We’ve Got Answers Articles

Acute paronychia following cuticle injury

Question by Maria Dellaplain and answered by Philip R. Cohen, MD October 11, 2009

Five months ago, a teenager suffered an injured cuticle while trimming his toenail. The lesion oozes and bleeds after the patient wears shoes, and the surrounding area is very tender and warm. What diagnosis and treatment should I consider?
 

Evaluation for proximal muscle weakness and rash

Question by Linda Schwab and answered by Philip R. Cohen, MD October 11, 2009

What is the differential diagnosis for a formerly active and healthy 70-year-old woman with worsening proximal weakness, torticollis, and a widespread raised red rash across her cheeks bilaterally?
 

Biopsy site for pigmented skin lesion

Question by Jacklynn Fitzke Kment and answered by Philip R. Cohen, MD October 11, 2009

What is the best location to sample when obtaining a punch biopsy from a potential dysplastic nevus or malignant melanoma?
 

Preventing recurrent boils

Question by Cecelia Clarke, NP-C, Smithfield, Va.; answered by Philip R. Cohen, MD August 17, 2009

Is there a way to reduce or eliminate frequent episodes of boils?
 

Are patients being exposed to too much radiation?

Question by Felix N. Chien, DO, Newport Beach, Calif., answered by Daniel G. Tobin, MD August 09, 2009

With requests from patients for more and more radiologic studies, are there any data documenting the side effects of radiation due to continued and increased exposure to CT scans, x-rays, etc.?
 

ARBs and ACE inhibitors for proteinuria

Question asked by Absar Qureshi, MD, Columbus, Ohio, and answered by Edgar V. Lerma, MD January 09, 2009

Can we prescribe the ARBs and the ACE inhibitors in insurance company formularies for the treatment of diabetic nephropathy, or must we push for specific agents?
 

Administering B12

Question asked by Isaac Blum, MD, Bronx, N.Y., and answered by Christopher Ruser, MD December 16, 2008

How should vitamin B12 be administered? I have read that injections are not necessary for administering vitamin B12—even in gastrectomy patients.
 

Disappearing hydrocodone products

Question from Michael Breedlove, DO, Holdenville, Okla.; answer by Diana Ernst, RPh December 04, 2008

Why are Histussin HC and Histinex HC no longer available?
 

Why does the prostate grow with age?

Question asked by Kishan Agarwal, MD, Edison, N.J., and answered by David T. Noyes, MD December 03, 2008

Since most tissues shrink with age, why does the prostate expand as men grow old?
 

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....