Dr. Sydney Burwell, Dean of Harvard Medical School 1956

My students are dismayed when I say to them "Half of what you are taught as medical students will in 10 years have been shown to be wrong.
And the trouble is, none of your teachers know which half."



Thursday, October 24, 2013

Diagnostic

Experts clarify conflicting criteria for diagnosing polycystic ovary syndrome
In the CPG, The Endocrine Society recommends that a diagnosis be made if adult women have two of the three cardinal features of PCOS (diagnostic criteria supported by the NIH panel):

•Excess production of male hormones called androgens.

•Anovulation, a condition where the ovary does not release a mature egg each month. This causes irregular menstrual cycles.

•The formation of clusters of pearl-size cysts containing immature eggs in the ovaries, which is called polycystic ovaries. Eurekalert!

Burning mouth syndrome is often difficult to diagnose
Although the exact cause of BMS is unknown, the suspected origin is deterioration of the nerves beneath the oral lining. The deterioration isn't visible, which explains why the mouth appears normal when examined and can delay diagnosis, Pinto explained. Still unproven is the role hormones may play in BMS, given the link to menopause. MedicalXpress

Patients report doctors not telling them of overdiagnosis risk in screenings
A survey finds that most patients are not being told about the possibility of overdiagnosis and overtreatment as a result of cancer screenings, according to report in a research letter to the JAMA Internal Medicine by Odette Wegwarth, Ph.D., and Gerd Gigerenzer, Ph.D., of the Max Planck Institute for Human Development, Berlin, Germany. MedicalXpress

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