Advisor Forum

Ethyl chloride before anesthesia

Ethyl chloride before anesthesia

Consider using topical ethyl chloride before the use of anesthesia when working with infected skin.

'Addicted' babies are misclassified

'Addicted' babies are misclassified 


Referring to infants as "addicted" to opiates is clinically incorrect and creates stigma surrounding treatment.

Help smokers quit on the 'DOT'

Help smokers quit on the 'DOT'

The Department of Transportation's new physical examination requirement helps employees quit smoking.

Weighing the pros, cons of craniosacral therapy

Weighing the pros, cons of craniosacral therapy

The benefits of CranioSacral Therapy may not outweigh the intensive training and medical costs associated with the treatment.

Think broadly to diagnose the cause of chronic abdominal pain

Think broadly to diagnose the cause of chronic abdominal pain

When diagnosing the cause of chronic abdominal pain, a more specific history and a broad consideration of causes can help with diagnosis.

Discussing advance directives
 during a patient's first visit

Discussing advance directives
 during a patient's first visit

Doctors should start a dialogue about advance directives upon a patient's first visit to help them make decisions regarding their health care.

Make a permanent mark on your patient's asthma treatment

Make a permanent mark on your patient's asthma treatment


I have my patients bring all of their pumps to me and will write on the plastic canister with a Sharpie permanent marker.

Easing a female patient into her first pelvic exam

Easing a female patient into her first pelvic exam


Always, always hand the speculum to a woman who has come in for her first pelvic exam, and allow her to check it out.

Electronic medical records:
 this time, it's personal

Electronic medical records:
 this time, it's personal 


I requested from our EMR [electronic medical record] provider the ability to add a "sticky note" to our client records.

Overcoming voiding problems in young patients

Overcoming voiding problems in young patients


Cancer prehabilitation: moving from primary care to oncology

Cancer prehabilitation: moving from primary care to oncology

NPs and PAs involved with oncology teams should support multimodal prehabilitation for cancer patients to help ease the transition to oncology.

Rapidly worsening eye pain and ankylosing spondylitis

Rapidly worsening eye pain and ankylosing spondylitis

A women presenting with eye pain and photo sensitivity was diagnosed with ankylosing spondylitis.

Chronic vulvar itching and lichen sclerosus et atrophicus

Chronic vulvar itching and lichen sclerosus et atrophicus


A 51-year-old woman with chronic vulvar itching was diagnosed with lichen sclerosus et atrophicus.

Antidepressant for neuropathy pain leads to hyponatremia

Antidepressant for neuropathy pain leads to hyponatremia

An older male patient started antidepressants for neuropathy pain but developed hyponatremia as a result.

Gluten-free diet resolves symptoms in a non-celiac patient

Gluten-free diet resolves symptoms in a non-celiac patient


A gluten-free diet alleviated a patient's fatigue, brain fog, bloating, and constipation.

Don't hit 'send' until you read this

Don't hit 'send' until you read this


Medical professionals need to keep in mind that e-mail etiquette can affect their reputation.

Yellow lights, digoxin toxicity

Yellow lights, digoxin toxicity


A woman complaining of seeing yellow lights is diagnosed with digoxin toxicity.

Vertigo, then headache: what is 
the diagnosis?

Vertigo, then headache: what is 
the diagnosis?


A man, aged 56, presented with complaints about episodes of vertigo and disabling headaches.

Recommitting to universal precautions in the Ebola era

Recommitting to universal precautions in the Ebola era


Reviewing precautions for blood and body fluids will help protect both healthcare workers and the public.

Consider alternatives to drug therapy for geriatric depression

Consider alternatives to drug therapy for geriatric depression


Geriatric patients who are not responding well to antidepressants may benefit from a combination of pharmacotherapy and psychotherapy.

Sign Up for Free e-newsletters

March Contest

Click here to get started