Print Issue: January 10, 2007

Low-carb diets don’t boost CHD risk

After decades of controversy, the verdict is in: Low-carbohydrate, higher-fat diets do not increase women’s risk of coronary heart disease (CHD). But the source of fat matters: It should be vegetable instead of animal. Investigators at the Harvard School of Public Health evaluated data on 82,802 women who completed extensive food diaries over a 20-year…

Amebiasis

OVERVIEW: What every practitioner needs to know Are you sure your patient has amebiasis? What are the typical findings for this disease? Amebiasis is caused by the parasite Entamoeba histolytica. The most common symptom of infection is diarrhea. Dysentery can also develop. Abdominal pain or cough can be symptoms if there is a liver abscess,…

Strangulated bowel loop undiagnosed

A case of severe stomach cramping is initially blamed on food poisoning.The result is a tragedy. Mr. G is an experienced physician assistant who has worked in a variety of positions, ranging from family practice to emergency care. His present job is to triage patients arriving in the emergency department (ED) and to treat the…

EXERCISE IMPROVES GLYCEMIC CONTROL IN TYPE 2 DIABETES

Level 3: Lacking direct evidence Physical activity is recommended for patients with type 2 diabetes mellitus, but it is important that exercise be gradually increased and coordinated with insulin dosages, glucose monitoring, and meals. A systematic review of 14 randomized trials evaluated the effects of exercise (compared with no exercise) in 377 patients with type…

Indurated nipple lesion with minimal discharge

CASE#2 A 75-year-old Caucasian female presented to the dermatology clinic with an erythematous and indurated change of her left nipple associated with minimal drainage. Although she had noted crust at the orifice of the nipple, there were no other associated symptoms. The patient reported slow enlargement of the lesion, which had been present for approximately…

We deserve the final privilege

You’ve taken care of Mrs. King for many years, and you have excellent rapport with her family as well. Mrs. King and her family trust you and rely on your clinical judgment. When people ask who her doctor is, Mrs. King tells them you are even though you’ve made it clear that you are a…

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