February 2017 Issue of Clinical Advisor

February 2017 Issue of Clinical Advisor

Newsline

FDA issues warning of anesthesia use in children and pregnant women

The FDA warns against the repeated or prolonged use of anesthesia in pregnant women and in children younger than 3 years of age.

USPSTF recommends against routine serologic screening for genital herpes simplex virus

The USPSTF has released a final recommendation against routine serologic screening for genital herpes simplex virus infection.

FDA approves first continuous glucose monitoring system to replace fingerstick test in diabetes

The FDA has approved a continuous glucose monitoring system to replace fingerstick blood sugar testing in patients with diabetes.

Updated guideline for oral pharmacologic treatment of type 2 diabetes

The ACP has updated the 2012 guideline to provide clinical recommendations of oral pharmacologic treatment of type 2 diabetes.

Patients with chronic diseases are frequently overly optimistic about life expectancy

Self-estimated life expectancy rates may differ from clinician-estimated rates of survival.

NIH releases addendum guidelines to prevent peanut allergies through early introduction

The NIAID has issued addendum guidelines regarding the early introduction of peanut-containing foods to infants at risk for peanut allergies.

USPSTF recommends folic acid for all women who may become pregnant

The USPSTF recommends folic acid supplement for all women who are capable of pregnancy or who are planning to become pregnant.

Hypertension treatment in older adults: a new clinical practice guideline

The ACP and the AAFP has released a joint recommendation for the pharmacologic treatment of hypertension in adults aged 60 years and older.

Advisor Forum

A differing opinion on the ACP's new diabetes treatment guidelines

Pharmacotherapy and combination therapy may be a better alternative to the ACP's diabetes treatment guidelines.

Kratom and oxycodone

Kratom might be a safer alternative than oxycodone or other narcotics.

Treating patients with diabetic peripheral neuropathy

Alpha-lipoic acid, 600mg daily, is an effective treatment option for patients with diabetic peripheral neuropathy.

Blue skin in an elderly woman

The patient's use of minocycline was associated with patchy hyperpigmentation as a result of iron deposition in the dermal cells.

Cover Feature

Shingles: a complete guide for clinicians

More than 99% of immunocompetent persons aged 40 years and older have evidence of VZV infection and are susceptible to herpes zoster or shingles.

Clinical Feature

Vulvar lichen sclerosus: breaking the silence

Early diagnosis and treatment play a substantial role in a patient's prognosis and result in a decreased risk of malignancy and scarring.

Clinical Challenge

Abnormal Pap test follow-up in a 30-year-old woman

A 30-year-old Caucasian woman reports a history of abnormal Pap test results with no other complaints.

Commentary

What is the future of health care under President Trump?

Repealing the Affordable Care Act could endanger the health of tens of millions of Americans.

Alternative Meds Update

Holy basil

Holy basil's protective mechanisms are thought to be due to the increase in antioxidant activity and alteration in gene expression.

Evidence-Based Medicine

Regular proton pump inhibitor use associated with an increased risk of dementia in the elderly

Regular proton pump inhibitor use in the elderly was associated with an increased risk of incident dementia compared with no proton pump inhibitor use, according ...

Antenatal steroids may improve respiratory outcomes for late preterm births

The decreased rate of respiratory complications with betamethasone suggests antenatal steroids may improve the respiratory status in late preterm infants.

Legal Advisor

The frivolous lawsuit

A healthcare provider is sued when a patient is determined to believe that she has more than a sore throat.

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