Ginkgo biloba does not prevent dementia
Findings from a large, long-term study dispel the notion that ginkgo biloba—a popular herbal supplement widely purported to improve memory and cognition—prevents dementia or Alzheimer’s disease.
Diagnosis & Disease Information
Three clinical factors aid TIA detection
Transient ischemic attacks can be difficult to diagnose because the symptoms are often gone by the time the patient seeks medical help.
Popular drugs lower PSA levels
Two of the most commonly used classes of medication—statins and nonsteroidal anti-inflammatory drugs (NSAIDs)—may compromise already controversial cancer screenings by lowering serum levels of prostate-specific antigen (PSA).
Clinicians too quick to diagnose asthma
As many as 30.2% of people diagnosed with asthma don’t have the disease, newly published research suggests.
Pink indurated papules and plaques on a man’s scalp
A 35-year-old black man presented with multiple pink, asymptomatic, indurated papules and plaques that had appeared on his posterior right scalp approximately two weeks earlier.
Clinicians puzzled by an unusual, elusive postsurgical sequela
Fatigue, fever, and chills plague a patient following valve replacement. The solution requires a multidisciplinary approach.
Assessing excessive menstrual bleeding
Menorrhagia is not a diagnosis but a symptom. Because of the number of treatment options available, patient preference is a primary consideration.
Hyperkeratotic plaques that run in the family
The mother of an 8-year-old boy came seeking treatment for “a family ailment.” Both mother and child had bilateral, symmetric, confluent hyperkeratotic plaques with a smooth, waxy surface on the palmar and plantar surfaces.
Post-stroke anticoagulation?
An elderly man with a remote history of hemorrhagic stroke has a new deficit consistent with cerebrovascular accident. His chart says anticoagulation is contraindicated. CT is negative for hemorrhage. Can some anticoagulation, in particular, clopidogrel (Plavix), be used?—Edib Korkut, MD, Alexandria, La. This case raises several important issues. The history of the prior hemorrhagic stroke…
In-office diagnosis of common type of vertigo
Two simple head-movement techniques can be used to identify patients with benign paroxysmal positional vertigo.
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