Emphysematous pancreatitis is typically managed with broad-spectrum antibiotics and early surgical debridement. Here, a case that supports more recent evidence for conservative therapy.
Extensive condylomata acuminata are beyond the capacity of all topical therapies. The area was initially treated by carbon dioxide laser ablation, and residual small foci of infection were subsequently treated with topical 5% imiquimod cream.
For a patient with atrial fibrillation whose risk of ischemic stroke is low, is antiplatelet therapy the right choice? A revised risk calculation formula, based on the original CHADS2 criteria, restratifies low-risk patients to further help identify those who may not require oral anticoagulation.
How aldosterone antagonism achieves this reduction is uncertain, but the study highlights this class as an important treatment option to consider in patients with HF and AF.
In the first study to observe the association, Hsu et al found that CD4+ count and viral load were complementary and independently associated with increased incidence of AF in persons with HIV.
Post–hoc analysis of data from the ROCKET-AF trial found similar rates of stroke and systemic emboli after treatment interruption for rivaroxaban and warfarin in 2 out of 3 study cohorts. A very different result was found in the third. More, here.
Could the left atrial appendage closure device, known as the Watchman device, become an alternative to oral anticoagulation for selected patients? Here, more on the 2 trials that have introduced the possibility.
Here: how omega-3 fatty acids may help reduce the risk of AF in postcardiac surgery patients; how incident HF can help predict long-term adverse outcomes in patients with AF; and why an old gout drug may help reduce the risk of AF in patients with heart failure.
A recent meta-analysis of beta-blocker use in patients with HF found that the drugs conferred no reduction in rates of mortality or hospitalization among patients with comorbid AF. What are the implications for clinical practice?
Colesevelam helps reduce serum glucose levels and also lowers LDL-C in patients with type 2 diabetes. Bromocriptine reduces the relative risk of cardiovascular events in patients with type 2 diabetes. More »
More than one-third of adults in the United States have high blood pressure, but close to half of them do not have it controlled. This compact slide show provides visual presentations of a range of related problems. More »
Many common GI disorders are seen in the primary care setting. This compact slide show provides visual presentations of a range of these vexing problems. More »
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril Marion K. Jenkins, May 21, 2013 Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Three Areas to Reduce Costs at Your Medical Practice Greg Mertz, May 19, 2013 By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog Michael Woo-Ming, MD, May 18, 2013 Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.