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Home
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Issue Archive
> April 2009 Issue of Clinical Advisor
April 2009 12 4 Issue of Clinical Advisor
Newsline
Trio of findings challenge Framingham tool
Three recent studies indicate that the Framingham risk score goes only so far as a predictor of cardiovascular problems.
Chlamydia, gonorrhea top list of STDs
Coffee every day may keep stroke away
Coffee consumption may modestly reduce the risk of stroke in women.
Prevention of prostate cancer
Men with no signs of prostate cancer should talk to their provider about taking a 5a-reductase inhibitor (5-ARI) for seven years to ward off the ...
Algorithm identifies risk for chronic kidney disease
A new algorithm helps predict which patients who have currently healthy kidneys are most likely to develop chronic kidney disease within a decade.
Widely used rheumatoid arthritis drugs may bring on shingles
Drugs that inhibit tumor necrosis factor-a (TNF-a) may significantly raise the risk of herpes zoster
RSV burden much heavier than expected
Respiratory syncytial virus is substantially underdiagnosed during pediatric office visits.
In the obese, weight loss reduces incontinence
Add incontinence relief to the list of benefits obese patients gain from losing weight.
Drug Updates from MPR
PPI for esophagitis and nonerosive GERD
Kapidex is designed to provide two separate releases of medication.
Topical treatment of acne vulgaris
Acanya contains benzoyl peroxide and the antibiotic clindamycin.
Advisor Forum
Wear your white coat on house calls
Lowering blood sugars with wolfberry
Preoperative workups in patients with MI or renal failure
Do menthol products cause rhinitis medicamentosa?
Beta blockers in patients with allergic reactions
Vitamin K and PT/INR results
Pulmonary anthrax after a biological attack
When to treat high LDL with high HDL
Fatigue and dizziness in an iron-deficient patient
New osteoporosis medications
Options for patients who can't take oral bisphosphonates.
Cover Feature
Epilepsy in the elderly
Seizures in the elderly often mimic other conditions, such as transient ischemic attack or dementia. Don't be fooled into a misdiagnosis.
Clinical Feature
Early recognition of atypical celiac disease
Celiac disease doesn't look the way you might expect. A new position statement and technical review from the American Gastroenterological Association provide updated guidelines.
Dermatologic Look-Alikes
Nuchal plaques
Two cases of neck plaques—one that gets more pruritic at night and one that worsens after a visit to the barber.
Clinical Challenge
A college student's erratic behavior draws unwanted attention
The young woman had a personal history of drug use and a family history significant for schizophrenia and suicide.
Commentary
Minimize impact of violence for young people
Alternative Meds Update
Cocoa aids cardiovascular health
Consumed in moderation, the right type of chocolate may do more than satisfy a craving--it can also improve cerebral blood flow and lower blood pressure.
Dermatology Clinic
A tender finger papule, fever, and abdominal pain
A 54-year-old man complained of fevers and abdominal pain. Four days earlier, he had noted intense left upper-quadrant abdominal pain that was worse with inspiration ...
Pigmentation on the legs of a young female athlete
A 17-year-old female developed diffuse blue-gray pigmentation of both shins over a two-month period.
Evidence-Based Medicine
Low risk of colorectal cancer five years after negative screening
The risk of colorectal neoplasia is low five years after negative screening.
Risk of prostate or other cancers in men unaffected by selenium or vitamin E
Neither selenium nor vitamin E, alone or in combination, reduced the risk of prostate cancer or other cancers in men.
Pneumovax may not be effective
But Prevnar may decrease meningitis and pneumonia hospitalizations.
Perioperative beta blockers reduce rate of nonfatal MI
But increase stroke and may increase mortality
Stat Consult
Head lice
Legal Advisor
Colorectal cancer misdiagnosed as hemorrhoids
A new mother presents with common postpartum symptoms. When should clinicians start considering more remote possibilities?
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Exercise guidelines for patients with diabetes
Endoscopic surgery for fistula creation
Pain and hardening of the skin constricts shoulder movement
Blood-collection device leads to low platelet count
An effective natural remedy for migraine and allergies
Four ways to reduce malpractice risk
Medical interpreters can increase patient satisfaction with ED experience
New York City hospitals take part in malpractice pilot program
Court orders Wisconsin to repay money siphoned from malpractice fund
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Imaging options for patients with acute abdominal pain
Medical interpreters can increase patient satisfaction with ED experience
Maca root used to enhance sexual performance
An effective natural remedy for migraine and allergies
An antipsychotic's side effects derail a patient's symptom management
Four ways to reduce malpractice risk
Exercise guidelines for patients with diabetes
Early menopause doubles CVD risk
Blood-collection device leads to low platelet count
Modifiable risk factors cause most strokes
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
Exercise guidelines for patients with diabetes
Four ways to reduce malpractice risk
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
Court orders Wisconsin to repay money siphoned from malpractice fund
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Geriatrics
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