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Family Medicine
Personality can be a factor in litigation
June 19, 2009
Winning a malpractice lawsuit requires more than proving your treatment was appropriate, prudent, and conformed to the standard of care.
Arizona top court OKs qualifications for expert witnesses
May 01, 2009
The Arizona Supreme Court has upheld a law that sets the minimum qualifications for expert witnesses in medical malpractice cases.
Clinic treats little girl like shuttlecock
By Ann W. Latner, JD May 01, 2009
A 6-year-old child suffers permanent disability. Could it have been avoided if the NP had picked up the phone?
Two erythematous leg rashes
By Noah S. Scheinfeld, MD, JD April 30, 2009
Two women with considerable comorbidities present with lower leg trouble.
Epileptic seizures in older adult patients
By Ann Schmidt Luggen, PhD, GNP April 30, 2009
The conclusion of this two-part report looks into the management and therapeutic options available to clinicians treating this population.
Chronic dysfunction of the eustachian tube
By Rose Lisano Valentino, MSN, FNP, BC April 29, 2009
Presenting complaints include hearing loss, persistent pain, or "clicking" in the ear. Patients must allow time for treatment (if required) to take effect.
Avoiding lactic acidosis
February 27, 2009
How high can creatinine go before you must...
Musculoskeletal effects of diabetes
February 26, 2009
A 48-year-old Caucasian woman diagnosed with type 1 diabetes at the age of 10 complains of stiffness in her wrists, elbows, knees, and ankles.
Who should have carotid ultrasound?
February 25, 2009
More and more offices are performing their own carotid ultrasounds. In light of recent guidelines published by...
Skin tag removal
February 24, 2009
What is the best way to minimize scarring in the removal of skin tags? I find that cryotherapy results in...
Switch cholesterol therapy?
February 23, 2009
Disinfecting fungus-contaminated shoes
February 20, 2009
Is spraying with diluted bleach solution or placing the shoes in moth balls effective?
Both sides of the fever coin
February 19, 2009
Is there any validity to statements by patients that their basal temperature is always low and...
H. pylori in the stool vs. the blood
February 18, 2009
Coalition of Pain Experts Offers Guidance on Measures to Prevent Misuse and Abuse of Pain Medications
February 17, 2009
An ad hoc coalition of leading pain specialists and representatives from key clinical and patient advocacy organizations convened in November 2008 to address the growing problem of misuse and abuse of pain medications.
Injection diversion
February 17, 2009
Nail pitting
February 11, 2009
Fibrate used in combination with statin approved
December 16, 2008
The FDA has approved Trilipix (fenofibric acid), a delayed-release capsule for use along with diet to treat dyslipidemia. Trilipix is the first fibrate to be approved for use in combination with a statin.
Top 10 health stories of 2008
December 11, 2008
Blood sugar goals, stem cells, CT scans, health reform--these are some of the issues to make the list of most important stories of the year, as chosen by the Harvard Health Letter.
Can a statin reduce proteinuria in children?
November 11, 2008
Pediatric combination vaccine available
November 10, 2008
Pentacel is indicated for active immunization against diphtheria, tetanus, pertussis, poliomyelitis, and invasive disease.
Stop Crohn's and arthritis meds for knee surgery?
September 02, 2008
We are treating a patient who is currently on infliximab (Remicade) and methotrexate for severe Crohn's disease and rheumatoid arthritis. Because of severe joint pain, she would like to have her...
How Many Insulin Vials?
September 01, 2008
HIPAA Rules For Patient Charts
September 01, 2008
I belong to a group of three internists who have separate outpatient clinics attached to the hospital in the same building. When I am on call for a colleague, can I take a patient's chart from...
D-DIMER PLUS MULTIDETECTOR CT FOR DIAGNOSIS OF PE
Brian S. Alper, MD, MSPH August 31, 2008
D-dimer plus multidetector CT (D-dimer/CT) is as effective as D-dimer/CT plus venous compression ultrasound (US) for identifying pulmonary embolism (PE) and short-term...
LIMITED EVIDENCE ON CELL PHONES AND BRAIN TUMORS
Brian S. Alper, MD, MSPH August 31, 2008
A potential link between cell-phone use and brain tumors was recently discussed in the news, based on advice from...
KETOGENIC DIET MAY REDUCE SEIZURES IN CHILDREN WITH INTRACTABLE EPILEPSY
Brian S. Alper, MD, MSPH August 31, 2008
A recent trial evaluated the efficacy of the ketogenic diet for the treatment of seizures in children (Lancet Neurol. 2008;7:500-506). Children aged 2-16 years (N=145) with at least seven seizures per week and no response to at least two anti-epileptic drugs were randomized to the ketogenic diet vs. no change in...
Alternative treatment for gout offered
August 28, 2008
A short course of a corticosteroid could supplant nonsteroidal anti-inflammatory drugs (NSAIDs) as the medication of choice for...
Updated Approach to New-Onset Diabetes
August 28, 2008
In light of concerns surrounding rosiglitazone (Avandia), what agent would...
Injection for opioid-induced constipation
August 27, 2008
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Imaging options for patients with acute abdominal pain
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An effective natural remedy for migraine and allergies
Pain and hardening of the skin constricts shoulder movement
Blood-collection device leads to low platelet count
Endoscopic surgery for fistula creation
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Eye pain ends in loss of vision
Medical interpreters can increase patient satisfaction with ED experience
New York City hospitals take part in malpractice pilot program
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