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Issue Archive
> March 2009 Issue of Clinical Advisor
March 2009 12 3 Issue of Clinical Advisor
Newsline
Hepatitis outbreaks caused by carelessness
Sloppy clinical practices have caused 33 outbreaks of hepatitis B or hepatitis C infection in the past decade, the CDC reports after its first full-scale ...
Diet tips for heart failure, COPD updated
Registered dietitians have some new advice for your patients with heart failure or chronic obstructive pulmonary disease.
Antidepressants ease fibromyalgia complaints
Research revealed strong evidence associating antidepressants with reduction of pain, fatigue, depressed mood, and sleep disturbances, as well as with an improved health-related quality of ...
Exercise Rx boosts activity
If you want to encourage your patients to exercise more, try writing a prescription.
First psoriatic arthritis guidelines
Treatment guidelines for psoriatic arthritis address the five most significant clinical manifestations of this chronic systemic inflammatory disorder.
Flu shot creates opportunity for colorectal screening
If one group of practitioners has its way, clinicians may find themselves handing out colorectal cancer screening kits along with immunizations next flu season.
Many kidney stones are asymptomatic
Up to 45.7% of stones found on ultrasound fit criteria for being asymptomatic.
Drug Updates from MPR
Antibacterial effective against acne vulgaris
Dapsone is believed to have anti-inflammatory properties.
Advisor Forum
Steroid-induced weight gain
Chronic foot and leg ulcer treatment
The forgotten lipid
Why do digital rectal exams?
If the DRE is not recommended to screen for prostate or colon cancer, why do we do it?
Dosing adjustments for obese children
ADHD treatment without stimulants
Standard of care for MRSA infections
Antibiotic-induced diarrhea
Cover Feature
The links between oral and systemic health
While research into specific cause-and-effect relationships continues, there are still plenty of reasons to encourage patients to take care of their mouth.
Dermatologic Look-Alikes
Distinguishing dysplastic nevi
Two patients presented with similar multiple moles on the extremities and torso. Can you tell which case was mild and which was severe?
Clinical Challenge
A man's temporary vision loss leads to an unexpected diagnosis
With no past medical history of note, the sudden onset of his condition necessitated a trip to the emergency department.
Commentary
HIV screening: Just another routine test?
Why is HIV testing so different from other types of routine screening?
Alternative Meds Update
Lemon balm
Lemon balm, known for its calmative effects, is frequently recommended for patients with insomnia, anxiety, and other nervous system-related conditions.
Dermatology Clinic
Painful erosions with a history of eczema
A 4-year-old black boy with a long-standing history of eczema had a worsening rash and complained of increased itching and cutaneous pain.
Pruritic rash after a Caribbean visit
A 28-year-old man developed a pruritic, nonhealing rash after brushing his hand and leg against coral while snorkeling in the British Virgin Islands.
Evidence-Based Medicine
Reviewing beta blockers for hypertension
A Cochrane review concluded that beta blockers are not indicated as first-line therapy for hypertension. Other reviews similarly questioned the drugs' usefulness as antihypertensives.
IV ceftriaxone no more effective than oral doxycycline for mild Lyme neuroborreliosis
CT colonography identified 90% of asymptomatic adults with polyps >10 mm
Early insulin infusion vor VLBW infants may increase mortality and hypoglycemia
Exercise reduces pain and improves function in patients with knee osteoarthritis
t-PA increases intracranial hemorrhage, but functional outcomes are inconsistent
Stat Consult
Tardive dyskinesia
The most recent findings on tardive dyskinesia
Legal Advisor
"You can go home or go to the ED"
When an NP gives a patient a choice, is she responsible for the effects of his untreated stroke?
Most Popular
Most Emailed
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Systemic mastocytosis workup
Benefits of tight glucose control might not be worth risks
When to start plasmapheresis in a patient with myasthenia gravis
New HIV, HCV tests come to market
Can glucosamine and chondroitin affect lipid levels?
Disposable lead wires in postoperative heart patients
An alternative to canes
Be tough but fair
Stubborn constipation in a teenager
Anticoagulants after valve replacement
HIV: Make the diagnosis and take the next step
Physicians surveyed about defensive medicine
Is DHEA the new fountain of youth?
Alzheimer's management from diagnosis to late stage
Washington State Supreme Court strikes down malpractice reform
Recurrent erosions on the neck and axillae
Testing leads to charges of battery
Does a slip of the tongue equate to medical malpractice?
Kitchen work worsens pruritic hand lesions
Patches of hair loss
An alternative to canes
New HIV, HCV tests come to market
Be tough but fair
When to start plasmapheresis in a patient with myasthenia gravis
Benefits of tight glucose control might not be worth risks
Anticoagulants after valve replacement
Reaction following contrast CT
Stubborn constipation in a teenager
Disposable lead wires in postoperative heart patients
Systemic mastocytosis workup
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