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Anticoagulation therapy in cancer patients
At what platelet count can I safely initiate long-term anticoagulation with warfarin (Coumadin) in cancer patients with thrombocytopenia and persistent atrial fibrillation?
Lymphedema treatment options
Chronic lymphedema often turns into cellulitis in patients with diabetes. What is the preferred...
Who should be screened for celiac disease?
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...
How long can a patient with GERD take a PPI?
Is there a limit to how long a patient with gastroesophageal reflux disease symptoms can be treated with a proton pump inhibitor?
A drug combination for relieving depression
I often get good results from using methylphenidate along with a selective serotonin reuptake inhibitor (SSRI) to treat depression. Is there any reason methylphenidate can't be used to...
Ostopenia, kidney stones, and calcium supplements
Should patients with calcium oxalate kidney stones and osteopenia (T score -2.0) be given...
Causes and treatment of bacterial conjunctivitis
Recent literature advises against using traditional antibiotic eyedrops in favor of fluoroquinolones. What factors played a role in this decision?
Treating Bell's palsy in pregnancy
Is it safe to prescribe steroids or acyclovir in the first trimester?
Concurrent oral antibiotics for acne and acute illness?
Should minocycline or tetracycline be stopped when prescribing antibiotic therapy for an acute illness?
Recurrent periorbital dermatitis
This reddish, bilateral, slightly papular rash resolves with OTC hydrocortisone but keeps reappearing. What could it be?
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Clinical Pearls
Antibiotic-induced diarrhea
Secondary heart failure
A senior salute to the captain's chair
Chill on fish oil
Self-exams for men
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Cutaneous lesions
Exposure to moisture leads to palmar rash
Cutaneous lesions
Exposure to moisture leads to palmar rash
Collis-Nissen fundoplication for a symptomatic paraesophageal hernia
Tender, edematous, red plaques on a woman's hands and feet
PPIs: Good for ulcers, bad for the bones
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Compression fractures in a man with osteoporosis
Osteoporosis in men: How to treat this condition in the atypical patient
Making the best use of osteoporosis agents
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