August 2009 12 8 Issue of Clinical Advisor

August 2009 12 8 Issue of Clinical Advisor

Newsline

Colorectal cancer rising in younger patients

Colorectal cancer (CRC) rates have dropped steadily for more than a decade, but younger patients are bucking the trend.
 

Some dietary guidelines more heart-friendly

Dietary adherence is associated with reduced progression of coronary artery atherosclerosis in women with established CAD.
 

Postdischarge statin therapy tied to fewer recurrent strokes

Statin therapy after an initial stroke reduces the likelihood of a second stroke and death, a study suggests
 

Dry eye prevalent in older men

Approximately 1.68 million U.S. men aged 50 years and older have clinically important dry eye disease.
 

Balance disorder is common

More than a third of U.S. adults older than age 40 years have some form of vestibular dysfunction, but many don't know it.
 

Too little sleep boosts BP in some patients

Lack of sleep may be at the root of hypertension in some middle-aged patients
 

Health problems linked with state of the gums

The relationship between dental and medical health has been spotlighted in several recent research- and policy-oriented developments.
 

Order of vaccination affects pain in infants

Sequence matters when you administer multiple vaccinations to infants
 

Drug Updates from MPR

New option for acute pain treatment

Nucynta binds to mu-opioid receptors and inhibits norepinephrine reuptake.
 

Adjunctive therapy for epilepsy

Vimpat is used in the treatment of partial-onset seizures.
 

Agent battles excessive sleepiness

Nuvigil promotes wakefulness in patients with various sleep disorders
 

Advisor Forum

Preventing recurrent boils

Is there a way to reduce or eliminate frequent episodes of boils?
 
 
 
 
 
 
 
 

Treating ADHD through diet

Foods with with artificial coloring, flavoring, and preservatives stimulate hyperactivity
 

Cover Feature

Assessing knee pain in the primary-care clinic

Not all knee complaints require orthopedic referral. This review of basic testing and exam techniques will help you arrive at an accurate diagnosis.
 

Dermatologic Look-Alikes

Differentiating cutaneous dells

Two men present with cutaneous heel lesions. Similar growths appear on the patients' hands as well.
 

Clinical Challenge

The balance between clinical judgment and a patient's right to choose

A woman refuses to treat her depression pharmaceutically and relies on herbal remedies—against her clinician's advice.
 

Commentary

Don't let technology trump medicine

Have clinicians become too dependent on technology?
 

Alternative Meds Update

Red yeast rice

Red yeast rice is being hailed as a natural cholesterol-lowering agent. Perhaps more significant is its apparent anti-inflammatory action.
 

Dermatology Clinic

Scaly erythematous patches following a throat infection

A girl was brought by her mother to the dermatology clinic with a two-week history of a scaly rash.
 

Areas of varying pigmentation in a young boy

A black boy with a family history of pigmentary problems presents with white patches on his trunk and legs.
 

Evidence-Based Medicine

 
 
 
 
 

Possible association between stimulants used for ADHD and sudden death in children

An association between stimulant use and risk of sudden death in children and adolescents without known cardiac risk factors has been reported.
 
 

Legal Advisor

ED doctor ignores NP's suggestions

Nevertheless, she's sued for malpractice, along with the physician and the hospital, when the patient dies.
 

Independent exam seems to blur roles

If an insurance company hires you to evaluate disability claims, are you functioning as its agent or as the patient's clinician?
 

Four steps to successful negotiation

Ensure you get what you want by following these simple guidelines.
 

California Supreme Court denies malpractice cap appeal

The Court will not hear an appeal that tried to overturn the state's cap on noneconomic damages .
 

New York extends malpractice insurance freeze

Governor extends freeze while negotiations continue.
 
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