CME activities, cases, challenges, videos, and more teaching and learning tools from the New England Journal of Medicine.
Fractional Flow Reserve or Intravascular Ultrasonography to Guide PCIN Engl J Med 2022; 387:779-789
In a randomized trial of fractional flow reserve versus IVUS to guide PCI, the use of FFR resulted in fewer coronary interventions and was noninferior to IVUS with respect to clinical outcomes at 2 years.
Telescoping the Diagnostic ProcessN Engl J Med 2022; 387:833-838
A 3-year-old boy presented with abdominal pain and vomiting. He had associated chills without fever, nonbloody and nonbilious emesis, constipation, reduced urinary output, and a decreased activity level.
Chronic UrticariaN Engl J Med 2022; 387:824-831
Chronic urticaria differs from acute urticaria in characteristics and treatments. The chronic form is spontaneous or inducible, with the latter elicited by cold, heat, pressure, or other precipitants.
Olokizumab versus Placebo or Adalimumab in Rheumatoid ArthritisN Engl J Med 2022; 387:715-726
In patients with rheumatoid arthritis, the monoclonal antibody against interleukin-6, olokizumab, was superior to placebo and noninferior to adalimumab at 12 weeks.
Lesions of the Ovary and Fallopian TubeN Engl J Med 2022; 387:727-736
Lesions of the ovary and fallopian tube are common and may be acute or chronic. Diagnostic assessment is designed to distinguish benign from malignant causes. Referral to a gynecologic oncologist is often necessary.
Screening for AF in Asymptomatic Older Adults
C. Lee, M. Rosenqvist, and J. Mandrola
This interactive feature about screening for atrial fibrillation in asymptomatic older adults offers a case vignette accompanied by two essays, one supporting screening and the other supporting deferral of screening. Vote and comment.Aug 11
Interactive Medical Case
More Than a Little Unsteady
A.W. Kraft and Others
This interactive feature describes a 50-year-old woman who presents to the ED with progressive neurologic symptoms and is admitted to the neurology service. Test your diagnostic and therapeutic skills.Aug 04
Tympanostomy Tubes for Recurrent Otitis Media
C. Lee, D. Preciado, and A. Hoberman
This interactive feature about recurrent acute otitis media in a young child offers a case vignette accompanied by two essays, one supporting insertion of tympanostomy tubes and the other supporting conservative medical management.Jul 07
A 17-Year-Old Girl with Fever and Cough
A 17-year-old girl presented during the Covid-19 pandemic with prolonged fever, cough that had progressed to hemoptysis, fatigue, pleuritic pain, and dyspnea. What is the diagnosis?Jun 29
Routine Removal of Inferior Vena Cava Filters
C. Lee, S.W. Stavropoulos, and W.T. Kuo
This interactive feature about an incidentally discovered inferior vena cava filter offers a case vignette accompanied by two essays, one supporting removal of the inferior vena cava filter and the other supporting deferring removal unless complications arise.
Polling Results View the analysis.Jun 02