Preventive Medicine

AUA Clarifies Position on Prostate Cancer Screening

November 10, 2009

Responding to recent news reports disparaging prostate cancer testing, the American Urological Association clarified its recommendations for this testing.
 

Pomegranate juice may help prostate cancer patients

August 28, 2009

Pomegranate juice may help slow progression of prostate cancer in men who experience rising PSA levels following radical prostatectomy or radiotherapy, data suggest.
 

Guidelines: How to treat resistant hypertension

By Carl Sherman May 21, 2009

In its first Scientific Statement to focus on this issue, the American Heart Association stresses the need for evaluation that spreads a broad net to identify contributing and secondary causes and treatment options that go beyond the usual antihypertensives.
 

Flu shot creates opportunity for colorectal screening

March 18, 2009

If one group of practitioners has its way, clinicians may find themselves handing out colorectal cancer screening kits along with immunizations next flu season.
 

Positive spin pushes cancer screenings

February 13, 2009

If you want to effectively encourage African American patients to be screened for colon cancer, accentuate the positive. According to new research, emphasizing the risks of late detection can actually make these patients less likely to have the test.
 

Vitamin D prophylaxis for osteoporosis?

Question asked bu Luan Q. Pho, MD, Allen, Tex., and answered by Jack Waxman, MD January 23, 2009

The role of vitamin D in osteoporosis
 

Elevated PSA with a negative biopsy

Question asked by Jack W. Spitzberg, MD, Dallas, and answered by David T. Noyes, MD January 22, 2009

How to proceed when a patient's PSA is >4 ng/mL and the biopsy is negative
 

Colonoscopy less useful in right-side cancer

By Delicia Yard December 17, 2008

A large Canadian study has found that complete colonoscopy is strongly associated with fewer deaths from colorectal cancer that develops on the left side, but the same can't be said when the cancer is located on the right.
 

When a doctor snubs PSA screening

By Ann W. Latner, JD November 17, 2008

Must physicians with doubts about the test's usefulness allow fear of liability to override their clinical judgment?
 

5 nutritional deficiencies and how to correct them

By Steven Masley, MD November 17, 2008

Patients may not be getting all the nutrients they need. You can help them eat their way to better health.
 

Study: Aspirin doesn't prevent CV events

October 17, 2008

Among patients with diabetes and asymptomatic peripheral arterial disease, aspirin did not reduce primary fatal and non-fatal cardiovascular events compared with placebo, according to a study by Jill Belch, MD, of the University of Dundee in Scotland, and colleagues online in BMJ. Reported at MedPage Today.
 

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.
 

Help for a migraine sufferer

Question submitted by S. Neskovic, MD, Glendale, Calif., and answered by Jay E. Selman, MD October 06, 2008

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 is...
 

Why do digital rectal exams?

Question submitted by Daniel E. Konold, DO, Canal Winchester, Ohio, and answered by David T. Noyes, MD October 06, 2008

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 (DRE) has no real value." The lecturer on colon cancer stated that "DRE with guaiac test in the office is proven ineffective...
 

Colorectal cancer screening: Prevention over detection

By Carl Sherman September 30, 2008

Primary-care physicians play a crucial role in helping patients choose the right test for them.
 

Kidney stones: Helping patients avoid the pain

By Edgar V. Lerma, MD August 01, 2008

Some risk factors are unavoidable, but adjusting your patient's diet and addressing comorbidities can prevent excruciating episodes.
 

Who should be screened for celiac disease?

Question asked by Nathan W. Keever, DO, and answered by Laura G. Kehoe, MD July 22, 2008

It seems that I am seeing celiac disease diagnosed more frequently. I suspect this is because the antigliadin serology is available, but I worry that this is going to become an attention deficit disorder/fibromyalgia "diagnosis du jour." How good are these tests?
 

Rationale for DRE

Question by Daniel Konold, DO, Canal Winchester, Ohio May 30, 2008

If DRE is not recommended to screen for prostate or colon cancer, why do we do it?
 

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.
 

Revisiting non-group A strep

Question raised by Russel W. Piper, MD, Washington, Pa., and answered by Cedric W. Spak, MD, MPH April 17, 2008

Cedric W. Spak, MD, says non-group A streptococcal pharyngitis should always be treated , but what is the medical rationale?
 

HPV: Who should receive the vaccine and why

By Martin C. Mahoney, MD, PhD August 14, 2007

Arrival of the first preventive vaccine against human papillomavirus has sparked numerous questions. Our expert helps field them.
 

CKD: Why you play a crucial role

By Roy D. Bloom, MD, and Jonathan Bress, MD March 13, 2007

Primary-care physicians need to recognize and manage chronic kidney disease. Here's what to do as the disease progresses.
 

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