September 2012 Issue of Clinical Advisor

Newsline

Providers with HBV can keep practicing

Hepatitis B virus infection does not disqualify health-care workers from working.

Task force still says "no" to ECG screening

USPSTF continues to recommend against screening asymptomatic adults at low risk of a coronary heart disease event with ECG.

Weight at diabetes diagnosis influences mortality

Adults who were normal weight at the time of type 2 diabetes diagnosis had a higher risk of death those who are overweight or obese.

Address vascular risk factors to avoid LTC

Stroke and dementia are the major causes of long-term care dependence in old age.

Advisor Forum

Interventions for prediabetes

Two clinicians disagree on a diagnosis after reviewing two-hour oral glucose tolerance test results. Who is correct?

Treating scrotal dermatitis

What treatment do you recommend for scrotal dermatitis?

Group B strep treatment during pregnancy

What treatment regimen would have the least adverse effect on the fetus?

Try GERD medication for pediatric molluscum

A medication for gastrointestinal disorders can help resolve pediatric skin lesions caused by a benign viral infection.

Examining the prostate of an obese man

Excess fat around the gluteal region can make performing digital rectal exams in obese patients difficult. How can this challenge be overcome?

Improve eustachian tube dysfunction with nasal spray

A 12-hour nasal decongestant spray can help provide relief for kids with eustachian tube dysfunction.

File away anxiety over trimming infant fingernails

Many parents are anxious about cutting their infant's fingernails.

Evidence-Based Medicine

No benefit with imaging plus exercise testing for initial CAD diagnosis in women

No differences in major cardiac adverse events or hospitalization for chest pain among women who underwent exercising plus MPI vs. exercising alone.

No CRT benefit for HF with moderate QRS interval prolongation

No significant differences observed in overall HF risk among patients with moderately prolonged QRS intervals who receive cardiac resynchronization therapy.

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