With the first half of the year already behind us, it is a good time to look back at the top stories and storylines from the first six months of 2010.
A common occurrence among this patient population, urinary tract infection causes significant morbidity and mortality.
Alternative Meds Update
An estimated 50% of colon cancers and 30% of breast cancers could be prevented with adequate levels of
The typical American diet may not provide all the nutrients needed for good health. You can help patients eat their way to a better life.
Symptoms of fatigue and history of breast cancer raise clinicians’ concerns over development of a new primary cancer. Ms. Q, a 70-year-old retired clinician, presented with a six-month history of weight loss (30 lb), falling down, fatigue, anorexia, low-grade fevers, and bloody stools. Her medical history was significant for mitral valve prolapse; infective endocarditis (IE)…
Most cysts, tumors, and other lesions can be diagnosed and even treated in your office. A trio of experts provides step-by-step guidance. This is the second of a two-part series. Part 1 appeared in the March issue. Primary-care clinicians are frequently the first medical professionals to examine patients with bumps and abnormal wounds around the…
As little as 1 mg/day of finasteride can seriously distort results of prostate-specific antigen (PSA) testing, a study shows. That’s the dosage of Propecia used by more than 4 million men to treat male-pattern baldness, and shown by the study to lower serum PSA concentrations by as much as half. Finasteride is also sold as…
The patient, who had rectal bleeding, wasn’t seen by a specialist for four months. But whose fault was that? Mr. H was an experienced physician assistant in a family-practice clinic. He was mainly responsible for routine follow-ups with adults who had chronic diseases, such as diabetes and hypertension. One day, a 65-year-old man with both…
Patients with unspecified skin conditions pose a challenge to primary-care clinicians. The solution: know the diagnostic possibilities.
The patient whose prostate-specific antigen (PSA) level went from 6.1 ng/mL to 4.76 after two weeks of antibiotic therapy (Item 98-11) now has a PSA of 2.89, despite the fact that he received no additional antibiotics. (The absence of cancer was confirmed by a negative biopsy; prostatitis was postulated but never formally diagnosed.) He takes…