Feature Archive

Practice Management Information Center Coping With Challenges When Working the Holidays

Coping With Challenges When Working the Holidays

For many physicians, working during the holiday season is simply part of the job.

Practice Management Information Center Addressing Workplace Violence Against Physicians

Addressing Workplace Violence Against Physicians

Once revered and idolized by society and patients, physicians are increasingly being subjected to verbal and physical violence at work.

Rheumatology Information Center Managing Psoriatic Arthritis: Updated 2018 Recommendations From ACR/NPF

Managing Psoriatic Arthritis: Updated 2018 Recommendations From ACR/NPF

The American College of Rheumatology and the National Psoriasis Foundation have released 2018 joint recommendations for the treatment of psoriatic arthritis.

Cardiovascular Disease Information Center ACC, AHA Publish Appropriate Use Criteria Guidelines for Peripheral Artery Intervention

ACC, AHA Publish Appropriate Use Criteria Guidelines for Peripheral Artery Intervention

In publishing updated appropriate use criteria, the organizations hope to provide guidance to clinicians who may refer patients for revascularization therapy.

Dermatologic Look-Alikes

Widespread Erythematous Rash

In Case 1, a 24-year-old man presents to his primary care physician with complaints of new-onset sore throat and fatigue. In Case 2, a 50-year-old man presents to an urgent care clinic complaining of a fast-developing pruritic rash after being stung by a wasp.

Mood Disorder Information Center Long-Term Lithium Use: More Evidence Needed to Associate With Cancer Risk

Long-Term Lithium Use: More Evidence Needed to Associate With Cancer Risk

The European Medicine Agency has reported that there may be an association between long-term lithium use and reports of both renal tumors and thyroid cancer.

Legal Advisor Alleged HIPAA Violation or Termination for Taking FMLA?

Alleged HIPAA Violation or Termination for Taking FMLA?

A court must choose whether to accept a hospital's explanation that a nurse was fired for violating HIPAA or let a jury decide whether the hospital's action was merely a pretext for firing the nurse for taking advantage of FMLA.

Allergy and Immunology Information Center Telling Time by Asthma, Allergy Symptom Severity

Telling Time by Asthma, Allergy Symptom Severity

Clinicians are gaining a better understanding of how asthma and allergies are regulated by the circadian clock, which will help patients better alleviate their symptoms.

Gastroenterology Information Center Irritable Bowel Syndrome and Vitamin D: Is There a Connection?

Irritable Bowel Syndrome and Vitamin D: Is There a Connection?

Low vitamin D levels have been linked to multiple diseases including some cancers, neurologic disorders, decrease in bone density, and cognitive decline in the elderly, and research suggests that a possible inflammatory response in the gut when vitamin D levels are low may cause irritable bowel syndrome.

Case Files A Case of Floppy Baby Syndrome

A Case of Floppy Baby Syndrome

A previously healthy 4-month-old infant presents with weak cry, inability to feed, and having the appearance of a "floppy rag doll."

Case Files Early Pregnancy and Painless Spotting

Early Pregnancy and Painless Spotting

A 30-year-old woman who is 6 weeks pregnant calls into the after-hours Ob/Gyn line over the weekend with reported spotting.

Features Guidance for Antibiotic Use in Patients With Myasthenia Gravis

Guidance for Antibiotic Use in Patients With Myasthenia Gravis

As infection may also lead to worsening symptoms in patients with myasthenia gravis, clinicians must balance prompt and adequate treatment of infection with the risk that some antibiotics can aggravate the condition.

Rheumatology Information Center Examining the Role of Diet in Rheumatoid Arthritis

Examining the Role of Diet in Rheumatoid Arthritis

Many components of diet have been implicated as possible risk factors for RA, with varying degrees of evidence.

Smoking & Tobacco Information Center Thirdhand Smoke: A New Concept Rising From Old Residue

Thirdhand Smoke: A New Concept Rising From Old Residue

The concept of thirdhand smoke was originally introduced in 1953, when rodent studies first demonstrated the carcinogenic effects of the residue from tobacco smoke.

Diabetes Resource Center Type 1 Diabetes Confers Extra Risk for Autoimmune Diseases

Type 1 Diabetes Confers Extra Risk for Autoimmune Diseases

Type 1 diabetes predisposes children and adults to autoimmune diseases, which can impair glucose metabolism and interfere with insulin therapy.

Pulmonology Information Center Endobronchial Valve Therapy: A Nonsurgical Option for Advanced Emphysema

Endobronchial Valve Therapy: A Nonsurgical Option for Advanced Emphysema

Bronchoscopic lung volume reduction with valve replacement shows the most promise for improving lung function, exercise tolerance, and quality of life in patients with advanced emphysema.

Gastroenterology Information Center Inflammatory Arthritis and the Gut Microbiome: Do Microbes Hold the Key to New Treatments?

Inflammatory Arthritis and the Gut Microbiome: Do Microbes Hold the Key to New Treatments?

Recent research points to an association between the gut microbiome composition and various types of immune-mediated inflammatory arthritides.

Oncology Safe to Administer B12 Supplementation, Pemetrexed Infusions for Lung Cancers on Same Day

Safe to Administer B12 Supplementation, Pemetrexed Infusions for Lung Cancers on Same Day

Mean changes in hematologic indices found similar regardless of same-day or prior administration of B12 supplementation in patients receiving pemetrexed for NSCLC or pleural mesothelioma.

Clinical Challenge Case Study: White Paste Found After Ankle Aspiration

Case Study: White Paste Found After Ankle Aspiration

A 53-year-old obese man with a history of diabetes and hypertension presents with migratory bilateral ankle pain that is worse on the left side.

Diet and Nutrition Information Center Ketogenic Diet for the Management of T2D and Associated Long-Term Complications

Ketogenic Diet for the Management of T2D and Associated Long-Term Complications

With obesity reaching epidemic proportions, and its known association with many metabolic disorders such as type 2 diabetes, dyslipidemia, hypertension, and atherosclerosis, it is worthwhile to look at nutritional approaches to managing these chronic conditions.

Neurology Information Center Critical Illness and the Brain: Managing Risk for Cognitive Adverse Effects

Critical Illness and the Brain: Managing Risk for Cognitive Adverse Effects

The results highlight the importance of evaluating and monitoring cognitive function in individuals with recent critical illness or major infections, especially if they are already at risk for dementia.

Dermatologic Look-Alikes

Diffuse Bullous Skin Lesions

In Case 1, 55-year-old man presents to the clinic with multiple tense bullae diffusely involving his trunk and extremities that overlie urticarial plaques. In Case 2, 40-year-old African American man presented to the clinic with a few small flaccid blisters as well as multiple crusted erosions and some areas of post-inflammatory hyperpigmentation on his back and in the creases of his elbows.

Neurology Information Center New Diagnostic Criteria for Neurosarcoidosis: What You Need to Know

New Diagnostic Criteria for Neurosarcoidosis: What You Need to Know

The new guidelines will facilitate the design and development of clinical trials to test new therapies to minimize the burden of neurologic disability produced by neurosarcoidosis.

Legal Advisor Could a Tragic Death Following Hospital Discharge Have Been Avoided?

Could a Tragic Death Following Hospital Discharge Have Been Avoided?

A recently discharge patient dies in a tragic fire, and the hospital and treating clinicians are subsequently named in a lawsuit.

Ob/Gyn Information Center Universal vs Risk-Based Screening in Pregnancy: An Expert Weighs In

Universal vs Risk-Based Screening in Pregnancy: An Expert Weighs In

There is a lack of consensus among experts and professional organizations whether HCV screening in pregnant women should be risk based or universal.

Clinical Challenge Trauma-Induced Pulmonary Embolism: A Clinical Case

Trauma-Induced Pulmonary Embolism: A Clinical Case

A 25-year-old man complaining of chest pain and with evidence of significant chest trauma presented to the emergency department after suffering an accident while riding an all-terrain vehicle.

Pediatrics Information Center Effect of Artificial Sweeteners on Obesity Risk in Children

Effect of Artificial Sweeteners on Obesity Risk in Children

As new research indicates that long-term use of artificial sweeteners may increase body mass index, a literature search was performed to assess the effect of artificially sweetened beverages on weight gain in the pediatric population.

Neurology Information Center Multiple System Atrophy: A Common Form of Atypical Parkinsonism

Multiple System Atrophy: A Common Form of Atypical Parkinsonism

Multiple system atrophy is a rare, progressive neurodegenerative condition for which there is currently no cure.

Gastroenterology Information Center Probiotics, Depression, and the Role of Inflammation

Probiotics, Depression, and the Role of Inflammation

Researchers examined evidence suggesting that probiotics may exert antidepressant effects via anti-inflammatory mechanisms.

Clinical Challenge Case Study: Abdominal Pain, Malaise, and a Bruise on the Leg

Case Study: Abdominal Pain, Malaise, and a Bruise on the Leg

A 44-year-old man presents to the hospital with generalized abdominal pain, malaise, subjective low-grade fever, and a bruise on his left shin. He has an extensive medical history including HIV, hypertension, diabetes, and GERD, but he denies vomiting or diarrhea.

Alternative Meds Update Essentials of Wound Care: Alternative Treatments in Wound Management

Essentials of Wound Care: Alternative Treatments in Wound Management

The efficacy of nonpharmacologic agents for wound care should encourage discussion of their usefulness and appropriateness in wound management.

Dermatologic Look-Alikes

Asymptomatic Hyperpigmented Plaques

A patient presents with asymptomatic hyperpigmented plaques on the neck and upper trunk that have persisted for several weeks despite rigorous scrubbing with soap and water.

Pediatrics Information Center Pediatric Migraine: Evidence-Based Alternative Management

Pediatric Migraine: Evidence-Based Alternative Management

Recent high-quality clinical trial evidence has demonstrated that medications commonly prescribed for migraine prevention in pediatric patients were not superior to placebo for reducing headache symptoms.

Legal Advisor Communicating Care via Fax: NP Faulted for Negligence

Communicating Care via Fax: NP Faulted for Negligence

Use of a fax machine and lack of a timely response resulted in the demise of a patient and an accusation of gross negligence.

Rheumatology Information Center Expanding Healthcare Access With Nurse-Led Care in Rheumatoid Arthritis

Expanding Healthcare Access With Nurse-Led Care in Rheumatoid Arthritis

A recent systematic review found that nurse-led care is effective, acceptable, and safe in patients with rheumatoid arthritis.

Emergency Medicine Information Center Community Paramedicine: Bridging the Gap

Community Paramedicine: Bridging the Gap

Community paramedics are trained within the standard paramedic education model and then complete program-dependent training with a goal of decreasing unnecessary hospital readmissions and improving overall patient care.

Emergency Medicine Information Center A Zebra in the Emergency Department

A Zebra in the Emergency Department

Many cases of vaginal foreign body are unusual and often difficult to detect.

Ob/Gyn Information Center Optimizing Pregnancy Outcomes With Micronutrients

Optimizing Pregnancy Outcomes With Micronutrients

As healthy levels of folic acid, iodine, magnesium, vitamin D, and iron demonstrate improved outcomes in pregnancy, understanding of the function of these essential nutrients on health would benefit family practitioners caring for women of childbearing age.

Clinical Challenge Case Study: Worsening Headache After Giving Birth

Case Study: Worsening Headache After Giving Birth

A 32-year-old woman presents to the emergency department with gradually worsening generalized headache 8 days after giving birth to her second child.

Cardiovascular Disease Information Center Risk Factors for Atherosclerotic Cardiovascular Disease in the South Asian Population

Risk Factors for Atherosclerotic Cardiovascular Disease in the South Asian Population

South Asians exhibit the highest rates of ASCVD among all ethnic groups, and the highest prevalence is in younger age groups; up to 25% of myocardial infarctions in India occur in individuals younger than 40 years of age.

Practice Management Information Center Incorporating Guidelines Into Clinical Practice: An Interview With Gary L. LeRoy, MD

Incorporating Guidelines Into Clinical Practice: An Interview With Gary L. LeRoy, MD

Despite their advantages, many clinicians do not necessarily agree with the centrality or content of CPGs. Others — especially primary care physicians (PCPs) — are overwhelmed by the vast and ever-increasing numbers of guidelines issued by multiple societies.

Legal Advisor Is Clinician Testimony Allowable in a Sexual Assault Trial?

Is Clinician Testimony Allowable in a Sexual Assault Trial?

A nurse practitioner working in the safe child center of the outpatient pediatric wing of a regional hospital is called to testify in an abuse case.

Pain Information Center Current Guidelines for Management of Low Back Pain

Current Guidelines for Management of Low Back Pain

An estimated 31 million Americans will experience low back pain at some point in their lifetime.

Evidence-Based Medicine Emollient Bath Additives Ineffective for Atopic Dermatitis in Children

Emollient Bath Additives Ineffective for Atopic Dermatitis in Children

Although the American Academy of Dermatology recommends the direct application of emollients to the skin in patients with atopic dermatitis, the addition of oils, emollients, or other additives to bath water is not recommended due to insufficient evidence regarding their efficacy.

Evidence-Based Medicine Adjuvant Chemo With Endocrine Therapy for HR+/HER2- Breast Cancer

Adjuvant Chemo With Endocrine Therapy for HR+/HER2- Breast Cancer

Although endocrine therapy following surgery is recommended for HR-positive/HER2-negative, axillary node-negative breast cancers, the value of adjuvant chemotherapy in the setting of moderate risk is unclear.

Evidence-Based Medicine Limited Formula Supplementation May Not Adversely Affect Breastfeeding

Limited Formula Supplementation May Not Adversely Affect Breastfeeding

Although exclusive breastfeeding for the first 6 months of life is recommended by several health organizations, there may be a delay before abundant maternal milk production is established.

Evidence-Based Medicine Budesonide/Formoterol for the Prevention of Serious Asthma Exacerbations

Budesonide/Formoterol for the Prevention of Serious Asthma Exacerbations

The SYGMA trials assessed the use of an as-needed combined corticosteroid/beta-agonist inhaler in patients with mild asthma.

Clinical Challenge Case Study: Elbow and Biceps Pain After a Fall

Case Study: Elbow and Biceps Pain After a Fall

An elderly man presents to the emergency department with elbow and biceps pain after falling on the stairs.

Neurology Information Center Raising Awareness of Pseudobulbar Affect: Knowing the Signs, Symptoms, and Treatment for Patients With Uncontrollable Laughing or Crying

Raising Awareness of Pseudobulbar Affect: Knowing the Signs, Symptoms, and Treatment for Patients With Uncontrollable Laughing or Crying

Pseudobulbar affect is a significant national health issue in the United States, with approximately 2 million individuals affected.

Diabetes Resource Center Fasting Insulin vs Hemoglobin A1c: Are We Getting It Right?

Fasting Insulin vs Hemoglobin A1c: Are We Getting It Right?

The early diagnosis and management of prediabetes will have a significant impact on patient outcomes and healthcare spending.

Legal Advisor HIPAA Violation Derails NP's Career

HIPAA Violation Derails NP's Career

A HIPAA violation harms the successful career of a healthcare provider and causes problems for her former and current employers.

Clinical Advisor 20th Anniversary 20 Years: The Evolution of the Physician Assistant Profession

20 Years: The Evolution of the Physician Assistant Profession

The demand for PAs, along with the escalating number of PA applicants, has helped fuel the growth.

Stat Consult Stat Consult: Cleft Lip and Palate

Stat Consult: Cleft Lip and Palate

Cleft lip and palate is defined as congenital malformation of the upper lip and/or oral cavity disrupting normal facial structure and oromotor function.

Clinical Challenge Case Study: Purple Fingertips in an Elderly Woman

Case Study: Purple Fingertips in an Elderly Woman

An elderly woman with a history of hypertension and metastatic bladder cancer presents to the ED with bilateral finger pain and cyanosis associated with a 15-lb weight loss.

Clinical Advisor 20th Anniversary Nurse Practitioner Profession: 20 Years of Change

Nurse Practitioner Profession: 20 Years of Change

Changes in the NP profession over the past 20 years include the growth of the profession, methods of practice, and the types of patients and conditions treated.

Legal Advisor A Case of Wrongful Termination?

A Case of Wrongful Termination?

A clinician quits her job but afterward sues for wrongful termination.

Endocrinology Information Center Subclinical Hypothyroidism: Controversies in Testing and Treatment

Subclinical Hypothyroidism: Controversies in Testing and Treatment

Divergent recommendations in guidelines from the USPSTF and the ATA/AACE contribute to the controversy surrounding whether to test and treat for subclinical hypothyroidism.

Infectious Diseases Information Center Chagas Disease in the United States: A Growing Public Health Concern

Chagas Disease in the United States: A Growing Public Health Concern

The United States has the seventh highest prevalence of Chagas infection in the Western hemisphere, with most cases seen among immigrants from Latin America.

Neurology Information Center Weighing the Risks of Deep Brain Stimulation

Weighing the Risks of Deep Brain Stimulation

DBS has been known to generate other movement-related disorders such as dyskinesias, blepharospasm, and hypokinesia.

20th Anniversary Clinical Pearl Giveaway Internet "Challenges" and Teenagers: a Guide for Primary Care Providers

Internet "Challenges" and Teenagers: a Guide for Primary Care Providers

Discussions involving Internet challenges with children and adolescents should be as sensitive as those about sexuality and drug or alcohol use.

Stat Consult Stat Consult: Chronic Low Back Pain

Stat Consult: Chronic Low Back Pain

Chronic low back pain (LBP) defined as persistent or fluctuating musculoskeletal pain of lower back and lumbar spine lasting >3 months.

Neurology Information Center Hormonal Contraceptives and Migraine: Is It Time to Revisit Stroke Risk?

Hormonal Contraceptives and Migraine: Is It Time to Revisit Stroke Risk?

Current oral contraceptive products contain lower doses of estrogen than those used in the past, prompting reconsideration of risks and benefits.

Vaccine Information Center Platform Manufacturing May Speed Pandemic Vaccine Development

Platform Manufacturing May Speed Pandemic Vaccine Development

With the advent of platform manufacturing technology, vaccines can be developed quickly to stop the spread of outbreaks.

Asthma Information Center Obstructive Sleep Apnea in Asthma: Gaining Control by Losing Weight

Obstructive Sleep Apnea in Asthma: Gaining Control by Losing Weight

Poor control of asthma and obstructive sleep apnea can feed off one another, according to Michelle Zeidler, MD, pulmonologist at the University of California, Los Angeles, and director of the UCLA Sleep Fellowship Program.

Practice Management Information Center Should Clinicians Treat Family and Friends? Three Experts Weigh In

Should Clinicians Treat Family and Friends? Three Experts Weigh In

Although all of the guidelines acknowledge that there are emergent situations in which providing care for a family member or friend is not only permissible but also essential, other situations are frowned upon.

Legal Advisor Patient Test Results Never Received

Patient Test Results Never Received

A clinician fails to follow up after ordering diagnostic tests for a patient.

Clinical Challenge Case Study: Sudden Abdominal Pain

Case Study: Sudden Abdominal Pain

A 90-year-old woman with a history of coronary disease and gallstones presents to the emergency department with generalized abdominal pain that started suddenly about 7 hours prior.

Practice Management Information Center Does Political Affiliation Influence Patient Care? An Interview With Anupam B. Jena, MD

Does Political Affiliation Influence Patient Care? An Interview With Anupam B. Jena, MD

To shed further light on the study's implications, MPR interviewed lead author Anupam B. Jena, MD, PhD, Ruth L. Newhouse Associate Professor, Harvard Medical School, Boston, MA.

Features Social Media and Adolescents: What Are the Health Risks?

Social Media and Adolescents: What Are the Health Risks?

Primary care providers should screen for depression and other health-related risks associated with the use of social media by adolescents.

Features A History of Race and the Emerging Role of Genetics in Primary Care

A History of Race and the Emerging Role of Genetics in Primary Care

In 2003, the Human Genome Project became the culmination of the history of genetics research, allowing us to understand the role of genetics in human health and disease. As part of The Clinical Advisor's 20th Anniversary, this article explores the influence of race and genetics in clinical practice.

Pediatrics Information Center Managing Pediatric Migraine: Current Therapies and Future Directions

Managing Pediatric Migraine: Current Therapies and Future Directions

Migraine is highly prevalent in children and adolescents, affecting almost 10% of children between 5 and 15 years old and 30% of adolescents between 15 and 19 years old.

Legal Advisor Liability After a Missed Diagnosis

Liability After a Missed Diagnosis

A patient dies after a clinician fails to act on signs of a potential case of deep vein thrombosis.

Features Amyotrophic Lateral Sclerosis: Update for the Primary Care Clinician

Amyotrophic Lateral Sclerosis: Update for the Primary Care Clinician

Patients with ALS require multidisciplinary care and rehabilitative interventions; maximizing independent function and quality of life are the goals.

Clinical Challenge Case Study: Cardiovascular Complications of Chronic Obstructive Pulmonary Disease

Case Study: Cardiovascular Complications of Chronic Obstructive Pulmonary Disease

A 55-year-old man with chronic obstructive pulmonary disease reports having some mild chest pain.

Stat Consult Stat Consult: Parenteral Nutrition Issues

Stat Consult: Parenteral Nutrition Issues

Some include mechanical complications, central vascular access complications, and compatibility issues.

Features Oral Anticoagulation: Reversing the Current View in Bleeding Events

Oral Anticoagulation: Reversing the Current View in Bleeding Events

Advances in new reversal agents will be key for managing patients treated with DOACs to prevent major bleeding events.

Neurology Information Center Hans Asperger, Leading Autism Researcher, Tied to Nazi Child Euthanasia Program

Hans Asperger, Leading Autism Researcher, Tied to Nazi Child Euthanasia Program

Medical records of 48 children examined by Asperger show that he specifically called for 12 of the children to be transferred to the Am Spiegelgrund facility, the 'euthanasia' institution founded in 1940.

Endocrinology Information Center Updated Clinical Practice Guidelines on Testosterone Therapy in Men With Hypogonadism

Updated Clinical Practice Guidelines on Testosterone Therapy in Men With Hypogonadism

Testosterone therapy is recommended in men with hypogonadism to correct symptoms of testosterone deficiency. Men who are otherwise healthy do not need to be screened for hypogonadism.

Clinical Challenge Case Study: Mottling and Infection in an Adult

Case Study: Mottling and Infection in an Adult

A 44-year-old woman presents to her local emergency department after 5 days of persistent fever, productive cough, and worsening dyspnea on exertion.

Legal Advisor Voiding a Noncompete Clause

Voiding a Noncompete Clause

A clinician attempts to void a restrictive noncompete clause that she had signed before beginning her current job as an NP.

Clinical Challenge Case Study in Diabetes: Fungal Infections

Case Study in Diabetes: Fungal Infections

A 68-year-old patient with type 2 diabetes presents to a urologist to evaluate funguria, and a CT scan showed right hydroureteronephrosis.

Features Deep Vein Thrombosis: History and Evolution of Treatment

Deep Vein Thrombosis: History and Evolution of Treatment

Deep vein thrombosis is a significant source of morbidity and mortality, so it is imperative that clinicians understand how to recognize and treat patients with the disorder.

Clinical Challenge Case Study: Headache, Back Pain, and Fever

Case Study: Headache, Back Pain, and Fever

A 25-year-old woman presents to the emergency department with a chief complaint of headache, back pain, and fever, while also experiencing some vaginal itching and discharge.

Stat Consult Stat consult: Sudden cardiac death

Stat consult: Sudden cardiac death

Described as death within an hour of onset of any symptom

Clinical Challenge Case Study: Worsening Dyspnea in a Pregnant Woman

Case Study: Worsening Dyspnea in a Pregnant Woman

A 32-year-old woman, diagnosed several months earlier with pulmonary arterial hypertension, presented to the emergency department with dyspnea and near syncopal episodes.

Legal Advisor A Patient Is Mistakenly Told He Is Dying

A Patient Is Mistakenly Told He Is Dying

A clinician shares a patient's incorrect diagnosis with another government agency.

Clinical Challenge Case Study: Chest Pain and Shortness of Breath in a Patient with Colorectal Cancer

Case Study: Chest Pain and Shortness of Breath in a Patient with Colorectal Cancer

A 64-year-old woman who was recently diagnosed with colorectal cancer is brought to the emergency department with substernal chest pain and shortness of breath.

Features Acute infectious diarrhea: a clinical approach

Acute infectious diarrhea: a clinical approach

The first step for managing a patient with diarrhea is to determine the severity of dehydration according to the estimated volume loss and the symptoms and signs noted on physical examination.

Stat Consult Stat consult: Intimate partner violence

Stat consult: Intimate partner violence

Intimate partner violence was reported in over 30% of female psychiatric patients.

Clinical Challenge Case Study: Syncope, Dizziness, and Fatigue on a Camping Trip

Case Study: Syncope, Dizziness, and Fatigue on a Camping Trip

A 52-year-old man presents to the emergency department with dizziness and fatigue after a syncopal episode on a camping trip.

Pain Information Center Assessing lidocaine efficacy for chronic pain management

Assessing lidocaine efficacy for chronic pain management

Intravenous, patch lidocaine might be effective in treating, preventing chronic pain.

Clinical Challenge Case Study: A gradually progressive rash after a URI

Case Study: A gradually progressive rash after a URI

A 33-year-old man presents to the emergency department for 6 small spots on his chest, arms, and legs that gradually grew in diameter after using a topical cream and cephalexin.

Practice Management Information Center Sex and drugs: An interview about discussing sensitive patient topics

Sex and drugs: An interview about discussing sensitive patient topics

Dr Windel Stracener, a family practitioner for 22 years, discusses substance abuse, sexual activity, and other sensitive topics many clinicians do not ask their patients.

Legal Advisor Sexual Harassment at Work

Sexual Harassment at Work

A nurse in a VA facility files a complaint against a clinician, which ends with a criminal conviction.

Features Coronary artery disease: primary prevention measures

Coronary artery disease: primary prevention measures

Primary prevention efforts such as exercise, weight control, cessation of smoking, and alcohol intake can greatly affect the development of CAD.

Features Managing acute UTIs in postmenopausal women

Managing acute UTIs in postmenopausal women

UTIs present clinically as dysuria, with symptoms of frequent and urgent urination secondary to irritation of the urethral and bladder mucosa.

Clinical Challenge Case Study: Dizziness in a 42-year-old man

Case Study: Dizziness in a 42-year-old man

A 42-year-old man presents to the emergency department with vertigo that is worse with head motion as well as vomiting, but has no headache or abdominal pain.

Influenza Information Center The race to develop a universal influenza vaccine

The race to develop a universal influenza vaccine

NIH's National Institute of Allergy and Infectious Diseases is researching ways to develop a universal influenza vaccine against multiple strains.

Influenza Information Center The flu pandemic of 1918: 100 years later

The flu pandemic of 1918: 100 years later

In 1918, between 50 and 100 million people are thought to have died from the great influenza pandemic, representing as much as 5% of the world's population.

Clinical Challenge Case Study: Lower extremity edema and heart failure in a middle-aged woman

Case Study: Lower extremity edema and heart failure in a middle-aged woman

A 55-year-old obese woman with hypertension, diabetes, and scleroderma is referred for follow-up after a recent admission for new-onset heart failure.

Sign Up for Free e-newsletters