March 2017 Issue of Clinical Advisor

March 2017 Issue of Clinical Advisor

Newsline

Earwax: a clinical practice guideline for management and treatment

The guideline aims to help clinicians identify patients with cerumen impaction who may benefit from intervention.

Accuracy of prediabetes screening tests is low

Fasting glucose is specific but not sensitive, and HbA1c is neither sensitive nor specific.

Sepsis and septic shock: new guidelines for clinical management

Updated international guidelines for managing sepsis and septic shock have been released by the Society of Critical Care Medicine and European Society of Intensive Care ...

VA lung cancer screening program finds high rate of incidental findings, low cancer detection rate

An estimated 900,000 veterans of a population of 6.7 million VHA patients met the criteria for LCS.

Intervention during labor and birth: new recommendations from ACOG

The ACOG releases an updated committee opinion suggesting that low-risk women can benefit from minimal intervention during labor and delivery.

Radiation exposure and cancer risk from CT screening: a risk-benefit analysis

After 10 years of low-dose CT screening in patients, 1.5 lung cancers and 2.4 major cancers per 10,000 people screened were induced by radiation.

Advisor Forum

Lifestyle modifications vs pharmacologic treatment for patients with diabetes

Applying necessary lifestyle changes as well as incorporating pharmaceutical drugs will improve diabetes in patients compared to drugs alone.

Transurethral resection of bladder tumor

A transurethral resection of bladder tumor allows examination and determination of histology, depth of invasion, and involvement beyond the bladder.

Soft tissue sarcoma of the thigh in an adolescent male

A young boy's complaint of a tender mass on his left thigh is diagnosed as osteosarcoma.

Cover Feature

Managing bipolar disorder: pharmacologic options for treatment

Lithium has been the mainstay of treatment for decades, but several other classes of medication have recently been used with varying degrees of success.

Clinical Feature

Schizophrenia: a clinical overview

A better understanding of this complicated condition is key to helping patients reduce symptoms, maximize quality of life, and improve adaptive functioning skills.

Alternative Meds Update

Frankincense: a rediscovered botanical product

Frankincense is one of a multitude of rediscovered botanical products being studied for use in a variety of diseases and conditions.

Legal Advisor

When a referral goes wrong

A clinician misses a differential diagnosis when she refers a patient to a specialist for rectal bleeding.

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