Clinical Pearls

In-office diagnosis of toenail fungus

Richard A. Beison, MD, Ann Arbor, Mich. January 15, 2009

Looking for how to avoid inconvenient culture techniques when you suspect toenail fungus? Here's an easy in-office way to diagnose the condition.
 

Hearing aid in reverse

Michael Fiorina, DO, Butler, Pa. November 21, 2008

 

Pre-vacation vaccines

Submitted by John P. Goutos, MD, Jamaica, N.Y. November 21, 2008

 

Antibiotic-induced diarrhea

Submitted by Patricia L. Kress, MD, Eau Claire, Wis. November 21, 2008

To reduce the risk of antibiotic-associated diarrhea, I recommend yogurt with live cultures. The yogurt also helps settle diarrhea after a bout of gastroenteritis....
 

Secondary heart failure

October 08, 2008

As physicians, we need to remind ourselves that congestive heart failure (CHF) is not a diagnosis but rather a complex of symptoms with one or more of five major causes: myocardial ischemia, valvular heart disease, chronic hypertension, arrhythmias, or cardiomyopathy. Thus, if a patient has symptoms of CHF, the diagnosis would be CHF secondary to one of those five causes.
 

A senior salute to the captain's chair

By David H. Dube, MD October 08, 2008

Easy chairs are anything but easy. A captain's chair with a firm seat that is higher than the standard height will aid the mobility-impaired senior citizen in maintaining the ability to transfer.
 

Chill on fish oil

Clinical Pearl submitted by Jack Wang, MD, Beloit, Wis. October 06, 2008

Storing fish-oil tablets in the freezer will eliminate the fishy smell and aftertaste.
 

Cheers for Murphy's sign

Submitted by Edgar R. Marr, MD, Avon, Ohio August 27, 2008

 

Self-exams for men

Comment by Samy B. Gergis, MD, Lebanon, Pa. April 24, 2008

Remind male patients to do testicular self-exam as often as you recommend breast self-exam to female patients.
 

Plan ahead

Question raised by Jeffrey Heebner, DO and answered by April 17, 2008

Review the schedule for the following day's patients and jot down notes regarding issues to follow up on from a previous visit....
 

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