Hematology/Oncology Clinical Features Archive
A woman who is in generally good health presents with a visibly enlarged abdomen with left-sided dominance and increased pelvic pressure that had worsened.
A recent cohort study evaluated the risk of developing Alzheimer dementia after ADT in 16,888 men with prostate cancer, 14.2% of whom were treated with ADT.
Exercise may not only prevent cancer from developing, but it may also reduce the risk of death after cancer is diagnosed.
More cases of skin cancer are diagnosed each year than of breast, prostate, lung, and colon cancers combined, and early detection is critical.
Learn about nevoid basal cell carcinoma syndrome, including how to diagnose and manage this genetic condition.
Despite the guideline, clinicians may choose to order MRI's for patients with dense breasts.
Contaminated water leads to high rates of birth defects, thyroid cancer, and spontaneous abortions.
In patients with first unprovoked venous thromboembolism, adding CT to limited cancer screening may not lead to statistically higher rate of cancer detection
Unprovoked venous thromboembolism has been associated with the presence of occult malignancies.
Primary care clinicians should be proficient at assessing the potential for hereditary breast cancer risk in their patients.
Palliative chemotherapy in the last month of life may increase the patient's risk of intensive medical treatment and death in an ICU.
Denosumab may reduce the risk of fracture in women with breast cancer on aromatase inhibitor therapy
Denosumab has been shown to reduce fracture risk in women with breast cancer with bone metastases.
ACOG's current recommendations regarding Pap smear testing for cervical cancer may be the best evidence-based practice for patients.
Recent studies show that nivolumab was associated with increased overall survival rate when compared to docetaxel in patients with advanced squamous cell non-small cell lung cancer.
Fun at the beach exposes children and adults to a number of hazards—some avoidable, such as sunburn, and some less so.
Research is being done on the use of astragalus root for the treatment of cancer and congestive heart failure.
Methylsulfonylmethane may help treat osteoarthritis and may eventually create a way to detect melanoma.
A patient was referred for a mammogram, but clinicians fail to follow up on the report.
Encouraging a patient to get an overdue Pap exam resulted in an early discovery of uterine cancer that could have gone undetected.
One study of 6,459 U.S. women aged 55 years to 81 years revealed that the use of alendronate or placebo did not affect the proportion of women who developed breast cancer (1.8% and 1.5%, respectively).
A clinician who did not know a certain policy causes a chemotherapy problem.
After reviewing a patient's history, this clinician prevented a potentially fatal mistake.
An NP and her patient "knew something was wrong" and pursued an MRA that detected cancer.
PCPs should encourage physical activity, smoking cessation, and a healthy diet for PCa survivors.
Middle-aged females who smoke are the most common demographic group diagnosed with persistent polyclonal B-cell lymphocytosis.
Taking the time to notice an outward gaze in the left eye, this nurse practitioner helped save a child.
A second look at nodules in the thyroid found cancer.
After an elevated liver enzyme report, a practitioner order a CT that confirmed liver cancer.
The start of the "sun-worshipping season" is a good time to review the primary-care basics of basal cell and squamous cell carcinomas.
Consumers becoming more involved in do-it-yourself genetic testing need primary-care clinicians to put the results into context for them.
Brush up on the basics of preventing, recognizing and addressing melanoma among your patient ranks.
Prostate cancer is the most common male-related malignancy in the US, the second most common cause of cancer-related death among men.
Federal criminalization of this drug—most commonly used in the treatment of HIV, pain and glaucoma—has limited research into its effectiveness.
Understanding the intricacies of different disease states is crucial, but we must never forget we are treating people that are connected to the world.
An oncologist and hematologist are consulted when an otherwise healthy 19-year-old patient presents with a cough that won't go away and an enlarged left arm.
A thorough work-up helps a clinician make an unusual diagnosis in a young patient.
Incidental exposure of the heart to radiation is a common unintended consequence of radiation therapy for breast cancer.
For patient's with chemotherapy induced diarrhea, try alternating between these two medications before moving on to something stronger.
Surveillance on the part of primary-care clinicians is critical to the timely identification of cancerous lesions in at-risk individuals.
A collaborative approach to cancer treatment, incorporating the entire oncology team and the PCP, provides the best outcomes for quality patient care.
Has any research been conducted to determine whether the incidence of various types of skin cancer is greater in people who fly for a living compared with the general public?
A clinician finds herself culpable after agreeing to an unorthodox arrangement with a patient.
To reduce the mortality and incidence of this disease, clinicians must be aware of the most recent vaccination and screening guidelines.
A who takes acetaminophen for chronic neck and back pain awakens to a bloody nose and blood-soaked pillow. Could liver disease be to blame?
When do patients benefit most from palliative care consults?
A 65-year-old widow presented with a mass on her right breast and complaints of generally not feeling well.
A patient has elevated creatine and fasciculations. Could an electrolyte imbalance be the cause?
Excess fat around the gluteal region can make performing digital rectal exams in obese patients difficult. How can this challenge be overcome?
A 69-year-old woman presents with night sweats, dizziness, fatigue and chronic pain in the upper abdomen.
Medicinal properties of marigold-derived compounds include antiviral, anti-inflammatory and antitumor effects.
Men typically seek treatment after melanoma has already progressed to later stages, accounting for higher mortally rates compared with women.
Two patients present with asymptomatic red lesions -- a 60-year-old man, whose lesion was present for five years before beginning to bleed, and a 27-year-old man whose lesion doubled in size during a two year period. Can you differentiate between the two?
Oral manifestations are often an early signal of systemic disease, so recognizing them can point the way to a prompt diagnosis.
Could a patient's anterior thigh pain signify osteosarcoma?
A corrections officer came into the primary care office for a routine physical and left with an unexpected diagnosis.
Are certain oral contraceptive pills better for women with a family history of breast cancer?
When a patient does not comply with medical recommendations, how do you protect yourself?
What are the differential diagnoses for a woman aged 60 years with a metallic taste in her mouth and the sensation of a burning tongue?
Two days after symptom onset, a patient's skin is still mildly diaphoretic, he complains of fatigue and he cannot tolerate food.
A young cancer survivor prompts consideration of best practice in prescribing estrogen replacement therapy for herself and for others.
How would you proceed with a 64-year-old woman who has complex endometrial hyperplasia and secretory changes?
Two patients present with newly developed brown papules. The first patient, a 45-year-old man, presented with a new mole that continues to grow and is associated with occasional pruritus and bleeding. The second patient, a 47-year-old man, presented with a 6-month history of a brown, growing "mole." Can you differentiate between the two?
A woman fractured her upper arm in a fall while exercising. A large osteolytic growth was discovered on x-ray.
When diagnosing, consider the location and duration of the lesion, patient age, underlying systemic disorders and clinical appearance.
In an update of its 2001 guidelines, the American Cancer Society stresses the importance of sharing the screening decision with the patient.
How do I know which radiologic tests to choose when evaluating abdominal pain?
Breast pain can be an frightening experience, but the primary-care provider can often allay the patient's fears and capably manage the condition.
Imaging was ordered when the patient's clinician could not palpate her ovaries.
Drinking coffee has shown to be protective against Parkinson disease, Alzheimer disease and certain forms of cancer.
Should a man with a positive fecal occult blood test and a normal colonscopy without GI symptoms be referred to a gastroenterologist?
When reviewing Pap smear results with absent endocervical cells, what is the recommended next step?
What is the appropriate workup in an otherwise healthy woman aged 75 years with new-onset hair loss?
Brewer's yeast: Medical uses in cancer, therapy for premenstrual syndrome and antibiotic-associated diarrhea
Brewer's yeast, or Saccharomyces cerevisiae, is specifically grown as a nutritional substance rich in chromium, selenium, proteins and B-complex vitamins.
A quick review of polycystic ovary syndrome, a heterogeneous androgen excess syndrome that can cause hirsutism, secondary amenorrhea, obesity, hyperinsulinemia and infertility, providing the latest global evidence for diagnosis and treatment.
How much B12 supplement is adequate for patients on metformin?
Clinician seeks advice regarding a patient that refuses chemotherapy for multiple myeloma because of concerns that her hair will fall out.
After developing pancreatitis, the patient was admitted to the hospital and the tumor removed.
When should a menstruating woman with iron-deficiency anemia be referred for GI workup?
Two clinicians failed to refer a longstanding patient, even though they knew of a history of familial risk.
The patient's family practitioner advised a multivitamin with iron, but she did not comply.
Mild hypertrichosis and hyperpigmentation of the face were also noted, and plasma porphyrins were grossly elevated.
Given the complex nature of the disease, the ability to clearly explain the therapeutic options available to patients with breast cancer is invaluable.
I seem to be seeing a lot more hyponatremia. Some of these patients are taking diuretics, while others have psychogenic polydipsia or syndrome of inappropriate antidiuretic hormone secretion (SIADH). Others have no known cause. Is there an explanation for this increase?
As a side effect of radical prostatectomy, the favored treatment for many, erectile dysfunction can affect a man's mental and physical quality of life.
Data support starting hormone therapy to treat menopause-related symptoms and/or reduce the risk of osteoporosis or fractures.
When a clinician fails to order a repeat PSA test for a patient with suspected prostatitis, legal issues arise.
Commonly found in the oral cavity, HPV lesions may persist or relapse spontaneously and occasionally require surgical excision.
Solutions for prevent blood clots on long flights.
What are the clinical concerns for a 55-year-old, postmenopausal, Caucasian nonsmoker with a hematocrit of 52% and hemoglobin of 17 g/dL?
Man keeps cheerful disposition despite terminal illness.
A thoughtless comment in a high-maintenance patient's file puts a clinician at a great disadvantage.
Woman refuses to be discharged after a simple stent procedure.
New reports from the National Surgical Adjuvant Breast and Bowel Project B-32 trial show that SLN resection is as effective for survival as ALND and may reduce postsurgical morbidity and symptoms in node-negative women.
The prevalence of BRCA1 or BRCA 2 mutations is estimated at about 0.2%-0.33% of the population, but these mutations account for 5%-10% of breast cancers and 10%-15% of ovarian cancers among white women in the United States.
Nurse commits to dedicating more time to free clinics.
Small community reaffirms belief in power of prayer.
Palliative care nurse practitioner breaks through emotional barrier.
Courage and compassion paved the way for positive changes.
Despite a normal exam three months earlier, skin changes and palpable lumps in the axilla were noted.
Selenium is a stable trace-metal element that is found in such cruciferous foods as broccoli, garlic, and onions, as well as in meats, seafood, and nuts. In the human body, selenium is essential for protein synthesis and multiple enzymatic functions.
Sensitivity to patients' anxiety levels can help you determine if relaxation exercises are necessary.