Screening for functional deficits in older adults
Assessment of functional impairments in an aging population is one of the most daunting challenges facing primary-care clinicians.
Internal Medicine
Personality can be a factor in litigation
Winning a malpractice lawsuit requires more than proving your treatment was appropriate, prudent, and conformed to the standard of care.
Arizona top court OKs qualifications for expert witnesses
The Arizona Supreme Court has upheld a law that sets the minimum qualifications for expert witnesses in medical malpractice cases.
Clinic treats little girl like shuttlecock
A 6-year-old child suffers permanent disability. Could it have been avoided if the NP had picked up the phone?
Two erythematous leg rashes
Two women with considerable comorbidities present with lower leg trouble.
Epileptic seizures in older adult patients
The conclusion of this two-part report looks into the management and therapeutic options available to clinicians treating this population.
Chronic dysfunction of the eustachian tube
Presenting complaints include hearing loss, persistent pain, or “clicking” in the ear. Patients must allow time for treatment (if required) to take effect.
CT colonography identified 90% of asymptomatic adults with polyps >10 mm
Level 1: Likely reliable evidenceA prospective cohort study evaluated 2,600 participants aged 50 years and older who had colon cancer screening with multidetector CT colonography and same-day colonoscopy (N Engl J Med. 2008;359:1207-1217). Analysis included 2,531 participants (97%) with complete colonographic and colonoscopic results. The reference standard was colonoscopy with histologic confirmation. Prevalence of lesions…
Coalition of Pain Experts Offers Guidance on Measures to Prevent Misuse and Abuse of Pain Medications
An ad hoc coalition of leading pain specialists and representatives from key clinical and patient advocacy organizations convened in November 2008 to address the growing problem of misuse and abuse of pain medications.
Fibrate used in combination with statin approved
The FDA has approved Trilipix (fenofibric acid), a delayed-release capsule for use along with diet to treat dyslipidemia. Trilipix is the first fibrate to be approved for use in combination with a statin.
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