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October 2009 Issue of Clinical Advisor

Newsline

Healthy lifestyle pays off in heart benefits

Maintaining a normal weight, eating healthfully, exercising regularly, drinking only in moderation, and not smoking can lower the risks of heart failure and high BP.

Guideline finally gives voice to hoarseness

The American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) issued the first and only national clinical practice guideline on hoarseness.

American Heart Association advises lowering added sugars

The American Heart Association (AHA) issued recommendations on specific levels and limits for the consumption of sugars and syrups added to foods during processing, preparation, ...

FDA warns against some glucose tests

Be sure your patients with diabetes are aware of a recent FDA advisory regarding the danger of using certain glucose meters or test strips when ...

Unexpected flu shot benefit

Efforts to get more patients vaccinated against various influenza infections in this particularly active flu season may have a greater payoff than expected.

Loss of function after stroke may be inevitable

Even people who have recovered well from an ischemic stroke may exhibit functional decline after the first six months and for up to five years.

Tight glucose control best for type 1 diabetes

You can assure patients with type 1 diabetes that keeping their glucose levels as close to normal as possible—particularly early on—is the best course of ...

Morning colonoscopy may detect more

Colonoscopy is now the most recommended screening method for colorectal cancer in primary-care offices.

Drug Updates from MPR

Single tablet for major depressive disorder

Aplenzin is an extended-release formulation of bupropion

New drug for type 2 diabetes

Onglyza is a selective, reversible inhibitor of the DPP-4 enzyme.

UFH for thromboprophylaxis may have higher risk of major bleeding than LMWH

Advisor Forum

Biopsy site for pigmented skin lesion

What is the best location to sample when obtaining a punch biopsy from a potential dysplastic nevus or malignant melanoma?

Burning hands and arms during sleep

What are the differential diagnoses for a 50-year-old woman with progressively worsening bilateral painful burning in her hands and arms that occurs only while she ...

When to refer women with microscopic hematuria

A large number of my female patients have trace blood in their urine that does not clear up with antibiotics. Should all these patients be ...

Retroverted uterus and IBS

Is presence of a retroverted uterus associated with an increased incidence of irritable bowel syndrome (IBS)?

Diagnosis and management of acute paronychia

Bacitracin and alcohol were unsuccessful in a patient who injured his cuticle trimming his toenail.

Decreasing thyroid-stimulating hormone

Other than hyperthyroidism, what can cause a decrease in thyroid-stimulating hormone (TSH) level?

ACE inhibitor cough resolution

What can I do to help a patient's ACE inhibitor cough resolve more quickly?

Diagnosing coarctation of the aorta

What are the signs and symptoms of coarctation of the aorta?

Coagulopathy in patients with renal disease

Do patients with renal disease have inherent coagulopathy?

Kveim test for sarcoidosis

What is the status of the Kveim test in the diagnosis of sarcoidosis?

OTC antihistamines for allergy relief in children

Can second-generation antihistamines be safely prescribed for allergy relief in these children?

Gluten intolerance in the absence of celiac disease

What symptoms should I look for in gluten-intolerant patients?

Feeding patients who are ventilator-dependent

Is oral feeding of a patient who is ventilator-dependent and has a chronic indwelling tracheostomy tube acceptable?

In-office treatment of desquamative inflammatory vaginitis

I cannot find much information on desquamative inflammatory vaginitis (DIV). Should I refer? If not, what do I need to know about this condition?

Links between endometriosis and interstitial cystitis

Is there a link between endometriosis and interstitial cystitis?

Step-by-step chest tube removal

Cover Feature

Candidiasis: New agents for invasive infections

Updated guidelines spell out therapy for superficial as well as life-threatening disease variants that are the product of modern medicine.

Clinical Feature

Management of childhood depression

Often the first to identify the warning signs of this depression in children and adolescents, primary-care providers must be prepared to institute a basic treatment ...