January 2009 12 1 Issue of Clinical Advisor

Newsline

PCPs show gender bias in CHD diagnoses

Women are less likely than men to be diagnosed with coronary heart disease if they mention a stressful event

In-office diagnosis of common type of vertigo

Two simple head-movement techniques can be used to identify patients with benign paroxysmal positional vertigo.

Clinicians too quick to diagnose asthma

As many as 30.2% of people diagnosed with asthma don't have the disease, newly published research suggests.

Popular drugs lower PSA levels

Two of the most commonly used classes of medication—statins and nonsteroidal anti-inflammatory drugs (NSAIDs)—may compromise already controversial cancer screenings by lowering serum levels of prostate-specific ...

Three clinical factors aid TIA detection

Transient ischemic attacks can be difficult to diagnose because the symptoms are often gone by the time the patient seeks medical help.

Drug Updates from MPR

Granisetron patch for nausea and vomiting

Sancuso uses a transdermal patch system to deliver the anti-emetic, granisetron, to the systemic circulation via passive diffusion. The absorption of drug from the patch ...

Advisor Forum

Ear tubes—plastic or metal?

What lipid levels lower atheroma burden?

Causes of elevated methylmalonic acid

Post-stroke anticoagulation?

Aortic stenosis risk

Pre-glucose tolerance test diet

Why is my patient's hair turning yellow?

Standards for Pap and HPV testing

Addressing cardiac risk in the young

Fluoride supplementation

Fatty liver treatment

Elevated liver enzymes and fatty liver

Lowering an infant's fever

Reaction to wood dust

Must both atria be in fibrillation?

I have always assumed that atrial fibrillation means that both atria are in a quiver. Is it possible for only one atrium to be in ...

Cheers for Murphy's sign

Cover Feature

Early recognition of diabetes complications

Too often patients focus on daily goals of diabetes management, but don't let them lose sight of the ultimate goal: preventing end-organ damage.

Clinical Feature

Assessing excessive menstrual bleeding

Menorrhagia is not a diagnosis but a symptom. Because of the number of treatment options available, patient preference is a primary consideration.

Dermatologic Look-Alikes

Two cases of gray hair

Two cases of gray hair—one localized and one widespread. Put together the clues and try to make the diagnosis.

Clinical Challenge

Clinicians puzzled by an unusual, elusive postsurgical sequela

Fatigue, fever, and chills plague a patient following valve replacement. The solution requires a multidisciplinary approach.

Commentary

How much should my patient exercise?

Tailoring exercise recommendations to meet the unique needs of each patient gives those patients a better chance of meeting the fitness goals they have set ...

Alternative Meds Update

Açaí berry

Juice made from the açaí berry is an excellent source of essential fatty acids, fiber, and antioxidants. But does it live up to the hype?

Dermatology Clinic

Hyperkeratotic plaques that run in the family

The mother of an 8-year-old boy came seeking treatment for "a family ailment." Both mother and child had bilateral, symmetric, confluent hyperkeratotic plaques with a ...

Pink indurated papules and plaques on a man's scalp

A 35-year-old black man presented with multiple pink, asymptomatic, indurated papules and plaques that had appeared on his posterior right scalp approximately two weeks earlier.