Diagnosis & Disease Information

Fired patient blames NP for job loss

Does confidentiality mean hiding a plausible threat to safety? Wheredoes a clinician’s duty lie? Mr. B, 26, couldn’t seem to hold a job. Nevertheless, he proposed marriage to his girlfriend of three years and she accepted. With the wedding looming, he was determined to keep his current position on the assembly line of a paper…

Renvela- Phosphorus control for CKD patients

Company: Genzyme Pharmacologic class: Phosphate binder Active ingredient: Sevelamer carbonate 800 mg; tabs. Continue Reading Indication: Control of serum phosphorus in patients with chronic kidney disease (CKD) on dialysis. Pharmacology: Patients with CKD can develop hyperphosphatemia as a result of retained phosphorus, which may lead to ectopic calcification. Hyperphosphatemia plays a role in the development…

Simcor 500/20- A statin combined with niacin in one pill

Company: Abbott Pharmacologic class: Nicotinic acid derivative + HMG-CoA reductase inhibitor Active ingredients: Niacin extended-release 500 mg, simvastatin 20 mg; tabs. Continue Reading Also: Simcor 750/20 Active ingredients: Niacin extended-release 750 mg, simvastatin 20 mg; tabs. Also: Simcor 1000/20 Active ingredients: Niacin extended-release 1000 mg, simvastatin 20 mg; tabs. Indication: Adjunct to diet in primary…

Two ichthyosiform eruptions

CASE #1 A 45-year-old man reported a generalized ichthyosis since early infancy (he is not sure if the eruption was present at birth). He has no history of bullae or vesicles. The patient has been taking acitretin (Soriatane) 25 mg daily since the late 1990s. Attempts to discontinue the acitretin left his skin redder, thick,…

“I’m not your patient, but I’m suing you”

A 75-year-old man is being treated for asbestosis, chronic bronchitis, emphysema, and hypertension. He has recently completed chemotherapy for lung cancer that had spread to the lymph nodes. Apparently drowsy from side effects of his medications, he passes out while driving and kills a 10-year-old boy standing on a sidewalk. Can the child’s mother sue…

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