anticoagulant option.
- Blood Transfusion:
- Uses of Blood Transfusion: We no longer mention hemophilia, because whole blood products are no longer used to treat hemophilia.
- Brain Aneurysm: In "How is it treated?" we added more information on embolization. We included information on mesh embolization in addition to coil embolization.
- Complex Regional Pain Syndrome: This topic has been updated based on guidelines from the Royal College of Physicians and the Washington State Department of Labor and Industries. The treatment information has been updated to include four areas of treatment for CRPS: pain management, physical rehabilitation, counseling, and patient education and self-management.
- Deep Vein Thrombosis:
- Medications: We added the oral anticoagulant rivaroxaban (Xarelto) as a treatment option.
- Diabetic Nephropathy: Based on ADA 2013 Standards of Medical Care, we updated the information about recommended blood pressure targets for people who have diabetes.
- Growth and Development, Newborn:
- Klinefelter Syndrome:
- Topic Overview: Under "How is it treated?" we now include the possibility of using testicular
sperm extraction (TEST) to collect the sperm of a man who has Klinefelter syndrome and who may want to father children.
- Cause: We added Haemophilus influenzae as a type of bacteria that also can cause meningitis. We also now mention that fungus and conditions such as cancer or lupus occasionally can cause meningitis.
- Nerve Ablation for Chronic Pain: We now include other kinds of nerve ablation, such as using cold or chemicals, along with radiofrequency (heat) ablation.
- Nursery Equipment Safety Checklist: We added information about hook-on chairs.
- Oral Cancer:
- Topic Overview: We added targeted therapy to the treatments used for oral cancer.
- Pain Management:
- Treatment: Under "Medicines to treat pain" in the table of "Medicines for different types of pain," we added NMDA receptor antagonists, which can be used for nerve pain.
- Preterm Labor:
- Exams and Tests: We now say that depending on your symptoms, "an ultrasound to check the length of your cervix" may be done.
- Medications: We added information about using magnesium sulfate for neuroprotection.
- Pulmonary Embolism:
- Rheumatoid Arthritis:
- Medications: Under "Biologic DMARDs," we added information about tofacitinib.
- Treatment Overview: Under "Emergency treatment" for an ischemic stroke, we added that "in some cases, the clot causing the symptoms is removed with a medical device (rather than dissolved with medicine)."
- Brain Aneurysm: Endovascular Embolization (Special): We now include information on mesh embolization.
- Carotid Artery Stenting (Other Detail): In Risks, we added that "carotid artery stenting is not a good choice for people older than age 70. Studies have shown that for people in this age
group, the risk of stroke or death during the procedure is too high. Carotid endarterectomy is safer for people older
- Surgery: We changed the recommendation for tonsillectomy from 5 episodes of sore throat in 1 year to 7 episodes in 1 year, based on updated Clinical Practice Guidelines from the American Academy of Otolaryngology—Head and Neck Surgery.
- Tremor: We added a new section on treatment. Some types of tremor, such as essential tremor, can be treated with medicines or surgery.
- Type 2 Diabetes:
- Undescended Testicle:
A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.
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