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Mayo Clinic Clinical Update e-Edition
April 2014
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Patient Care

Less invasive PFA may achieve the excellent outcomes associated with TKA

Is total knee arthroplasty more than is needed? Patellofemoral arthroplasty may be indicated in carefully selected refractory cases of advanced degenerative disease confined to the patellofemoral articulation.

New tests target BAM

Bile acid malabsorption (BAM) is an underdiagnosed cause of chronic diarrhea, due mainly to limited availability of the gold standard SeHCAT retention test. That situation will likely change as new, simpler tests for the disorder are developed and validated.

Thyroid Nodule Clinic improves efficiency to provide better service to referring physicians

The Thyroid Nodule Clinic provides a one-stop thyroid nodule evaluation that includes a focused clinical assessment, ultrasound evaluation and fine-needle aspiration — all typically performed within a single appointment.

Robotic-assisted pyeloplasty offers an effective alternative to children with UPJ obstruction

Robotic-assisted pyeloplasty provides shorter hospitalization, less pain and scarring, and shorter recovery than does open pyeloplasty for patients with ureteropelvic junction obstruction. No external drains or stents are typically required.

Holistic approach to brain injury rehabilitation improves patient outcomes

Addressing psychological issues, such as mood swings or ability to communicate with family members, helps improve outcomes in patients with brain injuries. Results may include improved physical function and the ability to live independently and maintain a job.


Robotic-assisted radical cystectomy may be the new standard of care

With less invasive RARC, patients with bladder cancer lose less blood than they do during open surgery, resulting in a reduced need for postoperative transfusions. RARC may also reduce other surgical complications.

Individualized Medicine Clinic to offer preventive services

Mayo's Individualized Medicine (IM) Clinic will soon offer three new services: genomic testing for polymorphisms in drug-metabolizing enzymes, testing for genetic variants associated with increased cancer risk and DNA sequencing for inherited disease.

See all Clinical Trials at Mayo Clinic

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35th Annual Practice of Internal Medicine
May 5-9, 2014, in Rochester, Minn.
Upon completion, participants should be able to cite the latest advances based on evidence, manage patients with common disorders in internal medicine and medical subspecialties effectively, and explain the rationale of the USPSTF recommendation against PSA-based screening for prostate cancer.

21st Annual Clinical Reviews and Primary Care Update — 2014
June 16-20, 2014, in Amelia Island, Fla.
Upon completion, participants should be able to discuss current diagnostic and therapeutic options for common illnesses and injuries, identify new evidence-based treatments, detect knowledge base gaps, differentiate between suspicious and benign skin lesions, identify treatments for insomnia, and more.

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Grand Rounds

New Grand Rounds presentations are available online

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Consults & Referrals

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