February 2010 Issue of Clinical Advisor

February 2010 Issue of Clinical Advisor

Newsline

Statin approved for primary CVD prevention

FDA approval was based on the JUPITER study, which evaluated Crestor in a previously unstudied population.
 

Cover Feature

Irritable bowel syndrome made simple

The authors place particular emphasis on the IBS's status as a true disease as opposed to a figment of the patient's imagination.
 

Clinical Feature

Managing UTIs in debilitated patients

A common occurrence among this patient population, urinary tract infection causes significant morbidity and mortality.
 

Adult depression: Treating by subtype for success

Instead of attempting to treat the broad categories, primary-care clinicians should focus on symptoms or features that identify a specific subtype.
 

Dermatologic Look-Alikes

Erythematous truncal plaques

Two patients with erythematous trunk plaques—the first developed eight months earlier, and the other 15 years ago.
 

Clinical Challenge

Cutaneous symptoms uncover unintentionally obscured disease

As a nurse, the patient had access to many informal opinions. Would a proper evaluation have led to a quicker diagnosis?
 

An infrequent cause of chronic cough

A number of diagnostic possibilities are raised, including allergy, asthma, postnasal drip, and reflux.
 

Alternative Meds Update

Grape seed beneficial in fight against cancer and heart disease

Considering the health benefits of drinking red wine, it's not surprising to learn that grape seeds may contain significant levels of antioxidants.
 

Dermatology Clinic

Topical treatment turns ulcer pruritic

A woman develops severe itching and burning two days after application of topical bacitracin and a compression bandage to a venous stasis ulcer.
 

Pressure-induced bumps and erythema

A man presents with complaints of itchy and uncomfortable red bumps on his skin at sites of pressure. The lesions typically dissipated after one hour.
 

Stat Consult

Bell's palsy

The most up-to-date evidence on Bell's palsy
 

Legal Advisor

Suspected child abuse leads to arrest

In a child with no history of suspicious injury, were the clinicians too hasty in their judgment?
 

Breach in protocol ends in suit

Physicians fail to follow the clinic's rules, which appear unrealistic in retrospect, regarding PA supervision.
 

Decline in malpractice cases in Iowa debated

Clinicians believe extra safety precautions in operating rooms, electronic medical records, and double-checks of records have all contributed to the decrease in malpractice cases
 

Litigation fears impact clinician work hours

According to a new study, clinicians work an average of 1.7 hours less per week when their expected medical liability risk rises by just 10%.
 

California hospitals fined for preventable errors

Since the penalty program went into effect, 134 fines have been levied against 90 hospitals.
 

How to get full reimbursement for Medicare services

Our expert offers a review of "incident-to" billing.
 
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