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Statins may reduce prostate cancer risk

Statins lower prostate-specific antigen (PSA) levels and appear to reduce the risk of prostate cancer itself, according to data from two trials presented at the American Urological Association meeting in Anaheim, Calif., in May. A team of urologists at Duke University studied 1,214 men (mean age 60 years) prescribed a statin between 1990 and 2006…
Legal Advisor

Once is not enough for a referral

A patient claims ignorance of an elevated PSA led to a late cancer diagnosis, despite many clinic visits. Mr. P, 54, felt he had grown old with his patients at a small community clinic in the Northeast. He had been a physician assistant there for almost 25 years. But long-term patient relationships are no protection…
Hospital Medicine

Psoriatic arthritis

Does this patient have psoriatic arthritis? Psoriatic arthritis (PsA) is an inflammatory arthritis that is characterized by a diversity of clinical manifestations and a highly variable disease course. This disorder was not recognized as a discrete entity until 1964, and it was Moll & Wright’s landmark paper in 1973 that outlined the cardinal clinical features…
Advisor Forum


Q: Recently, a 47-year-old asymptomatic patient had a random prostate-specific antigen (PSA) level of 5.32 ng/mL. A repeat assay the following day was 6.10. All previous PSAs over a seven-year period had been in the 0.4-0.9 range; the most recent determination (July 2005) was 0.8. After two weeks of levofloxacin (Levaquin), the PSA had dropped…
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