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October 2008 21 8 Issue of Cortlandt Forum

Quick Digest

Nighttime aspirin lowers BP

Timing is everything in aspirin therapy for prehypertension, according to a new Spanish study. Patients who took low-dose aspirin at bedtime reported much better responses ...

New tool for diagnosing diabetes

A national panel of diabetes experts, pathologists, and internists is promoting hemoglobin A1c (HbA1c) testing as a front-line diagnostic tool for diabetes, particularly for those ...

U.S. Preventive Services Task Force gives older men a new recommendation

New recommendation from the U.S. Preventive Services Task Force advises against prostate cancer screening for men aged 75 years and older

Combo therapy helps with RA

Adding etanercept (Enbrel) to methotrexate therapy for early rheumatoid arthritis (RA) resulted in higher rates of both remission and radiographic nonprogression in a recently reported ...

Easing sexual side effects

Off-label use of sildenafil (Viagra) relieved sexual side effects of antidepressants for women in a recent clinical trial. Side effects included lack of arousal sensation ...

Gout alternative

A short course of a cor-ticosteroid could supplant nonsteroidalanti-inflammatory drugs (NSAIDs) as the medication of choice for gout treatment, a Dutch team suggests.

Drug Updates from MPR

Evamist

Evamist (estradiol), from Ther-Rx, a transdermal spray of pharmacologic class estrogen; for moderate-to-severe vasomotor symptoms associated with declining estrogen levels during menopause.

Relistor

Relistor (methylnaltrexone bromide) from Wyeth, an opioid antagonist with indication for opioid-induced constipation; for subcutaneous (SC) injection.

We’ve Got Answers

Switch cholesterol therapy?

I have a patient with severe coronary artery disease (he has already had quadruple bypass) and multiple risk factors for metabolic syndrome. His LDL goal ...

Why do digital rectal exams?

In an audio CME program on preventive care, the lecturer on prostate cancer stated that "prostate-specific antigen (PSA) is recommended for screening; digital rectal examination ...

Pre-glucose tolerance test diet

What are the dietary recommendations for the three days preceding the oral glucose tolerance test (OGTT)? Many centers offering the OGTT...

Nail pitting

In addition to psoriasis, what conditions cause nail pitting, and what can be done about it? Nail pitting occurs in response to pathology in the ...

Help for a migraine sufferer

A 41-year-old man uses zolmitriptan (Zomig Nasal Spray) every other day, sometimes daily, for severe migraine headache. He has hyperlipidemia and metabolic syndrome, and he ...

Alpha blockers for hyperhidrosis?

What effect do alpha blockers, such as clonidine (Catapres) and terazosin (Hytrin), have on hyperhidrosis?

More on tackling kidney stones

The article "Kidney stones: helping patients avoid the pain" (July/August 2008) by Edgar V. Lerma, MD, was a good general review, but it didn't...

Cover Feature

Allergic rhinitis: An update on management

Despite an armamentarium of available and effective therapies, allergic rhinitis is too often undertreated by primary-care physicians.

Dermatologic Look-Alikes

Two cases of gray hair

Diagnostic Challenge: The Geriatric Patient

Unusual epigastric pain and retching

Vague symptoms brought this patient to the ED three times before physicians made a rare diagnosis.

Dermatology Dx

Tender, rupturing facial pustule in an otherwise healthy man

A healthy 35-year-old white man complained of mild-to-moderate sensitivity in his lower incisor whenever he chewed for the past year. Four months ago, a recurrent ...

Nonhealing pruritic rash after a visit to the Caribbean

A 28-year-old man developed a pruritic, nonhealing rash after brushing his hand and leg against coral while snorkeling in the British Virgin Islands. The patient ...