A 48-year-old Caucasian woman diagnosed with type 1 diabetes at the age of 10 complains of stiffness in her wrists, elbows, knees, and ankles.
Diagnosis & Disease Information
Who should have carotid ultrasound?
More and more offices are performing their own carotid ultrasounds. In light of recent guidelines published by…
Skin tag removal
What is the best way to minimize scarring in the removal of skin tags? I find that cryotherapy results in…
Switch cholesterol therapy?
I have a patient with severe coronary artery disease (he has already had quadruple bypass) and multiple risk factors for metabolic syndrome. His LDL goal is being met with ezetimibe 10 mg/simvastatin 80 mg (Vytorin 10/80). Given the results of the Ezetimibe and Simvastatin in Hypercholesterolemia Enhances Atherosclerosis Regression (ENHANCE) trial showing that Vytorin lowers…
Rosuvastatin lowers mortality and cardiovascular events in patients with high CRP, normal cholesterol
Level 1: Likely reliable evidence The Justification for the Use of Statins in Primary Prevention: an Intervention Trial Evaluating Rosuvastatin (JUPITER) studied the use of rosuvastatin (Crestor) for prevention of cardiovascular events in patients with normal cholesterol levels but elevated C reactive protein (CRP) levels (N Engl J Med. 2008;359:2195-2207). A total of 17,802 patients…
Many older folks can improve walking problems
Older Americans who have difficulty walking may not have to suffer for long.
Disinfecting fungus-contaminated shoes
Is spraying with diluted bleach solution or placing the shoes in moth balls effective?
Hyperhidrosis
Description • Excessive perspiration occurring in either specific focal locations or in generalized pattern over the body ICD-9 codes • 705.2 focal hyperhidrosis — 705.21 primary focal hyperhidrosis — 705.22 secondary focal hyperhidrosis • 780.8 generalized hyperhidrosis Types • Focal hyperhidrosis (also called “primary,” “idiopathic,” or “essential” hyperhidrosis) — Palmar-plantar hyperhidrosis: excess sweating of palms of hands and soles of feet — Isolated…
St. John’s wort may be as effective as standard antidepressants — and more tolerable — for major depression
Level 1: Likely reliable evidenceA recent Cochrane systematic review evaluated the efficacy and safety of St. John’s wort extracts for the treatment of major depression (Cochrane Database Syst Rev. 2008[4]:CD000448). The review included 29 randomized trials comparing St. John’s wort with placebo (11 trials), standard antidepressants (12 trials), or both (six trials) in a total…
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