In tandem with our 20th anniversary, we at Clinical Advisor recognize the advances that have occurred in clinical practice over the past few decades and share the perspectives of members of our audience.
It is amazing to think of how much medicine has evolved as I've watched.
Close your eyes when auscultating or palpating.
Pam was a 54-year-old woman who had recently been diagnosed with endometrial and ovarian cancer.
A postprandial blood sugar level should be less than 180 mg/dL.
If affected by seasonal allergies after returning from outside during high allergy season, wash your hands.
I will never forget a 3-year-old jumping actively in the office who had no active cough or wheeze but a mother who said that he coughed nightly for more than 3 weeks.
A normally healthy 7-year-old female complained of "not feeling good," and her pediatrician noted that she had a unilateral lymphadenopathy in her right axilla.
Suspecting that this phenomenon might be the source of my nighttime pain, causing significant REM sleep deprivation, I reasoned that a neuromodulator such as a gabapentinoid might be helpful.
Mr J was an 89-year-old man with a long history of problems voiding due to increasing benign prostatic hyperplasia.
We walked the tightrope daily trying to keep her comfortable
In a comment by a reader, Nexplanon implant dimensions are not 4 cm x 2 cm.
During presentation to the emergency department, she was found to have a white blood cell count of 18,000 with a left shift, urinalysis positive for leukocytes and nitrites.
I will never forget the intent of his teaching as he knew the prognosis was grim for him.
This is a disease that will affect clinicians in the southwest US and eventually the entire country as climate warming progresses.
A 2-year-old boy was having worsening daily episodes of explosive diarrhea. He had no fevers, and his appetite and diet were unchanged.
There was no warning, he had no allergies, and they were not associated with any cold symptoms or other conditions.
Patients on particular medications, or with certain underlying medical conditions, may experience orthostatic hypotension when arising from bed or a chair.
A PA reflects on a time when a patient complained of left-sided neck pain and was diagnosed with a 12-cm mass.
A sonogram reveals a 9-mm epididymal cyst.
In this case, the patient not only subsequently had a stroke 2 years later, but he also required coronary artery bypass surgery within 5 years.
A PA reflects on a time when a patient arrived for an annual check-up and showed curious signs of abuse.
This nurse practitioner erred by not referring this patient to a psychiatric provider.
Creating individualized breast cancer screening strategies is the answer to minimize the morbidity and mortality of breast cancer.
Military sexual trauma includes any sexual activity in which a service member is involved against his or her will, ranging from sexual harassment to rape.
Eye contact, positive body language, and humor are ways in which a clinician can make a personal connection with the patient.
Transcending the emotional barriers between clinician and patient can lead to a stronger, more balanced professional life.
Clinicians discuss the benefits of healthcare providers receiving vaccinations in order to prevent the spread of disease in the workplace.
A Divine guidance helps a nurse practitioner make a diagnosis that saved a patient's life.
Two clinicians offer their opinion on June's Legal Advisor about a female nurse fired for falling asleep while on duty in the hospital.
Apply any toothpaste to fire ant bites and wash off after 10 minutes
The ketogenic diet increases the conversion of glutamate into glutamine into GABA, reducing neuronal excitability.
A dying man's wish to attend a Renaissance Festival taught a valuable lesson to a palliative care nurse practitioner.
A girl presented to a small town hospital symptoms including fever, bloodshot eyes, red lips, and rash on the palms of her hands.
A household cleaner such as Windex can be used to remove a ring from a swollen finger.
Features of hematoma can often be confused with those of melanoma.
Epigenetics explains the anatomy and physiology behind the central nervous system changes caused by child abuse.
Antibiotics do not always need to be used for cutaneous abscesses, but the condition must be evaluated on a case-by-case basis to make a final decision regarding the appropriate course of treatment for any individual.
Just as in nutrition, there are certified aromatherapists who can assist providers in helping their patients use essential oils safely.
Three health care clinicians discuss the advantages and disadvantages of repealing the Affordable Care Act and how the change would impact their practice.
Physician education in depression recognition and treatment and restricting access to lethal methods have significant data supporting their effectiveness in suicide prevention.
Patients who are taking opioids can manage their tolerance by taking magnesium 500mg.
There is evidence that HIV might have spread from its origins in the US to the rest of the world.
A low-carbohydrate lifestyle is an effective treatment option to prevent chronic diseases.
Working with a large number of attending physicians can be one of the biggest difficulties of being an advanced practice provider.
A young boy's complaint of a tender mass on his left thigh is diagnosed as osteosarcoma.
A transurethral resection of bladder tumor allows examination and determination of histology, depth of invasion, and involvement beyond the bladder.
Applying necessary lifestyle changes as well as incorporating pharmaceutical drugs will improve diabetes in patients compared to drugs alone.
The patient's use of minocycline was associated with patchy hyperpigmentation as a result of iron deposition in the dermal cells.
Alpha-lipoic acid, 600mg daily, is an effective treatment option for patients with diabetic peripheral neuropathy.