When removing a chest tube, first stack a Xeroform Petrolatum gauze dressing on a nonadhesive dressing. Tape three sides of the dressing over the tube with foam tape. While keeping a fourth piece of tape ready, snip the sutures holding the tube in place. Put gentle pressure on the dressing with one hand while swiftly…
Is there a link between endometriosis and interstitial cystitis?
Colonoscopy is now the most recommended screening method for colorectal cancer in primary-care offices.
Level 2: Mid-level evidence A recent observational study evaluated the malignancy rates associated with human insulin and insulin analog in 127,031 adults with diabetes receiving first-time insulin monotherapy (Diabetologia. 2009;52:1732-1744). All participants were without known malignant disease at baseline; 75% were treated with human insulin and 19% with insulin glargine exclusively. Others received either insulin…
I cannot find much information on desquamative inflammatory vaginitis (DIV). Should I refer? If not, what do I need to know about this condition?
Is oral feeding of a patient who is ventilator-dependent and has a chronic indwelling tracheostomy tube acceptable?
Level 1: Likely reliable evidence A recent Cochrane review of three randomized trials evaluated the addition of routine medical testing to standard preoperative history and physical exams prior to age-related cataract surgery. Routine preoperative testing included ECG; complete blood count; electrolyte, blood urea nitrogen, creatinine, and blood glucose determinations, regardless of indications. In 21,531 operations,…
You can assure patients with type 1 diabetes that keeping their glucose levels as close to normal as possible—particularly early on—is the best course of action.
What symptoms should I look for in gluten-intolerant patients?
