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
 

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.
 

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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