August 2012 Issue of Clinical Advisor

August 2012 Issue of Clinical Advisor

Newsline

CKD as much of a risk as previous MI?

Chronic kidney disease (CKD) could earn a spot near "previous heart attack" on the list of criteria defining people at highest risk of future coronary ...

Unnecessary colorectal cancer screening often recommended

Obstetrician-gynecologists were the clinicians most likely to recommend colorectal cancer screening for the oldest, sickest patients, who are unlikely to benefit from cancer detection.

Not all patients should get CVD-risk counseling

USPSTF is advising primary-care clinicians to be selective about which patients they counsel regarding behavioral interventions to improve diet and physical fitness and ultimately CVD ...

Walking speed may predict cognitive impairment

Walking speed in late life may be an early marker of the development of mild cognitive impairment, study shows.

Advisor Forum

What does inflammation on a Pap smear mean?

How should patients whose Pap smear results show inflammation and no other abnormalities be managed?

How much insulin does it take to lower blood sugar?

A patient with newly diagnosed diabetes has a hemoglobin (Hb) A1c of 12.2% and glucose 350 mg/dL, despite increasing insulin (glargine [Lantus]) to 25 units. ...

Acute renal failure related to topical acyclovir

Is it common to see renal failure triggered by high doses of topical acyclovir?

Options for onychomycosis

What is an effective alternative to oral medications or topical ciclopirox (Penlac) for onychomycosis?

Polishing off a sticky situation

Patients often complain they have a difficult time completely removing the adhesive from ECG pads. Pass on this simple tip for painless removal.

Avoid vitamin A supplementation in smokers

Individuals who smoke or have ever smoked should avoid high-dose vitamin A supplementation due to a high correlation between smoking, vitamin A and lung cancer.

Clinical Feature

Infections, tumors and lumps affecting the scrotal content

A lump, enlarging scrotum or pain can conjure up images of testicular ­cancer, but other conditions involving the scrotal content are possible.

Clinical Challenge

Painful skin ulcer ­develops in older woman on dialysis

Metastatic calcification of the left 
breast in a patient with renal failure 
raises suspicion.

Commentary

Social media in medicine is here to stay

About 34% of consumers in a 2012 survey reported using social media to search for health information.

Alternative Meds Update

Marigold: Calendula may help mitigate dermatitis, other ailments

Medicinal properties of marigold-derived compounds include antiviral, anti-inflammatory and antitumor effects.

Legal Advisor

Fire in the operating room

A lack of communication
 between a surgeon 
and an anesthetist has disastrous consequences.

ClinicalJobAdvisor.com

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