May 2017 Issue of Clinical Advisor

May 2017 Issue of Clinical Advisor


Septic shock: early, goal-directed therapy versus usual care

Early, goal-directed therapy did not result in better outcomes for mortality for patients with septic shock.

Clinical guideline released for functional hypothalamic amenorrhea

The Endocrine Society has released a clinical guideline for the diagnosis and treatment of functional hypothalamic amenorrhea.

Valvular heart disease: 2017 updated guideline from the AHA/ACC

The updated guideline includes recent advances in diagnostic imaging and improvements in catheter-based and surgical interventions for patients with valvular heart disease.

Screening for celiac disease: A USPSTF recommendation statement

The USPSTF evaluated the benefits and harms of screening vs not screening, targeted vs universal screening, and treatment for celiac disease.

Benign paroxysmal positional vertigo: a clinical practice guideline

The American Academy of Otolaryngology—Head and Neck Surgery foundation has released an updated clinical guideline for benign paroxysmal positional vertigo.

Advisor Forum

Evidence-based practices for suicide prevention

Physician education in depression recognition and treatment and restricting access to lethal methods have significant data supporting their effectiveness in suicide prevention.

The ACA: Clinicians weigh in on whether to repeal or preserve

Three health care clinicians discuss the advantages and disadvantages of repealing the Affordable Care Act and how the change would impact their practice.

Being frank on frankincense and its role in cancer prevention

Just as in nutrition, there are certified aromatherapists who can assist providers in helping their patients use essential oils safely.

Cover Feature

Rheumatoid arthritis: risk factors, clinical signs, and treatment

Early diagnosis and aggressive treatment are essential to mitigate the cascading events that lead to irreversible joint erosion in rheumatoid arthritis.

Clinical Feature

Developmental trauma disorder: the effects of child abuse and neglect

Developmental trauma disorder, not yet officially recognized, results from child maltreatment and has many neurobiologic consequences.

Alternative Meds Update

Alfalfa: weighing the risks and benefits

Long-term use of alfalfa has an immune-stimulating effect and can worsen autoimmune conditions such as lupus and multiple sclerosis.

Legal Advisor

Lab results never given to a patient

An NP does not inform her patient about his lab results, which showed extensive kidney damage. He collapsed 2 months later.

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