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Consultant Vol 44 No 14

When patients complain of malodorous
hidrosis of the feet and they have
tried every over-the-counter remedy,
suggest they apply a regular underarm
deodorant/antiperspirant to their
feet after showering

If you miss the artery on your first
attempt to draw blood for arterial
blood gas determinations, don’t subject
the patient to more blind probes.

Instruct patients to add a 255-g
bottle of PEG solution to 64 oz of
Gatorade in any flavor that does not
contain red or purple dye.

My patients have been more satisfied
with my care and more compliant
with medical advice since I started
dictating my notes in front of
them at the conclusion of our office

The patient is a 47-year-old man who began to experience
frequent headaches about 6 years before he
presented to a neurology clinic. The headaches rapidly progressed
to become daily and almost constant. He described
a sensation of dull pressure in both temples that was present
on or within a few hours of awakening and that persisted
for the remainder of the day. He experienced a more
intense, disabling, throbbing pain in the same location
once or twice a week, with photophobia and nausea, that
might last 2 to 3 days. The patient took 2 to 6 over-thecounter
(OTC) analgesic tablets each day—usually
200 mg of ibuprofen. These would dull but not terminate
the pain.

A 31-year-old man with a history of traumatic brain injury was hospitalized because of failure to thrive, constipation, and intermittent diarrhea with soiling.


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