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?
 

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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