Clinical Features

Avoiding costly ­diagnostic mistakes

How should a clinician 
handle a difference of 
opinion with the attending physician on duty?

Derm Dx: Hyperkeratotic peeling palms and soles after chemotherapy

A 55-year-old man with metastatic malignant melanoma of the left foot presents complaining of painful bullous and desquamative hyperkeratotic plaques on the palms and soles. ...

American Association of Nurse Practitioners 2013 Meeting

The AANP's 28th National Conference will take place in Las Vegas June 19th-23rd. Register for Clinical Advisor's Update Newsletter to receive live coverage in your ...

Simple treatment for pediatric bedwetting

When treating a young patient for monosymptomatic enuresis, be sure to assess the physical, emotional, and developmental maturity of the child.

Video


Web Exclusives

Challenges to CCHD pulse oximetry screening identified

Challenges to CCHD pulse oximetry screening identified

Healthcare providers have experienced a number of challenges implementing CCHD pulse oximetry screening for newborns, since the procedure was officially recommended in October 2010.

Rotarix just as effective as Rotateq against rotavirus

Rotarix just as effective as Rotateq against rotavirus

The monovalent rotavirus vaccine is more than 90% effective at preventing rotavirus, putting the vaccine's efficacy on par with the pentavalent vaccine.

The Waiting Room Calming cognitive hyperarousal to treat insomnia

Calming cognitive hyperarousal to treat insomnia

Psychological difficulties outrank physical problems 10-fold when it comes to trouble sleeping.

The Waiting Room Access to quality food lacking in Hispanic neighborhoods

Access to quality food lacking in Hispanic neighborhoods

Food deserts in low-income areas contribute to high obesity rates.

Advisor Forum

Quantifying proteinuria

Quantifying proteinuria

What is the best method to use when quantifying proteinuria in children and adults?

Is there an occupational cancer risk with flying?

Is there an occupational cancer risk with flying?

Has any research been conducted to determine whether the incidence of various types of skin cancer is greater in people who fly for a living compared with the general public?

How often should asthma be assessed?

How often should asthma be assessed?

At what point is it safe to consider stopping a steroid metered-dose inhaler?

The solution to swimmer's ear

The solution to swimmer's ear

A homemade solution helps keep swimmer's ear at bay.

Auscultating a young patient

Auscultating a young patient

It is often difficult to get young patients to take deep breaths. This simple penlight trick can help.

Use a laser to get patients walking

Use a laser to get patients walking

A simple technique gets patients with Parkinson disease and dementia to ambulate.

Education

Clinical evaluation of 
peptic ulcer disease

Clinical evaluation of 
peptic ulcer disease

Most often caused by use of nonsteroidal anti-inflammatory drugs or 
bacterial infection, peptic ulcer disease usually presents as epigastric pain.

Dusky bullae on the lower abdomen

Dusky bullae on the lower abdomen

A pregnant black woman, aged 37 years, who had a history of pre-eclampsia and pulmonary embolism and was on subcutaneous ...

Painful vesicles covering the back and chest

Painful vesicles covering the back and chest

A woman, aged 69 years, presented with a very painful rash on her chest and back. The pain began two ...

Erythematous plaques on the trunk

Erythematous plaques on the trunk

Case #1

A woman, aged 41 years, complained of a rash on her right posterior axilla. The lesion was associated with ...

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