Challenging Current Medical Misconceptions

Chapter

Abstract

Medicine offers us a treasury of knowledge, and much of `it will be validated over time. But tucked in our reference books and hidden in the seldom-revised PowerPoint slides of our professors and continuing medical education (CME) meeting lecturers are some spurious “facts.”

Keywords

Corn Depression Migraine Morphine Anemia 

References

  1. 1.
    Fabing HJ, Marr R, editors: Fischerisms, being a sheaf of sundry and divers utterances culled from the lectures of Martin H. Fischer, professor of Physiology in the University of Cincinnati. Springfield, Illinois: Charles C. Thomas, 1937.Google Scholar
  2. 2.
    Steele R, McNaughton T, McChonahy M, Lam J. Chest pain in emergency department patients: if the pain is relieved by nitroglycerin, is it more likely to be cardiac chest pain? CJEM. 2006; 8(3): 164–169.PubMedGoogle Scholar
  3. 3.
    Henrikson CA, Howell EE, Bush DE. Chest pain relief by nitroglycerin does not predict active coronary artery disease. Ann Intern Med. 2003; 139(12): 979–986.PubMedGoogle Scholar
  4. 4.
    Dierks DB, Boghos E, Guzman H, Amsterdam EA, Kirk JD. Changes in the numeric descriptive scale for pain after sublingual nitroglycerin do not predict cardiac etiology of chest pain. Ann Emerg Med. 2005; 45(6): 581–585.CrossRefGoogle Scholar
  5. 5.
    Porter R. The greatest benefit to mankind: a medical history of humanity. New York: Norton, 1997, page 71.Google Scholar
  6. 6.
    Inglis B. A history of medicine. New York: World Publishers, 1965, page 39.Google Scholar
  7. 7.
    Lambert EC. Modern medical mistakes. Bloomington, Indiana: Indiana University Press, 1978, page 27.Google Scholar
  8. 8.
    Shure D. Pulmonary artery catheters – peace at last? N Engl J Med. 2006; 354(21): 2273–2274.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Menacker F, Munson ML. Births: final data for 2002. Natl Vital Stat Rep. 2003; 52(10): 1–113.PubMedGoogle Scholar
  2. 2.
    Bailey RE. Intrapartum fetal monitoring. Am Fam Phys. 2009; 80(12): 1388–1396.Google Scholar
  3. 3.
    Alfirevic Z, Devane D, Gyte GM. Continuous cardiotocography (CTG) as a form of electronic fetal monitoring (EFM) for fetal assessment during labor. Cochrane Database Syst Rev. 2006; Jul 19(3): CD006066.Google Scholar

Reference

  1. 1.
    Riskin A, Tamir A, Kugelman A, Hemo M, Bader D. Is visual assessment of jaundice reliable as a screening tool to detect significant neonatal hyperbilirubinemia? J Pediatr. 2008; 152(6): 782–787.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Ricer R. Wisdom of the ageds: Clinical pearls. Available at: http://www.familymedicine.uc.edu/ricer/ClinicalPearls.pdf.
  2. 2.
    Nardone DA, Roth KM, Mazur DJ, McAfee JH. Usefulness of physical examination in detecting the presence or absence of anemia. Arch Intern Med. 1990; 150(1): 201–204.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Marcus GM, Cohen J, Varosy PD. The utility of gestures in patients with chest discomfort. Am J Med. 2007; 120(1): 83–89.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Wrenn K, Slovis CM., Gongaware J. Using the “GI cocktail:” a descriptive study. Ann Emerg Med. 1995; 26: 687–690.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Hamilton W, Peters TJ, Bankhead C, Sharp D. Risk of ovarian cancer in women with symptoms in primary care: population based case–control study. BMJ. 2009; 339: b2998.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Attard AR, Corlett MJ, Kidner NJ, Leslie AP, Fraser IA. Safety of early relief for acute abdominal pain. BMJ. 1992; 305: 554–556.PubMedCrossRefGoogle Scholar
  2. 2.
    Manterola C, Astudillo P, Losada H, Pineda V, Sanhueza A, Vial M. Analgesia in patients with acute abdominal pain. Cochrane Database Syst Rev. 2007; Jul 18(3): CD005660.Google Scholar
  3. 3.
    LoVecchio F, Oster N, Sturmann K, Nelson LS, Flashner S, Finger R. The use of analgesics in patients with acute abdominal pain. J Emerg Med. 1997; 15(6): 775–779.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Strate LL, Liu YL, Syngal S, Aldoori WH, Giovannucci E. Nut, corn and popcorn and the incidence of diverticular disease. JAMA. 2008; 300(8): 907–914.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Salpeter SR, Greyber E, Pasternak GA, et al. Risk of fatal and nonfatal lactic acidosis with metformin use in type 2 diabetes mellitus. Cochrane Database Syst Rev. 2010; Jan 20(1): CD002967.Google Scholar

Reference

  1. 1.
    Harding IJ, Davies E, Buchanan E, Fairbank JT. The symptom of night pain in a back pain triage clinic. Spine. 2005; 30(17): 1985–1988.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Edelsberg JS, Surh YS. The acute scrotum. Emerg Med Clin North Am. 1988; 6(3): 521–546.PubMedGoogle Scholar
  2. 2.
    Haynes BE, Bessen HA, Haynes VE. The diagnosis of testicular torsion. JAMA. 1983; 249(18): 2522–2527.PubMedCrossRefGoogle Scholar
  3. 3.
    Petrack EM, Hafeez W. Testicular torsion versus epididymitis: a diagnostic challenge. Pediatr Emerg Care. 1992; 8(6): 347–350.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Dros J, Wewerinke A, Bindels PJ, van Weert HC. Accuracy of monofilament testing to diagnose peripheral neuropathy: a systemic review. Ann Fam Med. 2009; 7(6): 555–558.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Waddell G, Feder G, Lewis M. Systematic reviews of bed rest and advice to stay active for acute low back pain. Br J Gen Pract. 1997; 47(423): 647–652.PubMedGoogle Scholar

Reference

  1. 1.
    Ernst E. Chiropractic spinal manipulation for infant colic: a systematic review of randomized clinical trials. Int J Clin Pract. 2009; 63(9): 1351–1353.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Lyon RC, Taylor JS, Porter DA, Prasanna HR, Hussain AS. Stability profiles of drug products extended beyond their labeled expiration dates. J Pharm Sci. 2006; 95(7): 1549–1560.PubMedCrossRefGoogle Scholar
  2. 2.
    Drugs past their expiration date. Med Lett. 2009; 51(1327–1328): 1–2.Google Scholar

Reference

  1. 1.
    Pichichero ME. Cephalosporins can be prescribed safely for penicillin-allergic patients. J Fam Pract. 2006; 55(2): 106–107.PubMedGoogle Scholar

References

  1. 1.
    Olasveengen TM, Sunde K, Brunborg C, et al. Intravenous drug administration during out-of-hospital cardiac arrest: a randomized trial. JAMA. 2009; 302(20): 2222–2229.PubMedCrossRefGoogle Scholar
  2. 2.
    Holmberg M, Holmberg S, Herlitz J. Low chance of survival among patients requiring adrenaline (epinephrine) or intubation after out-of-hospital cardiac arrest in Sweden. Resuscitation. 2002; 54(1): 37–45.PubMedCrossRefGoogle Scholar
  3. 3.
    Tarazi RC. Sympathomimetic agents in the treatment of shock. Ann Intern Med. 1974; 81(3): 364–371.PubMedGoogle Scholar

References

  1. 1.
    Fournier JC, DeRubeis RJ, Hollon SD, et al. Antidepressant drug effects and depression severity. JAMA. 2010; 303(1): 47–53.PubMedCrossRefGoogle Scholar
  2. 2.
    Ghaemi SN. Why antidepressants are not antidepressants: STEP-BD, STAR*D, and the return of neurotic depression. Bipolar Disord. 2008; 10(8): 957–968.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Corneli HM, Zorc JJ, Mahajan P, et al. A multicenter, randomized, controlled trial of dexamethasone for bronchiolitis. N Engl J Med. 2007; 357(4): 331–339.PubMedCrossRefGoogle Scholar
  2. 2.
    Patel H, Platt R, Loranzo JM, Wang EE. Glucocorticoids for acute viral bronchiolitis in infants and young children. Cochrane Database Syst Rev. 2004; (3): CD004878.Google Scholar

References

  1. 1.
    O’Driscoll BR, Kalra S, Wilson M, Pickering CA, Carroll KB, Woodcock AA. Double-blind trial of steroid tapering in acute asthma. Lancet. 1993; 341(8841): 324–327.PubMedCrossRefGoogle Scholar
  2. 2.
    Cydulka RK, Emerman CL. A pilot study of steroid therapy after emergency department treatment of acute asthma: is a taper needed? J Emerg Med. 1998; 16(1): 15–19.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Sivadon-Tardy V, Orlikowski D, Porcher R, et al. Guillain–Barré syndrome and virus infection. Clin Infect Dis. 2009; 48(1): 48–56.PubMedCrossRefGoogle Scholar
  2. 2.
    Juurlilnk DN, Stukel TA, Kwong J, et al. Guillain–Barré syndrome after influenza vaccination in adults: a population-based study. Arch Intern Med. 2006; 166(20): 2217–2221.CrossRefGoogle Scholar
  3. 3.
    Lasky, Terracciano GJ, Magder L, et al. The Guillain–Barré syndrome and the 1992–1993 and 1993–1994 influenza vaccines. N Engl J Med. 1998; 339(25): 1797–1802.PubMedCrossRefGoogle Scholar
  4. 4.
    Hahn AF. Guillain–Barré syndrome. Lancet. 1998; 352(9128): 635–641.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Eccles R. Acute cooling of the body surface and the common cold. Rhinology. 2002; 40: 109–114.PubMedGoogle Scholar
  2. 2.
    Johnson C, Eccles R. Acute cooling of the feet and the onset of common cold symptoms. Fam Pract. 2005; 22(6): 608–613.PubMedCrossRefGoogle Scholar
  3. 3.
    Mourtzoukou EG, Falagas ME. Exposure to cold and respiratory tract infections. Int J Tuberc Lung Dis. 2007; 11(9): 938–943.PubMedGoogle Scholar
  4. 4.
    Cohen S, Doyle WJ, Alper CM, et al. Sleep habits and susceptibility to the common cold. Arch Intern Med. 2009; 169(1): 62–67.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Snitz BE, O’Meara ES, Carlson MD, et al. Ginkgo biloba for prevention of cognitive decline in older adults: a randomized trial. JAMA. 2009; 302(24): 2662–2670.CrossRefGoogle Scholar

Reference

  1. 1.
    Strengell T, Uhari M, Tarkka R, et al. Antipyretic agents for preventing recurrences of febrile seizures: randomized controlled trial. Arch Pediatr Adolesc Med. 2009; 163(9): 799–804.PubMedCrossRefGoogle Scholar

Reference

  1. 1.
    Sesso HD, Buring JE, Christen WG, et al. Vitamins E and C in the prevention of cardiovascular disease in men: the Physicians’ Health Study II randomized controlled trial. JAMA. 2008; 300(18): 2123–2133.PubMedCrossRefGoogle Scholar

References

  1. 1.
    Vreeman RC, Carroll AE. Medical myths. BMJ. 2007; 335(7633): 1288–1289.PubMedCrossRefGoogle Scholar
  2. 2.
    Valtin H. “Drink at least eight glasses of water a day.” Really? Is there scientific evidence for “8 × 8”? Am J Physiol Regul Integr Comp Physiol. 2002; 283(5): R993–R1004.PubMedGoogle Scholar

Reference

  1. 1.
    Crowther MA, Ageno W, Garcia D, et al. Oral vitamin K versus placebo to correct excessive anticoagulation in patients receiving warfarin: a randomized trial. Ann Intern Med. 2009; 150(5): 293–300.PubMedGoogle Scholar

Reference

  1. 1.
    Kuzminski AM, Del Giacco EJ, Allen RH, Stabler SP, Lindenbaum J. Effective treatment of cobalamin deficiency with oral cobalamin. Blood. 1998; 92(4): 1191–1198.PubMedGoogle Scholar

References

  1. 1.
    Mandell LA, Wunderink RG, Anzuto A, et al. Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clin Infect Dis. 2007; 44(suppl 2): S27–S72.PubMedCrossRefGoogle Scholar
  2. 2.
    Shatsky M. Evidence for the use of intramuscular injections in outpatient practice. Am Fam Phys. 2009; 79(4): 297–300.Google Scholar

References

  1. 1.
    Wakefield AJ, Murch SH, Anthony A, et al. Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. The Lancet. 1998; 351(9103): 637–641.CrossRefGoogle Scholar
  2. 2.
    The editors of Lancet. Retraction – Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Early Online Publication, 2 February 2010. Available at: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)60175-7/fulltext?_eventId=logout/. Accessed February 20, 2010.
  3. 3.
    The end of a paper that linked autism to a vaccine. WSJ (Wall Street Journal) Health Blog. Available at: http://blog.wsj.com/health/2010/02/the-end-of-a-paper-that-linked-autism-to-a-vaccine/.
  4. 4.
    Age of Autism Galileo Award to Doctor Andrew Wakefield. Available at: http://www.ageofautism.com/2009/08/dr-andrew-wakefield-on-dateline-nbc-more-stories-at-age-of-autism/. ccessed February 20, 2010.

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Family Medicine School of MedicineOregon Health & Sciences UniversityPortlandUSA

Personalised recommendations