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October 2008 11 10 Issue of Clinical Advisor

Newsline

CDC: Now all kids 5 through 18 need flu shot

Clinicians should be aware that new CDC recommendations could bring many more vaccination recipients to their doors

Lidocaine gel eases mammogram discomfort

Applying a topical analgesic before a mammogram can reduce the breast discomfort some women experience during the exam...

Stroke risk per cigarette quantified

Any amount of cigarette smoking at all more than doubles a woman's risk of ischemic stroke.

PPIs: Good for ulcers, bad for the bones

Taking PPIs for several years can significantly raise the risk of osteoporosis-related fracture.

Reverse "grapefruit juice effect" in some meds

Grapefruit juice, already known to increase the toxicity of certain drugs, has now been found to have an opposite but equally harmful interaction with other ...

Weight-loss benefits survive later weight gain

Type 2 diabetics who lose weight soon after diagnosis are likely to still meet BP and glycemic control targets, even if they fail to keep ...

Hearing loss among young adults on the rise

Hearing loss is more prevalent among U.S. adults than has been previously reported...

Drug Updates from MPR

Four vaccines protect children with one shot

Kinrix

New vaccine prevents gastroenteritis

Rotarix

Asthma inhaler offers relief in two strengths

Alvesco uses hydrofluoroalkane, an invironmentally-friendly propellant.

Advisor Forum

How useful is nonfasting cholesterol testing?

Workup for microscopic hematuria

Atypical GI symptoms with zoster

A man experienced five days of prodromic gastrointestinal symptoms prior to the onset of herpes zoster. What is the explanation?

Use aspirin in thrombocytopenic patients?

Microdermabrasion treatment for facial acne scars

Is microdermabrasion a good alternative glycol acid or other chemical peels?

Is diastasis recti clinically significant?

Bypassing nasotracheal intubation

Lipid levels in a diabetic

Psychiatric screening for adolescents

Boosting vitamin D

Should patients be kept on a vitamin D regimen year round?

Fungal eye infections

Titrating antihypertensive meds

Post-amiodarone paresthesias

Biliary dyskinesia

Gallbladder wall polyp plus abdominal pain

Vaginal candidiasis in pregnancy

High BP in a compliant diabetic?

Ensuring a steady gaze

Cover Feature

Clinical management of dog-bite injuries

Dogs provide love and companionship for millions, but accidents happen. Find out what you and your patients can do to prepare for them.

Clinical Feature

What Election 2008 means for you

With health-care reform occupying a top spot on the political agenda, primary-care clinicians have a lot invested in this year's Presidential election.

Updating the latest in hypertension therapy

Most patients have no symptoms of hypertension until they suffer a major event. Here is a guide to help diagnose and manage this "silent killer."

Correcting common nutritional deficiencies

The typical American diet may not provide all the nutrients needed for good health. You can help patients eat their way to a better life.

A larger role for PCPs in COPD management

COPD and overall health status impact each other, so it's only right for primary-care clinicians to be major players in fighting this condition.

Overcoming the myths surrounding adherence

Clinicians lack a clear understanding of why patients do not always follow recommendations. Here are some practical strategies for improvement.

Dermatologic Look-Alikes

Two cases of lymphedema

Clinical Challenge

A case of first-trimester vaginal bleeding with abdominal cramping

A trip to the emergency department revealed pertinent information used to diagnose an otherwise healthy woman.

Fatigue, pre-syncope, and GI symptoms in a diabetic patient

Weeklong nonspecific symptoms turn out to be early warning signs of a potentially fatal disorder.

Weight loss, fatigue, and troubling laboratory findings

Elevated liver enzymes were the first clue to a grave diagnosis.

Commentary

Get curious about CAM

You might be surprised to know that even if you're not utilizing complementary and alternative medicine (CAM) therapies, some of your patients probably are...

Alternative Meds Update

Stevia

Stevia is a widely used, very potent sweetener, but few herbals have sparked as much controversy...

Dermatology Clinic

Purple blotches in an elderly man with atrial fibrillation

An 80-year-old man who complained of recently noted dark purple blotches on the backs of his hands and extensor surfaces of his forearms

Draining jaw lesion following treatment for a dental abscess

A 63-year-old woman was treated for a dental abscess on her right lower jaw

Evidence-Based Medicine

Thrombus aspiration during PCI reduces mortality and re-infarction

Thrombus aspiration during percutaneous coronary intervention (PCI) reduced mortality and re-infarction rate at one year...

AHA suggests pre-stimulant ECG in children with ADHD

The American Heart Association (AHA) suggests a screening ECG before starting stimulant medications in children with attention-deficit hyperactivity disorder...