Features

Clinical Challenge

Transitioning a patient with a complex insulin regimen from hospital to home

Transitioning a patient with a complex insulin regimen from hospital to home

When creating outpatient diabetes management plan, the patient's inpatient medication regimen should be considered but not necessarily replicated.

Features Preventing and treating periodontitis

Preventing and treating periodontitis

NPs and PAs must work in collaboration with oral health clinicians to effectively educate patients in the prevention of periodontal disease.

Clinical Challenge Abdominal cramping, foreign body in 
the stool of a child

Abdominal cramping, foreign body in 
the stool of a child

A child presents to the emergency department with a seven-inch live 
worm in his stool.

Alternative Meds Update Consider glucomannan for obesity treatment

Consider glucomannan for obesity treatment

Glucomannan can help treat obesity and comorbid conditions of type 2 diabetes, heart disease, and early mortality.

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.

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