Level 2: Mid-level evidencePatients with diabetes are known to be at increased risk for coronary artery disease (CAD) as well as silent ischemia. The Detection of Ischemia in Asymptomatic Diabetics (DIAD) trial evaluated using adenosine-stress radionuclide myocardial perfusion imaging to screen 1,123 patients with diabetes who had no cardiovascular symptoms (JAMA. 2009;301:1547-1555). Results showed no…
Nuvigil promotes wakefulness in patients with various sleep disorders
Sequence matters when you administer multiple vaccinations to infants
Foods with with artificial coloring, flavoring, and preservatives stimulate hyperactivity
What risk factors or predisposing factors are associated with complex carbohydrate intolerance (CCI)? Is this a sign of another underlying disorder?—JAN MAILLOUX, PA-C, Mineral Point, Wis. CCI is not a term I was familiar with. A Web site (www.preventcci.com) dedicated to this malady suggests that it refers to the inability of the human digestive tract…
The relationship between dental and medical health has been spotlighted in several recent research- and policy-oriented developments.
An association between stimulant use and risk of sudden death in children and adolescents without known cardiac risk factors has been reported.
Two men present with cutaneous heel lesions. Similar growths appear on the patients’ hands as well.
In the absence of any weighted clinical signs of a pulmonary embolism (PE), what D-dimer measurement would warrant an expensive CT workup?—RICH MOORE, PA-C, Bulls Gap, Tenn. Attempts at more conservative diagnostic therapy prior to doing a CT are evaluating the relationship between elevated D-dimer levels and PE. However, many conditions can elevate D-dimer, and…
Lack of sleep may be at the root of hypertension in some middle-aged patients
