Print Issue: August 04, 2008

When to start low HDL treatment

What is the current recommendation for treating isolated low HDL levels? My patient is a 37-year-old white nonsmoker, whose original total cholesterol was…

Creatinine levels in the elderly

Some elderly patients show gradual increases in creatinine even when hypertension, blood glucose levels, etc., are well controlled. When should these patients be…

WHICH ANTIHISTAMINES HALT ITCHING?

Which antihistamine is most likely to be effective in the treatment of pruritic lesions—loratadine (Claritin), fexofenadine (Allegra), fexofenadine with pseudoephedrine…

Pap and high-risk HPV

Should a Pap smear be repeated if the first report reads “no endocervical cells found”? Also, what should I do if the Pap smear is normal, but high-risk human papillomavirus (HPV) is detected? What is the likelihood the HPV will resolve on its own over time?—Smita Kapoor, MD, Phoenix There is no medical reason to…

Symptoms, diagnosis don’t match

Mr. R, age 54, was a diabetic, moderately overweight construction worker. One day he tripped at a job site, falling heavily on his right hip. Despite the pain, he finished his shift, then he went home, took an ibuprofen tablet, and went to bed. When he awoke in agony at…

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