June 2009 12 6 Issue of Clinical Advisor

June 2009 12 6 Issue of Clinical Advisor

Newsline

Heart failure strikes young blacks hardest

Young African Americans are developing heart failure (HF) before age 50 years at a rate 20 times higher than whites.
 

PCPs on the front line for atrial fibrillation

Diagnosing atrial fibrillation could sharply reduce strokes in the United States, and primary-care providers have a key role to play.
 
 

Bedbugs do not cause illness

Bedbugs may be hard to get rid of but do not appear to carry disease.
 

Accidental epinephrine injections becoming growing problem

At least once a year, check that patients with allergies know how to safely use their epinephrine auto-injectors to prevent anaphylaxis
 

Anxiety relief for seniors via primary care

Cognitive behavior therapy delivered in a primary-care setting can help older patients manage worry and associated symptoms
 

Multifaceted approach helps smokers quit

Treating smoking aggressively as a chronic, relapsing disease, can raise the odds for success.
 

Earlier start for HIV treatment indicated

This reduces mortality risks by as much as 94%, according to recent studies.
 

Advisor Forum

 

Connection between inflammation and celiac disease?

The patient has diabetes, asthma, and a family history of celiac disease.
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Cover Feature

Osteoporosis: No gender gap for therapy

Although commonly considered a disease of women, men can be affected too. New guidelines recommend risk assessment for men and treatment for both sexes.
 

Clinical Feature

Managing care with handheld technology

Your PDA provides quick access to prescribing guidelines, clinical updates, practice standards, and more. Our expert helps navigate the terrain.
 

Dermatologic Look-Alikes

Painful pedal erythema

Two elderly men present with painful red rashes on their feet and lower leg. One patient had a history of gout, the other essential thrombocytosis.
 

Clinical Challenge

Increasingly red and painful lesion coupled with joint pain and fever

Over the course of 10 days in September, a sore on the patient's ankle grew in size, and he developed a petechial rash.
 

Alternative Meds Update

Noni

The juice of the tropical noni fruit is best known for its antioxidant properties. Studies also show evidence of anti-angiogenic and analgesic effects.
 

Dermatology Clinic

Discrete yellow lesions on the eyelid

A woman has had discrete yellow areas on her eyelids for several years. During that time, the lesions had been slowly expanding.
 

Peculiar violaceous, atraumatic rash

A man with a history of chest pain, light-headedness, and diaphoresis noted a bruise that had appeared spontaneously on his chest.
 

Evidence-Based Medicine

 
 
 
 
 

Stat Consult

Influenza A (H1N1)

The information (including management guidelines) for influenza A changes almost daily. Look here for the most recent findings.
 

Legal Advisor

Tight times create urge to diversify

As a medical clinic expands into cosmetic services, a PA believes his career may be in jeopardy.
 

Nevada revamps its medical board

Nevada has overhauled the state medical board's discipline procedures in an effort to make them more responsive to dangerous practices and more open to public ...
 

Reforms cited for dramatic caseload decline

Number of medical malpractice cases has plunged in Pennsylvania since the state changed two procedures.
 

Malpractice: Are you really protected?

Although providers may strive to practice good medicine, uphold their personal limits, and offer the highest standard of care, many of will still be named ...
 
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