Diagnosis & Disease Information

Ensuring a steady gaze

If a patient is having difficulty looking ahead at a distant object while you check the pupils, have him or her lie down and stare up at the ceiling. This decreases the effort involved in keeping the neck and shoulder muscles steady.—Geraldine Calandra, APRN-BC, Rochester, N.Y. (120-18)

High BP in a compliant diabetic?

A 71-year-old man with well-controlled type 2 diabetes and no cardiovascular disease has a total cholesterol well below 200 mg/dL and an LDL <100 mg/dL, but his HDL ranges from 20-29 mg/dL. His systolic BP has been elevated (140-160 mm Hg) since age 18, but it drops to the 120s or 130s when taken a…

Vaginal candidiasis in pregnancy

What is the safest/most appropriate treatment for vaginal candidiasis during pregnancy?—Nancy Tosone, MSN, APRN, Omaha, Neb. Vulvovaginal candidiasis is common during pregnancy and does not require treatment unless symptomatic. Vulvovaginal pruritus and soreness are the most common symptoms. The CDC recommends once-daily intravaginal application of imidazoles. There have been no reported cases of fetal abnormalities…

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