Mari Egan

University of Chicago

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Anne Mounsey

University of North Carolina at Chapel Hill

Jodi M. Roque

Day Family Medicine

James Stevermer

University of Missouri

Dana Neutze

University of North Carolina at Chapel Hill

Martin S. Lipsky

Roseman University of Health Sciences

Shailendra Prasad

University of Minnesota

Violeta Carrión-Carire

Northwestern University

Shewanna Wackman

University of Chicago

John Butter

Boston University

Tim M. McGloughlin

University of Limerick

Cooperative Institutions

University of Chicago

Northwestern University

Hôpital Bichat-Claude-Bernard

Université Paris Cité

Assistance Publique – Hôpitaux de Paris

Université Claude Bernard Lyon 1

University of Illinois Chicago

Inserm

Sorbonne Paris Cité

University of Chicago Medical Center

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Incontinence. Mix and match.

PubMed (1985)

Mari Egan Thelma M. Thomas T W Meade

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Vaginitis

Cambridge University Press eBooks (2001)

Mari Egan

A summary is not available for this content so a preview has been provided. Please use the Get access link above for information on how to access this content.

10.1017/cbo9780511545665.018

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What are the risks associated with hormone therapy in transgender patients?

Evidence-Based Practice (2017)

Hannah Wenger Mari Egan

EVIDENCE-BASED ANSWER All-cause mortality is higher in male-to-female (MtF) transgender patients on hormone therapy than untreated males. It is unclear if this difference is due to the hormonal therapy or other factors (HIV/AIDS, illicit drug use, suicide). Hormone therapy for MtF patients is associated with an increased risk of thromboembolic disease, cholelithiasis, hyperprolactinemia, transaminitis, and triglyceride elevations. Masculinizing hormones in female-to-male (FtM) transgender patients are not associated with increased mortality, myocardial infarction (MI), hypertension, or venous thromboembolism (VTE), but are associated with minimal changes in high-density lipoprotein (HDL) cholesterol and systolic blood pressure (BP) (SOR: B, 2 cohort studies and meta-analysis of cohort studies).

Hormone Therapy

Hormonal Therapy

10.1097/01.ebp.0000541699.38060.66

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Why you shouldn't start beta-blockers before surgery

Anne Mounsey Jodi M. Roque Mari Egan

BETA (programming language)

Adrenergic beta-Antagonists

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Why you shouldn't start beta-blockers before surgery A new meta-analysis finds that initiating beta-blockers before surgery increases patients' risk of death.

Anne Mounsey Jodi M. Roque Mari Egan James Stevermer

BETA (programming language)

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Diagnosis of vaginitis.

PubMed (2000)

Mari Egan Martin S. Lipsky

Vaginitis is the most common gynecologic diagnosis in the primary care setting. In approximately 90 percent of affected women, this condition occurs secondary to bacterial vaginosis, vulvovaginal candidiasis or trichomoniasis. Vaginitis develops when the vaginal flora has been altered by introduction of a pathogen or by changes in the vaginal environment that allow pathogens to proliferate. The evaluation of vaginitis requires a directed history and physical examination, with focus on the site of involvement and the characteristics of the vaginal discharge. The laboratory evaluation includes microscopic examination of a saline wet-mount preparation and a potassium hydroxide preparation, a litmus test for the pH of vaginal secretions and a "whiff" test. Metronidazole is the primary treatment for bacterial vaginosis and trichomoniasis. Topical antifungal agents are the first-line treatments for candidal vaginitis.

Trichomoniasis

Vaginal discharge

Vaginal flora

Leukorrhea

Trichomonas Vaginitis

Gram staining

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Citations (100)

Treating UTIs in reproductive-age women-proceed with caution.

PubMed (2010)

Jean Moon Shailendra Prasad Mari Egan

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PURLs: offer this contraceptive to breastfeeding new moms.

PubMed (2011)

Kohar Jones Mari Egan James Stevermer

Early insertion of the etonogestrel implant does not affect lactogenesis and fosters contraceptive compliance.

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Mash your food to prevent symptoms of diabetic gastroparesis

Evidence-Based Practice (2014)

Mari Egan

Olausson EA, Störsrud S, Grundin H, Isaksson M, Attvall S, Simrén M. A small particle size diet reduces upper gastrointestinal symptoms in patients with diabetic gastroparesis: a randomized controlled trial. Am J Gastroenterol. 2014; 109(3):375–385.

Gastroparesis

10.1097/01.ebp.0000540826.61443.10

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Underpads for preventing pressure sores.

PubMed (1977)

Lowthian Pt B A Mennie Mari Egan Meade Tw

Pressure sores

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Citations (4)