Obesity Tied to a Variety of Health Problems
Recent studies have linked obesity with a number of clinical concerns, ranging from kidney disease to pancreatic cancer to hearing loss in women.
Medication Errors in Adults: Case #6: Insulin
Confusion about multiple insulin products; nonadherence to the prescribed regimen; the patient’s injection technique . . . here: a look at why errors occur when insulin is prescribed-and how to prevent them.
On Phytobezoars, HIV-Associated Candida, Progressive Dysphagia
Four photos, 5 short real-life cases: can you solve these 5 diagnostic mysteries?
Wedge-Shaped Growths in Both Eyes
A 45-year-old man of Hispanic ancestry has had mild redness and irritation in both eyes, but he denies any change in vision. What is this?
Graphic Medicine: Tragic Meets Comic
“My mother was diagnosed with incurable lung cancer. I made a comic strip about it.” The idea: combine the art with the medicine.
Vitamin D Lessens Pain in Women With Diabetes, Depression
The use of vitamin D decreases pain in women who have type 2 diabetes mellitus and depression, according to a recent study, and more research is in the works.
TB Vaccine May Help Prevent Multiple Sclerosis
A vaccine that is used to prevent TB may help prevent MS in persons who show the beginning signs of the disease, according to a new study.
The Lower the CD4+ Count, the Higher the CDI Risk, Study Shows
A new retrospective analysis looks at the incidence of infection with common scourge Clostridium difficile in the specific context of HIV infection.
The Old Man and AZT
Helios is 80 years old and was given a diagnosis of HIV infection in 1994. He's still taking the same combination of work-horse antiretrovirals he started with. I wanted to talk about changes. Helios didn't.
Women With PTSD More Likely to Be Obese
Women who have post-traumatic stress disorder gain weight more rapidly than women who do not and are more likely to be overweight or obese.
Five Clinical Cases: 5 Tough Questions
Here: 5 cases submitted by your colleagues: see if you know what the findings in each case indicate.
2013 RAND-AMA Physician Satisfaction Study: 9 EHR Fails
". . . EHR usability represents a relatively . . . unique and vexing challenge to physician professional satisfaction.” The quote from study authors sums up the bulk of the sentiment-to-date.
In HIV-HCV–Coinfected Patients, How to Avoid Hepatic Decompensation?
Patients coinfected with hepatitis C virus (HCV) and HIV can develop rapidly progressive liver fibrosis.
Is There a Best Regimen for Initial Antiretroviral Therapy?
First of all, it is important to know what exactly is meant by “the best.”
Unsightly, perhaps: but dangerous?
The location is unusual, but the appearance is characteristic. Your dx?
Why “Physician Wellness” Is Such a Struggle
Why do committees set up to foster physician wellness often sputter and often die a quick death? Family physician and burnout coach Dr Dike Drummond reviews the reasons, and offers practical solutions. Read more, here.
Dark Mole-Dark Harbinger?
Would you worry about this asymptomatic lesion? What are the symptoms of achalasia? Test your clinical mettle against this week's 5 questions.
Chilblains (Pernio)
Chilblains (Pernio) is typically caused by an abnormal vascular response to non-freezing cold exposure.
Skin and GI Lesions: What's the Connection?
Cutaneous hyperpigmentation and papules coupled with active GI bleeding and a submucosal mass. What’s the diagnosis-and the chief clinical concern?
Black Hairy Tongue Associated With Treatment for Bipolar Disorder
Black hairy tongue is benign and self-limited. It is caused by abnormal hypertrophy and elongation of filiform lingual papillae with associated discoloration.