Advisor Forum

Your Comments Grapefruit-drug interactions

Grapefruit-drug interactions


Grapefruit can safely be consumed with the majority of medications, and patients with concerns should consult with their physicians.

Your Comments Slipped capital femoral epiphysis
 in obese adolescents

Slipped capital femoral epiphysis
 in obese adolescents

Obese adolescents have an increased risk of slipped capital femoral epiphysis
 (SCFE).

Clinical Pearls Intra-articular injections
 for severe osteoarthritis

Intra-articular injections
 for severe osteoarthritis


For patients with severe osteoarthritis, dangling their legs can help with intra-articular injections.

Clinical Pearls Generic "caine" is effective 
for wound care

Generic "caine" is effective 
for wound care


Most pharmacies have a generic, affordable "caine" medication to relieve pain in wound care.

Clinical Pearls Neutrophils and lymphocytes

Neutrophils and lymphocytes


The number of neutrophils and lymphocytes in a blood count can determine if a condition is viral or bacterial.

Case Files UTI/Pyelonephritis

UTI/Pyelonephritis


A young girl with recurrent UTIs was diagnosed with a grade-3 VUR and mild hydronephrosis.

Your Comments Diagnosing myocarditis

Diagnosing myocarditis

While ECG can help diagnosis myocarditis, it cannot give a definitive diagnosis alone.

Clinical Pearls A tip for examining children

A tip for examining children

Diverting children's attention can help make exams go more smoothly.

Your Comments More caution urged regarding Xylitol and pets

More caution urged regarding Xylitol and pets

The death of an animal companion can have a profound effect on patients.

Your Comments More treatment recommendations for poison ivy

More treatment recommendations for poison ivy


Tegaderm, Zanfel, and diluted bleach can all be used to treat poison ivy rashes.

Consultations Black urine after a spinning class

Black urine after a spinning class

After taking a spinning exercise class, a woman developed acute kidney injury.

Consultations Reflex sympathetic dystrophy

Reflex sympathetic dystrophy

A man with worsening pain in his right arm is diagnosed with reflex sympathetic dystrophy.

Clinical Pearls Oxygen therapy in a patient with emphysema

Oxygen therapy in a patient with emphysema

Take caution when using oxygen therapy to treat patients with emphysema.

Consultations Xylitol, toxicity, and pets

Xylitol, toxicity, and pets

Xylitol can be used as an alternative medicine but is very toxic to dogs.

Consultations Pertussis vaccine efficacy

Pertussis vaccine efficacy


Whole cell pertussis vaccines are more effective than newer, acellular versions.

Consultations Trimethoprim/sulfamethoxazole-
induced aseptic meningitis

Trimethoprim/sulfamethoxazole-
induced aseptic meningitis


A young woman presented with symptoms consistent with aseptic meningitis after taking a dose of trimethoprim/sulfamethoxazole.

Clinical Pearls Offering a 'hand sandwich'
 to ticklish patients

Offering a 'hand sandwich'
 to ticklish patients

Using a simple mind trick can help clinicians handle ticklish patients during abdominal exams.

Clinical Pearls Viewing pupil response to light 
in a patient with brown eyes

Viewing pupil response to light 
in a patient with brown eyes


Clinicians can use two lights of different brightness to view pupil response in dark eyes.

Consultations Male with symptomatic
 benign prostatic hyperplasia

Male with symptomatic
 benign prostatic hyperplasia


Several pharmaceutical options exist for men with symptomatic benign prostatic hyperplasia who cannot tolerate alpha blockers.

Consultations A treatment approach 
for poison ivy

A treatment approach 
for poison ivy


For patients with poison ivy, decontamination should precede steroid treatment.

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