January 2018 Issue of Clinical Advisor

January 2018 Issue of Clinical Advisor


Symptomatic treatment inferior to antibiotics in women with UTIs

Treating lower UTIs with diclofenac may help in optimizing antibiotic treatments.

USPSTF recommends osteoporosis screening, testing in women aged 65 and older

The USPSTF has updated its recommendations on osteoporosis screening and testing in women and men.

Drinking 3 to 4 cups of coffee per day linked to potential health benefits

Meta-analyses suggest that drinking 3-4 cups of coffee a day has more associated health benefits than risks.

DOACs vs warfarin for stroke prevention in atrial fibrillation

Many direct acting oral anticoagulants may be more beneficial than warfarin.

Menopausal hormone therapy for chronic conditions: USPSTF's final recommendation

The USPSTF has updated its recommendations on the use of menopausal hormone therapy for the primary prevention of chronic conditions.

Advisor Forum

Referral to a psychiatric provider

This nurse practitioner erred by not referring this patient to a psychiatric provider.

Signs of physical abuse in a patient

A PA reflects on a time when a patient arrived for an annual check-up and showed curious signs of abuse.

Pulsatile tinnitus: a pounding sound inside the ear

In this case, the patient not only subsequently had a stroke 2 years later, but he also required coronary artery bypass surgery within 5 years.

Treatment for a patient with an epididymal cyst

A sonogram reveals a 9-mm epididymal cyst.

Cover Feature

Human papillomavirus in males

The importance of male vaccination cannot be overemphasized, because the risk of male-to-female HPV transmission is significant.

Clinical Feature

Noninvasive colorectal cancer screening

The FIT and the MT-sDNA are evidence-based tests that should be considered for CRC screening when a colonoscopy cannot be performed.

Legal Advisor

A dosage change over the phone

A clinician makes a dosage change for a patient during a telephone call, which leads to a lawsuit.

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