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Oral Pain; Bruising; Poisoning; MS; Foot Odor

How does your personal income last year compare with the previous year? What was your practice’s overhead as a percentage of medical revenue? How many hours per week do you work, on average? Here: the results of a survey of your peers . . .

How Primary Care Physicians Are FaringThese charts are culled from the annual Physicians Compensation Survey, which is conducted by the editorial staff of Physicians Practice-a sister publication of ConsultantLive. This year, more than 1311 physicians of all specialties completed the survey .The charts you see here show how primary care physicians responded to just a few of the survey questions. We invite you to visit the Physicians Compensation Survey in its entirety to see how your colleagues responded to such questions as: How does your personal income last year compare with the previous year? What was your practice’s overhead as a percentage of medical revenue? How many hours per week do you work, on average?-The Editors 

Sodium levels are known to be elevated inside the brain stem, cerebellum, and temporal poles early in the course of MS. This study showed total sodium concentrations to be significantly increased in advanced disease-particularly in normal-appearing brain tissues, concomitant with disability.

This patient had unilateral petechiae on the dorsum of the left foot. If the petechiae were symmetric, the first condition on the differential diagnosis would be thrombocytopenia. Here, though, the platelet count was normal. The patient also had a duplex of both the arterial and venous systems that showed complete thrombosis of both the arterial AND venous systems.

The patient has a stage 1 decubitus ulcer on her left heel. Both feet are cool but are the same temperature. Distal pulses are palpable but weak on the good foot; they are not palpable on the left and can only be heard faintly with a handheld Doppler. You note unilateral petechiae on the dorsum of the left foot.

Here: a battle plan to address obesity-the root problem of our current epidemic of metabolic syndrome, hypertension, and diabetes mellitus-that involves kicking a sedentary lifestyle.

Pamela Wible, MD, pioneered the first community-designed ideal medical clinic in America. An expert in patient-centered care, Dr Wible helps citizens design cutting-edge clinics and hospitals nationwide. Her model is taught in medical schools and featured in Harvard School of Public Health's newest edition of Renegotiating Health Care. Dr. Wible is a medical reporter for the Oregonian, has been interviewed by CNN, ABC, CBS, and is a frequent guest on NPR.

The benefits of antihypertensives in the elderly should be unquestioned-especially since SHEP and its revisit. Avoiding them will create more problems. But caution can be exercised with these specific measures.

America: 350,000,000 Guns; 47,000 Psychiatrists

A straightforward discussion drove toward attendees toward the more current understanding of the clinical and genetic overlap between the 2 major forms of IBD.

Finding a plethora of federal recommendations on managing illicit drug-use behaviors and sexually transmitted infections including HIV, the Centers for Disease Control and Prevention has weighed in on organized management of these health issues that often coincide.

Are some of your HIV-positive patients non-adherent to their ART therapy? Consider a carefully planned conversation about their drinking habits.

(AUDIO) US Preventive Services Task Force recommendations for HIV screening may come into line with CDC guidelines thanks to a reanalysis of recent outcomes data. Here clinical epidemiologist Roger Chou MD, who conducted the analysis, describes the new evidence and the implications.

Reducing hyperglycemia in older patients with chronic kidney disease may be best accomplished using incretin-based agents.

With proper assessment and treatment, primary care physicians can help improve their sleep habits and quality.

A recently published study highlights a growing problem in HIV/AIDS patients: A substantial proportion are now overweight or obese, mirroring the US population at large.