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Home
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Issue Archive
> September 2009 Issue of Clinical Advisor
September 2009 12 9 Issue of Clinical Advisor
Newsline
Celiac disease now more widespread
The number of cases of celiac disease has increased more than fourfold in the past 50 years.
Cancer-causing role for sun-damage lesions
Rough patches on the skin that can turn into squamous cell carcinomas may also set the stage for basal cell carcinomas.
Spotting potential drug-drug problems
Some prescribers may need to brush up on their knowledge of drug-drug relationships.
Patients need training with canes and walkers
Canes and walkers are implicated in a significant number of falls and resulting fractures, a new CDC study estimates.
Anemia complicates CHF
Chronic heart failure (CHF) patients with anemia are more likely to face adverse outcomes than those without anemia, according to a recent meta-analysis.
Studies point to safety of bariatric surgery
Clinicians counseling patients who are considering bariatric surgery may be able to quell some of their concerns thanks to the results of several recent analyses.
Alzheimer's demands multiple diagnostics
Cognitive tests can identify mental decline, but they do not do a very good job of differentiating Alzheimer's disease (AD) from vascular dementia, the American ...
Migraineurs have lower risk of breast cancer
Women coping with migraine headaches may receive a payoff in the form of protection from another disease with a hormonal component—breast cancer.
Drug Updates from MPR
Drug treatment for irregular heartbeat
Multaq treats heart rhythm disorder.
Eyedrops fight bacterial conjunctivitis
Topical ophthalmic antibacterial administered via sterile drops
Advisor Forum
Contact dermatitis in an HIV-positive patient
Is it appropriate to administer a short course of an oral corticosteroid to treat a contact dermatitis that becomes systemic in an HIV-positive patient?
Controlling the symptoms of autism
Strep coverage with potential MRSA?
Exercise approaches to ADHD
Subcutaneous vs. IV insulin
Topical estrogen for postmenopausal women
Topical estrogen for postmenopausal women
Testing athletes for steroid use
What tests detect anabolic steroids?
Potential hair-replacement procedure risks
Preventing helminthic zoonoses
Weighing the risks of CT scan during pregnancy
Herbal options for hot flushes
When to test for hereditary hemochromatosis
Unconfirmed history of TB
Cover Feature
Managing patients infected with H. pylori
Effective treatment may ease the pain of peptic ulcer disease and gastritis, prevent progression of gastric malignancy, and ease iron deficiency anemia.
Clinical Feature
Asthma and obesity—a complex relationship
In addition to being on the rise, asthma and obesity have other features in common. Will treatment for one condition also alleviate the other?
Dermatologic Look-Alikes
Similar-appearing vesicles
Two women, the first bedridden with high fever and the second otherwise healthy, present with a vesicular rash.
Clinical Challenge
Bradycardia and a pectoralis twitch in a pacemaker patient
Surgery is required for a woman whose right ventricle was perforated by the tip on the lead of her permanent pacemaker.
Commentary
Get online to keep up with flu issues
Numerous Internet resources can help clinicians stay current with influenza outbreaks and other infectious disease developments.
Alternative Meds Update
Olive oil
The benefits of olive oil go beyond its well-deserved reputation for lowering cardiovascular morbidity and mortality.
Dermatology Clinic
Skin fusion on the fingers and toes of an adolescent girl
A patient seeks treatment for trauma-induced blistering and scarring.
Bilateral pruritic papules on a woman's axillae
Skin-colored papules develop on the axillae of an African-American woman.
Evidence-Based Medicine
ESA-associated increase in mortality not seen in patients on chemotherapy
Water immersion during labor reduces analgesia use
Time window for rt-PA following stroke expanded for some patients
Diabetes may not be a coronary risk equivalent
The seven-year risk of MI from diabetes was found to be the same as that of having a history of previous MI.
Stat Consult
Gout
The various clinical presentations of this painful form of arthritis result from tissue deposition of monosodium urate crystals.
Legal Advisor
Statins raise question of judgment
A young man lowers his cholesterol through diet and exercise but dies unexpectedly within a year.
Recovery takes subtly sour turn
A postoperative neurology patient's deteriorating condition goes unnoticed, with disastrous results.
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Links between obesity and mental health
Atrophic rash in a patient with hepatitis C
Blood calcium highs, lows can be lethal in kidney disease
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Links between obesity and mental health
How to get full reimbursement for Medicare services
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Breach in protocol ends in suit
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Suspected child abuse leads to arrest
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Painful tightening of the skin on the legs
Urological association at odds with new prostate recommendations
What lies behind the vitamin D revolution?
Purple eruptions
Painful tightening of the skin on the legs
Atrophic rash in a patient with hepatitis C
New onset of lower extremity weakness after a viral illness
Pomegranate packs a powerful punch
What to look for with drug-induced urticaria
Blood calcium highs, lows can be lethal in kidney disease
Mixing NSAIDs with antiplatelet therapy
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