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April 2008 21 4 Issue of Cortlandt Forum

Quick Digest

More reasons for colonoscopy screening

Polyps aren't the only threatening lesions that should be re-moved during colonoscopy. A new study found a relatively high prevalence of nonpolypoid colorectal neoplasms (NP-CRNs) ...

Government Watch

Statistically Significant

Don't let patients skip MI meds

Physicians with patients who have suffered a recent acute MI (AMI) should make a special point of encouraging them to fill their prescriptions following the ...

Ask about new signs of stroke

Recent research has turned up two new possible indicators of increased stroke risk—but discounted a third commonly identified though unconfirmed hint.

QuickTakes

Drug Updates from MPR

Flector Patch- Put on a patch for pain

Tekturna HCT 150/12.5- Multidose combo combats hypertension

We’ve Got Answers

AMOXICILLIN DOSAGE CORRECTION

Self-exams for men

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

IS CRITICISM OF ENHANCE OFF BASE?

An editorial in JAMA (2008;299:953-955) is very critical of the Effect of Ezetimibe Plus Simvastatin Versus Simvastatin Alone on Atherosclerosis in the Carotid Artery (ENHANCE) ...

Lipid levels in a diabetic

A diabetic patient with hemoglobin A1c 6.5%, total cholesterol 195 mg/dL, HDL 32 mg/dL, LDL 98 mg/dL, and triglycerides 195 mg/dL takes atorvastatin (Lipitor) 20 ...

IV BETA BLOCKERS FOR THE NPO PATIENT

A patient who has been taking beta blockers for CAD and hypertension will be NPO for several days after GI surgery. What IV beta-blocker therapy ...

POST-STROKE ANTICOAGULATION?

A growing number of patients are receiving Bowen testing for Lyme disease. Many tests return as positive, and patients are placed on long, expensive, and ...

Is Bowen testing good for Lyme disease?

A growing number of patients are receiving Bowen testing for Lyme disease. Many tests return as positive, and patients are placed on long, expensive, and ...

Sunblock and vitamin D production

Does the use of sunblock inhibit the skin's production of vitamin D from sunlight? Is this something we should be concerned about in women with ...

Healing hyperhidrosis

Are there any effective treatments for hyperhidrosis?

SUSPECTED SPOUSAL ABUSE

If a woman relates a history that makes you highly suspicious of spousal abuse, are you obligated to report this to the authorities? What if ...

Cover Feature

Glaucoma: Preventing the visual damage

Most forms of glaucoma cannot be prevented, but early diagnosis and diligent management can avoid life-altering loss of sight.

Clinical Feature

Cancer prevention: What to tell patients now

A new report offers 10 lifestyle recommendations that will lower your patients' risk of developing cancer.

Dermatologic Look-Alikes

Two pigmented oval plaques on the abdomen

Diagnostic Challenge

Muscle soreness in a fit young woman

The patient exercised regularly, so what caused swelling and soreness after a single exercise class?

Diagnostic Challenge: The Geriatric Patient

Unexpected cause of weight loss and iron deficiency anemia

The patient reported a voracious appetite, but a 15-lb weight loss over the preceding three months prompted a diagnostic quest.

Dermatology Dx

A single nonpruritic growing erythematous plaque

A 23-year-old black man complained of a nonpruritic, peripherally growing, annular erythematous eruption that had first appeared on his cheek four weeks ago. The lesion ...

Multivesicle lesion with crusting and bleeding on a young woman's buttock

A 19-year-old well-developed Caucasian woman requested evaluation of a lesion on her upper left buttock. The lesion, which consisted of numerous confluent translucent vesicles, had ...

Shallow, painful erosions in a small boy with a history of eczema

A 4-year-old black boy with a long-standing history of eczema had a worsening rash and complained of increased itching and cutaneous pain. Two days before ...