Advisor Forum

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.

Quantifying proteinuria

Quantifying proteinuria By

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

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?

Diagnosing fatigue


Diagnosing fatigue
 By

What is the most appropriate method for working up a diagnosis of fatigue?

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.

Magic hands to soothe a restless child

Magic hands to soothe a restless child

A trick to help pediatric patients sit still during routine exams.

A tongue blade can detect temporomandibular joint disorder

A tongue blade can detect temporomandibular joint disorder

In patients with chronic headaches, ear or jaw pain, a tongue blade test can detect TMJ.

Get a grip on dislocated fingers

Get a grip on dislocated fingers

A tip for performing a closed reduction on a dislocated finger.

Providing appropriate mental health care for low-income patients

Providing appropriate mental health care for low-income patients

How do I do what is best for the patient if the patient cannot afford a higher level of treatment?

Testing for closed head injury

Testing for closed head injury By

What is a good screening test for evaluation of closed head injury?

Diagnosing neutropenia

Diagnosing neutropenia By

What constitutes a reasonable workup for neutropenia in an otherwise healthy young person?

How to suppress gagging during a strep test

How to suppress gagging during a strep test

A simple technique can help stifle patients' gag reflex.

Minimize reactions to transdermal patches

Minimize reactions to transdermal patches

Applying triamcinolone prior to a transdermal patch helps prevent contact dermatitis.

A little carbonation helps the medicine go down

A little carbonation helps the medicine go down

Soda water or seltzer can help mask the flavor of bad-tasting medicine.

Dietary adjustments to control Hashimoto disease

Dietary adjustments to control Hashimoto disease

Are there any studies that support eliminating foods like sugar, milk and wheat to improve Hashimoto disease symptoms?

When mixing formula, prepare only as directed

When mixing formula, prepare only as directed By

How precisely must one follow the manufacturer's directions with regard to the amount of powder and water used in preparing infant formula?

First steps when treating atrial fibrillation

Medication, ablation or rate control for a patient with first onset of atrial fibrillation?

Ease constipation caused by calcium supplements

Ease constipation caused by calcium supplements

Omega-3 supplements can help constipation in postmenopausal women taking calcium and vitamin D supplements.

Cephalosporins in patients allergic to penicillin

Are there any guidelines for alternatives to cephalosporins in patients allergic to penicillin?

Determining the cause of a refractory lip blister

Determining the cause of a refractory lip blister By

A patient returns after acyclovir fails to resolve a fever blister on the lip. What's the next step?

Identifying the cause of bilateral ear pain

Identifying the cause of bilateral ear pain

Consider unusual causes of chronic or recurrent ear pain.

Easing pain during suturing

Easing pain during suturing

Steps to follow after wound irrigation to ensure patient comfort.

Antibiotic overuse must be avoided

Antibiotic overuse must be avoided

How can I avoid unnecessary antibiotic use while still satisfying my patients?

Reducing intracranial pressure after head injury

Reducing intracranial pressure after head injury By

Does the concentration of hypertonic saline affect intracranial pressure reduction in patients with traumatic brain injury?

Gargling sore throats away

Gargling sore throats away

A nurse practitioner shares a homemade gargling solution for patients with pharyngitis.

Gluten-free diet or vitamin D supplementation for psoriasis?

Gluten-free diet or vitamin D supplementation for psoriasis? By

Would it be beneficial to give suprapharmacologic doses of vitamin D3 in cases of severe psoriasis?

Should fatty liver be considered in spontaneous bleeding?

Should fatty liver be considered in spontaneous bleeding?

A who takes acetaminophen for chronic neck and back pain awakens to a bloody nose and blood-soaked pillow. Could liver disease be to blame?

Underlying problems of scoliosis

Underlying problems of scoliosis By

A girl with scoliosis returns to the clinic complaining of ankle pain.

A fun way to rehydrate children

A fun way to rehydrate children

Tips for improving the taste of oral electrolyte solution.

Can I get your number?

Can I get your number?

Asking medical-insurance representatives for their identification number can save time.

Onychomycosis diagnosis

Onychomycosis diagnosis By

What is the most sensitive test to use when trying to diagnose toenail fungus?

Treating a paranoiac for dementia

Treating a paranoiac for dementia

What is the recommended treatment for patients diagnosed with dementia who are suffering with paranoia and/or hallucinations?

Chronic use of OTC topical corticosteroids

Chronic use of OTC topical corticosteroids By

Is there any danger of systemic effects from chronic use of OTC steroid creams and/or ointments?

How common is vitamin overdose?

How common is vitamin overdose? By

Many patients take vitamins that are more than 100% the recommended daily allowance. When do they begin to pose risks to kidney function?

A handy guide to measurements

A handy guide to measurements

Approximate proportions of skin rashes and lesions using your hand.

The ABCs of shaving

The ABCs of shaving

Advice for preventing shaving-related chafing, itching, bumps and lesions.

Controlling geriatric hypertension

Controlling geriatric hypertension

Many older patients take many medications, making contraindications a concern when trying to control hypertension.

When to advise palliative care

When to advise palliative care

When do patients benefit most from palliative care consults?

Recurring GI symptoms following winter fever and cough

Recurring GI symptoms following winter fever and cough

A young man presents with constant periumbilical pain, extreme weakness, anorexia, nausea, constipation, and orthostasis.

Gassing up at the gynecologic exam

Gassing up at the gynecologic exam

A nurse practitioner shares a tip for teaching students how to insert a speculum and locate the cervix.

Use distilled water when taking thyroid medication

Use distilled water when taking thyroid medication

Minerals in tap and bottled water can deactivate some of the hormones in thyroid medication.

Minimize pain during an eye exam

Minimize pain during an eye exam

A simple tip helps patients stay still during an eye exam by reducing eye pain associated with bright lights.

Diarrhea in an elderly man in an assisted-living facility

Diarrhea in an elderly man in an assisted-living facility

What are the next steps after ruling out Clostridium difficile?

When to do an endometrial biopsy

When to do an endometrial biopsy

A patient continues to have breakthrough bleeding while taking oral contraceptives, despite changing pills. What could be the cause?

Foul-smelling urine caused by supplements

Foul-smelling urine caused by supplements

Could vitamin D and calcium supplements be causing foul smelling urine?

Osteoporosis in a patient taking anti-seizure medication


Osteoporosis in a patient taking anti-seizure medication


Are dual-energy x ray absorptiometry scans safe for patients taking anti-seizure medication?

Scrotal swelling and impotency

Scrotal swelling and impotency

Does varicocele grade correlate with impotency level?

Thyroid hormone and bone density

Thyroid hormone and bone density

Can thyroid hormone replacement therapy affect bone density?

Treating psychiatric illness during pregnancy

Treating psychiatric illness during pregnancy

What considerations exist regarding the safety of using aripiprazole during pregnancy?

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