Archive

Physician Knowledge, Attitudes, and Practices Regarding Viral Exanthem Diagnosis and Mandatory Reporting Requirements in Major Metropolitan Regions of Florida, USA

Most clinicians miss mandatory reporting steps for measles and rubella; knowing your local reporting pathway matters more as outbreaks return.

General Medicine · Cureus · 29 Sept

Factors Associated With Uncontrolled Blood Pressure and Its Association With Cardiovascular and All-Cause Mortality Among Adults Receiving Antihypertensive Therapy: A Retrospective Cohort Study Using NHANES 2013-2018 Linked Mortality Data

Uncontrolled BP affected 56.9%. Higher odds in other Hispanic (AOR 1.50, 95% CI 1.08-2.07), non-Hispanic Black (AOR 1.63, 95% CI 1.29-2.05) and non-Hispanic Asian adults (AOR 1.68, 95% CI 1.15-2.45). No significant mortality association.

Cardiology · Cureus · 29 Sept

Severe Hypercapnia and Hemodynamic Instability During Carbon Dioxide Insufflation During Robot-Assisted Thoracic Surgery

During robot-assisted thoracic surgery, CO2 capnothorax can drive severe hypercapnia and haemodynamic instability, so watch end-tidal CO2 and blood pressure trends, not just the surgical field.

Anaesthesiology · Cureus · 29 Sept

Pentalogy of Cantrell: Sonographic Findings and Toyama Classification

Omphalocele, ectopia cordis, inferior sternal defect and ventricular septal defect seen; anterior diaphragmatic and pericardial deficiency suspected but not confirmed. Pregnancy terminated before genetic testing.

Obstetrics & Gynaecology · Cureus · 29 Sept

Subependymal Giant Cell Astrocytoma Mimicking Recurrent Ependymoma: Imaging Clues to the Diagnosis of Tuberous Sclerosis Complex

In a child with prior ependymoma, a new intraventricular mass may be TSC-related SEGA, not recurrence; imaging clues can spare unnecessary reoperation.

Neurology · Cureus · 29 Sept

Heidi launches AI agents to automate clinical administrative tasks

If it works, it could cut the after-hours documentation and paperwork that keeps you at the desk long after clinic ends.

Medicine · Fierce Healthcare · 29 Sept

Blue Toe Syndrome and Acute Kidney Injury Following Transcatheter Aortic Valve Replacement: A Biopsy-Proven Case of Cholesterol Embolization Syndrome

Creatinine rose from baseline 1.2-1.5 mg/dL to 4.24 mg/dL about 2.5 months post-TAVR; biopsy showed cholesterol clefts in intrarenal arteries. Creatinine improved to approximately 3.1 mg/dL by discharge.

Cardiology · Cureus · 29 Sept

Molecular and Conventional Tests in Onychomycosis: A Systematic Review of Paired Diagnostic Discordance and Clinical Interpretation

PCR and culture disagree often in onychomycosis, so a negative culture alone should not rule out fungal nail infection before starting or stopping treatment.

General Medicine · Cureus · 29 Sept

Immune Background Profiles Across B-cell Lymphoproliferative Disorders

Background T- and NK-cell patterns on routine flow cytometry may help subtype B-CLPDs without extra testing, but this is descriptive data, not a validated diagnostic rule.

Oncology · Cureus · 29 Sept

Clinical and Dermoscopic Evaluation of Patients With Disorders of Hypopigmentation and Depigmentation

Dermoscopy can distinguish vitiligo from pityriasis alba and other hypopigmentary mimics at the bedside, reducing unnecessary biopsies and referrals.

Medicine · Cureus · 29 Sept

Acute-on-Chronic Limb Ischemia Mimicking Cellulitis: A Diagnostic Pitfall

Erythema and swelling in a vasculopath can be critical limb ischemia, not cellulitis; check pulses and perfusion before committing to antibiotics alone.

General Surgery · Cureus · 29 Sept

Local Corticosteroid Injection in Hand Surgery: A Review of Molecular Mechanisms, Steroid Selection, and Clinical Outcomes

Evidence strongest for stenosing flexor tenosynovitis, de Quervain tenosynovitis and mild-to-moderate carpal tunnel syndrome; limited or context-dependent for thumb carpometacarpal arthritis, Dupuytren nodules and ganglion cysts.

Orthopaedics · Cureus · 29 Sept

Impact of Morphine on Early Recovery After Anterior Cruciate Ligament Reconstruction: A Case-Control Study

Day 0 VAS 5.6 ± 2.7 vs 5.3 ± 2.7 (p = 0.0339); night pain 68.2% vs 61.3% (p = 0.0202); day 1 5.2 ± 2.4 vs 4.8 ± 2.4 (p = 0.0014). Differences did not exceed MCID.

Orthopaedics · Cureus · 29 Sept

Severe Rhabdomyolysis and Acute Kidney Injury Following Rosuvastatin Reinitiation During Ticagrelor Therapy: A Case Report and Literature Review

CK and creatinine rose markedly with anuria and dark-red urine; creatinine reached 6.3 mg/dL, BUN 82 mg/dL, bicarbonate 15 mmol/L. Hemodialysis was required; creatinine fell to 1.3 mg/dL by week three.

Cardiology · Cureus · 29 Sept

Ultrasound-Guided Vascular Access Training: A Single-Center Experience Using Gelatin-Based Simulation Models

97% reported increased confidence with the gelatin model and 91% found volunteer-based ultrasound practice beneficial; the main barriers were limited ultrasound machine access and insufficient training time.

Anaesthesiology · Cureus · 29 Sept

Loop-Mediated Isothermal Amplification as an Alternative to Conventional Smear Microscopy in Pulmonary Tuberculosis

Against the composite reference standard, TB-LAMP showed sensitivity 74.36% and specificity 91.80%, and identified cases missed by conventional techniques.

General Medicine · Cureus · 29 Sept

STAT+: The last ‘breakthrough’ devices to get special treatment from Medicare

If you implant FDA-designated breakthrough devices, the add-on Medicare payment pathway is closing, which may change which devices hospitals are willing to buy.

Medicine · STAT News — Health Tech · 29 Sept

Does Reconstructive Surgery Improve Psychological Recovery After Burn Injury?

Reconstruction may restore function without resolving depression or PTSD, so screen burn survivors psychologically rather than assuming surgery alone fixes recovery.

General Surgery · Cureus · 29 Sept

H1N1 dominates flu strains in India, accounts for 3 out of 4 cases: WHO

With H1N1 causing three of four flu cases, test and treat influenza early in febrile patients rather than presuming dengue or COVID.

General Medicine · ETHealthworld · 29 Sept

Single-Ball Versus Double-Ball Flexor Carpi Radialis Interposition Arthroplasty Following Trapeziectomy: A Retrospective Radiological Study

Radiological comparison of single- versus double-ball FCR interposition after trapeziectomy helps you choose the technique that better preserves thumb height and joint space.

Orthopaedics · Cureus · 29 Sept

Combined Vitamin B12 and Folate Deficiency Presenting As Pseudo-Thrombotic Microangiopathy With a Disseminated Intravascular Coagulation (DIC)-Like Coagulation Profile: A Case Report

Haematologic and coagulation parameters improved within one week of starting vitamin B12 replacement; folic acid was started only after that first week

General Medicine · Cureus · 29 Sept

Associations Among Glycemic Variability, Hypomagnesemia, Thyroid Function, and Albuminuria in Patients With Type 2 Diabetes Mellitus: A Cross-Sectional Study

Beyond HbA1c, visit-to-visit glucose swings and low magnesium tracked with albuminuria in T2DM, suggesting both as cheap add-on risk markers in Indian clinics.

Endocrinology · Cureus · 29 Sept

Inflammatory Myofibroblastic Tumor of the Bladder Following Intravesical Bacillus Calmette-Guérin Therapy: A Case Report

After intravesical BCG, a new bladder mass may be inflammatory myofibroblastic tumour, not recurrence — consider it before committing to radical cystectomy.

Urology · Cureus · 29 Sept

Long-Term Outcome of West Syndrome Treated With Adrenocorticotropic Hormone-Based Therapy in a Tertiary Care Hospital in Bangladesh

Reinforces ACTH as first-line for infantile spasms and quantifies the seizure and developmental trajectory you can counsel families to expect.

Paediatrics · Cureus · 29 Sept

Persistent Apical Akinesis Following Takotsubo Syndrome With Marked Troponin Elevation: A Case Report

Not all takotsubo wall-motion abnormalities resolve; persistent apical akinesis with high troponin can mimic infarction and warrants follow-up imaging before discharge.

Cardiology · Cureus · 29 Sept

Diagnostic and Severity Assessment of Acute Pancreatitis Using Acoustic Radiation Force Impulse Shear Wave Elastography (ARFI-SWE): A Case-Control Study

If pancreatic stiffness on ultrasound tracks severity, you could stratify acute pancreatitis at the bedside without radiation or a CT.

Gastroenterology · Cureus · 29 Sept

Non-alcoholic Fatty Liver Disease/Metabolic Dysfunction-Associated Steatotic Liver Disease and the Risk of Incident Atrial Fibrillation: An Updated Systematic Review and Meta-Analysis of Cohort Studies

Pooled risk ratio for incident AF with NAFLD/MASLD was 1.23 (95% CI 1.12-1.34, p<0.001), with I²=99.4%. In three studies, hepatic fibrosis showed RR 1.19 (95% CI 1.11-1.28).

Gastroenterology · Cureus · 29 Sept

Silent Aortic Disease Can Offer a Narrow Window to Save the Heart’s Own Valve

Aortic root aneurysms stay silent until late; referring earlier keeps patients eligible for valve-sparing David procedures instead of replacement and lifelong anticoagulation.

Cardiology · ETHealthworld · 29 Sept

Post-COVID Gastrointestinal Symptoms and Disorders of Gut-Brain Interaction: A Focus on Persistent Diarrhea

About 1 in 10 long-COVID patients has persistent diarrhea; treat it as a disorder of gut-brain interaction, not as an interchangeable post-viral GI symptom.

Gastroenterology · Cureus · 29 Sept

A Prospective Observational Study of Infantile Dermatoses in Infants Aged 29 Days to 12 Months at a Rural Tertiary Care Center in North India

Eczematous/inflammatory dermatoses were the largest group (n = 93, 46.5%): atopic dermatitis (n = 28, 14%), diaper dermatitis (n = 25, 12.5%), seborrheic dermatitis (n = 22, 11%), irritant contact dermatitis (n = 15, 7.5%).

Paediatrics · Cureus · 29 Sept

Laparoscopic Transabdominal Preperitoneal Repair for a Recurrent Inguinal Hernia After Direct Kugel Procedure: A Case Report

Laparoscopic transabdominal preperitoneal repair was completed, with full coverage of the myopectineal orifice and adequate overlap; no recurrence or complication reported in the abstract.

General Surgery · Cureus · 29 Sept

Diagnostic Accuracy of Rapid Diagnostic Tests Versus Enzyme-Linked Immunosorbent Assay (ELISA) Across Major Infectious Diseases: A Systematic Review and Meta-Analysis

RDTs trade some sensitivity for speed versus ELISA, so know the disease-specific gap before relying on a negative point-of-care result.

General Medicine · Cureus · 29 Sept

Association of the Triglyceride–Glucose Index with Systolic and Diastolic Blood Pressure Among Patients With Type 2 Diabetes Mellitus

A cheap index from routine fasting lipids and glucose may flag T2DM patients heading for hypertension, so you can intensify BP surveillance without extra tests.

Endocrinology · Cureus · 29 Sept

Diagnostic Challenge of Primary Psychiatric Catatonia Versus Seronegative Autoimmune Encephalitis in Pediatrics: A Case Report

Despite negative autoimmune workup, elevated interleukin-2 receptor suggested seronegative autoimmune encephalitis; high-dose lorazepam (18 mg/day), IVIG, corticosteroids, and ECT led to substantial improvement with return of bilingual speech.

Psychiatry · Cureus · 29 Sept

Double-Vessel Involvement: A Case Report of Simultaneous Left Anterior Descending Artery (LAD) and Right Coronary Artery (RCA) Spontaneous Coronary Artery Dissection Causing Acute Coronary Syndrome

Angiography confirmed spontaneous coronary artery dissection in both the left anterior descending artery and right coronary artery, with moderate ischemic cardiomyopathy, an apical clot, and subclavian artery occlusion suggesting vasculitis

Cardiology · Cureus · 29 Sept

Dehydration in Tropical Fevers: Rethinking Fluid and Electrolyte Replacement

Dengue and scrub typhus cause isotonic and hypotonic losses that standard crystalloid protocols may worsen; reassess fluid choice and rate in these fevers.

General Medicine · Cureus · 29 Sept

Atrial Fibrillation in Tribal and Non-tribal Populations: A Comparative Analysis From Eastern India

Tribal AF patients in eastern India may differ in rheumatic vs cardiometabolic drivers and anticoagulation uptake, so check whether your tribal patients are being anticoagulated to the same standard.

Cardiology · Cureus · 29 Sept

Werner helicase inhibitor for advanced microsatellite instability solid tumors: a phase 1 trial.

First-in-class WRN inhibitor shows early activity in MSI-high tumours that have exhausted standard options, though phase 1 dosing and toxicity data are still maturing.

Oncology · Nature Medicine · 29 Sept

Retatrutide in adults with obesity and type 2 diabetes (TRIUMPH-2): a double-blind, parallel-group, randomised, placebo-controlled, phase 3 trial.

Triple GIP/GLP-1/glucagon agonism adds another injectable option for patients with obesity and type 2 diabetes who fail current GLP-1 therapy.

Endocrinology · Lancet · 29 Sept

Retatrutide, a Triple Hormone Receptor Agonist, for Treatment of Obesity.

A triple GIP/GLP-1/glucagon agonist given weekly for 80 weeks produced substantial weight loss in adults with obesity without diabetes, adding a third incretin option beyond current dual agonists.

Endocrinology · NEJM · 29 Sept