Features

Clinical Challenge

Diabetes control in a patient with multiple hospitalizations

Diabetes control in a patient with multiple hospitalizations

A patient with type 2 diabetes for ten years experienced three recent hospitalizations and a COPD exacerbation that required an increase in maintenance steroids.

Features Insomnia: Using cognitive behavioral therapy in primary care

Insomnia: Using cognitive behavioral therapy in primary care

Cognitive behavioral therapy may have long-term positive effects 
in patients with insomnia who have chronic use of hypnotic drugs.

Alternative Meds Update Bee-venom therapy too risky for treating osteoarthritis, RA inflammation

Bee-venom therapy too risky for treating osteoarthritis, RA inflammation

The risks of bee-venom therapy outweigh the potential benefits, and clinicians should discourage patients from this therapeutic method.

Features When abdominal pain is not appendicitis

When abdominal pain is not appendicitis

Clinicians might need to consider an uncommon array of causes when faced with a pediatric patient suffering from abdominal ailments.

Clinical Challenge Inflamed foot in a patient with diabetes

Inflamed foot in a patient with diabetes

A patient diagnosed with type 2 diabetes, hypertension, hyperlipidemia presents to the foot clinic after one month of swelling, redness, and warmth in the left foot.

Alternative Meds Update Exploring fluoride's effectiveness

Exploring fluoride's effectiveness

The efficacy of topical fluoride products is only as good as compliance with their use.

Features Breaking the silence about congenital cytomegalovirus

Breaking the silence about congenital cytomegalovirus

Congenital cytomegalovirus is a very common cause of birth defects, yet many primary-care providers are not well-informed about this infection.

Clinical Challenge Elevated blood glucose, weight loss in patient with type 1 diabetes

Elevated blood glucose, weight loss in patient with type 1 diabetes

A patient, Ms. B., was diagnosed with type 1 diabetes three years ago.

Alternative Meds Update Biotin supplements for prenatal care and more

Biotin supplements for prenatal care and more

Increasing biotin levels by supplement or by ingesting more biotin-rich foods may result in important benefits.

Clinical Challenge Hypoglycemia in an ambulatory-care setting

Hypoglycemia in an ambulatory-care setting

A type 1 diabetes patient presents to an outpatient facility agitated and slurring his words. Emergency medical help was called to assist the patient.

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