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Issue Archive
> January 2009 Issue of Clinical Advisor
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.
Evidence-Based Medicine
Less post-arthroplasty DVT with rivaroxaban than enoxaparin
Oral rivaroxaban is more effective than subcutaneous enoxaparin for reducing risk of symptomatic deep venous thrombosis (DVT) after total knee arthroplasty.
Ezetimibe/simvastatin possibly associated with increased incidence of cancer
Ezetimibe/simvastatin (Vytorin) was associated with an increased incidence of cancer, based on a secondary analysis of the Simvastatin and Ezetimibe in Aortic Stenosis (SEAS) randomized ...
Nuts, corn, popcorn, and berries not associated with increased risk for diverticular disease
Consumption of nuts, corn, popcorn, and berries was not associated with an increased risk for diverticular disease in a prospective cohort study.
Influenza vaccination during pregnancy may reduce risk of influenza in infants
A randomized trial in Bangladesh evaluated the efficacy of influenza vaccine in pregnant women.
Stat Consult
Hashimoto thyroiditis
Legal Advisor
Late-night call leads to nightmare
A faulty dermal patch causes a fatal overdose, but if she didn't prescribe it, why is this NP in court?
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Urological association at odds with new prostate recommendations
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Links between obesity and mental health
How to get full reimbursement for Medicare services
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Breach in protocol ends in suit
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Suspected child abuse leads to arrest
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Urological association at odds with new prostate recommendations
What lies behind the vitamin D revolution?
Purple eruptions
Painful tightening of the skin on the legs
Atrophic rash in a patient with hepatitis C
New onset of lower extremity weakness after a viral illness
Pomegranate packs a powerful punch
What to look for with drug-induced urticaria
Blood calcium highs, lows can be lethal in kidney disease
Mixing NSAIDs with antiplatelet therapy
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