Advisor Forum

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


An easier path to punch biopsy of the scalp

An easier path to punch biopsy of the scalp


For throat swabs, don't call off the dogs

For throat swabs, don't call off the dogs


Lymph node clues to conjunctivitis

Lymph node clues to conjunctivitis


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.

Why your patients seek primary care from the emergency department

Why your patients seek primary care from the emergency department

Primary-care practitioners should change to accommodate patients seeking primary care from emergency departments.

Pain in a person with hepatitis C and a fatty pancreas

Pain in a person with hepatitis C and a fatty pancreas


An obese patient with chronic hepatitis C, diabetes, advanced cirrhosis, and fatty pancreas presents with chronic right-to-middle upper-abdomen pain.

Patient receives a kidney diagnosis and a life lesson

Patient receives a kidney diagnosis and a life lesson


Patient with back pain and blood in urine is diagnosed with autosomal dominant polycystic kidney disease.

Abdominal rash spreads to entire trunk: making the diagnosis

Abdominal rash spreads to entire trunk: making the diagnosis


A 23-year-old white female had one lesion on her lower abdomen that spread to a rash over her entire trunk.

Acute or chronic pancreatitis?

Acute or chronic pancreatitis?

How can a clinician distinguish chronic pancreatitis from acute pancreatitis in a patient with alcohol-abuse history?

Could exposure to herpes zoster actually help clinicians?

Could exposure to herpes zoster actually help clinicians? 


Herpes zoster represents the emergence of latent virus, specifically the varicella virus.

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