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June 2008 21 6 Issue of Cortlandt Forum

Quick Digest

ACP: Screen men for osteoporosis

Men older than 50 should be regularly assessed for osteoporosis risk factors, according to new clinical guidelines released by the American College of Physicians (ACP).

Measles, mumps cases increase

The CDC confirmed 64 cases of measles in 2008 through April 25—the highest number reported for the same period since 2001.

308,900

The average number of US physicians in practice during any given week in 2005-2006.

New psoriasis pill effective, safe

A new type of calcineurin inhibitor showing strong promise in a phase 3 trial could prove to be one of the safest and most effective ...

Medical Image of the Month

Transillumination is a key clue to the identification of this cystic lesion at the proximal interphalangeal joint.

QuickTakes

Drug Updates from MPR

Omnaris- Rhinitis relief in a spray

Ciclesonide 50 µg/spray; aqueous corticosteroid nasal spray from Sepracor for treatment of seasonal allergic rhinitis in patients ≥6 years old and perennial allergic rhinitis in ...

Intelence- Additional antiretroviral

We’ve Got Answers

Addressing cardiac risk in the young

What should I do for patients younger than 40 who have zero to two risk factors for coronary artery disease (CAD) and LDL 130-160 mg/dL ...

Miliary TB

An Asian immigrant with miliary pulmonary TB diagnosed by lung biopsy tests negative on a purified protein derivative test and sputum culture. While awaiting culture ...

GLAUCOMA THERAPY IN A BLIND PATIENT

A nursing-home resident who is completely care-dependent uses multiple eyedrops for glaucoma. Recently we have determined that he is totally blind. Can the eyedrops he ...

HIPAA RULES FOR PATIENT CHARTS

I belong to a group of three internists who have separate outpatient clinics attached to the hospital in the same building. When I am on ...

DIVERGENT BPs AT HOME AND THE OFFICE

If you record a high BP in the office, but the patient says it is normal at home, should the dosage of his antihypertensive medication ...

How do we boost vitamin D levels?

For patients with low vitamin D levels, I have been prescribing weekly supplements containing 50,000 units of vitamin D along with their usual daily OTC ...

HRT AFTER BILATERAL MASTECTOMY

A 37-year-old woman was found to be positive for the BRCA mutation after being treated with chemotherapy, mastectomy, and radiation therapy for breast cancer. She ...

Cholesterol goals in diabetes patients

Now that colesevelam (WelChol), a bile acid sequestrant (BAS), has been shown to decrease hemoglobin A1c (HbA1c), should it be the agent of choice (rather ...

Cover Feature

What you think

We asked readers a half dozen questions about life as a primary-care physician in 2008 and beyond. Here's what they told us.

Dr. Starr on Malpractice

Since 1990, the clinical and legal expertise of David S. Starr, MD, JD, has been featured in Cortlandt Forum and helped readers minimize the chances ...

Views from the Forum

Some of the most thoughtful and strong-willed commentators of the day—medical and otherwise—once contributed to Cortlandt Forum. Here are some snippets that still stand up ...

A unique voice

William F. Buckley's ideas and ideology lit up the pages of Cortlandt Forum for more than a decade. Mr. Buckley, who died earlier this year, ...

What they think

We put two critical questions to our Editorial Advisory Board and asked our resident experts to peer into medicine's future. You'll be surprised at what ...

20 years of Breakthroughs

A timeline of two decades of medical breakthroughs.

20 years of Controversies

A timeline of two decades of medical controversies.

20 years of Practice news

A timeline of two decades of medical practice news.

Welcome to our 20th Anniversary Issue

The premiere issue of Cortlandt Forum declared the journal to be "an open forum for physicians to exchange suggestions, comments, and questions on daily clinical ...

Dermatologic Look-Alikes

Two cystic lesions on the hands

Diagnostic Challenge: The Geriatric Patient

New-onset neck and shoulder pain in an arthritis patient

A UTI triggers complications in a patient with two forms of arthritis. Mr. G, aged 74, initially came to the ambulatory-care clinic for pain in ...

A Most Unusual Case

A life for a life

A memorable tale about Mark and his tragic/heroic end.

On being a good listener

Listening is a powerful therapeutic tool. Indeed, it may be the only one needed to relieve a patient's discomfort. There are times, however, when doctors ...