Benign skin lesions can arise in the outer ear as easily as in any other body part frequently exposed to the sun. Seborrheic keratosis may mimic malignant melanoma but is innocuous. Actinic keratosis is premalignant and should be excised, biopsied, and the site of excision monitored vigilantly.
These innocuous lesions of the outer ear may arise spontaneously or after trauma or surgery. Both auricular seroma and pyogenic granuloma usually resolve satisfactorily after minor surgery, though they may recur.
Diagnostic challenge: Two case reports of easily treated and innocuous causes of lesions in the outer ear. Chondrodermatitis nodularis helicis is associated with long cellphone use. Verruca vulgaris is caused, like all other warts, by human papillomavirus.
A 92-year-old woman presented with a 6-month history of progressively worsening fatigue, weight loss, generalized bone pain, and dyspnea on exertion. Click here for the laboratory results. Read more
A middle-age man presents to the ED with intermittent right shoulder pain. A check of his finger strength reveals abnormal looking fingernails. Click here to see how chronic shoulder pain and recent onset of fingernail clubbing relate.Read More
Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain. More »
(AUDIO) Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain. More »
A web-based interactive support system tailored for cancer patients reduced patients’ feelings of depression and improved their sense of well being, compared with being given access to resources that are publically available on the internet, results of a large 1-year randomized controlled trial have... More »
Women aged 50 years and older who experience worsening pain with aging also are at higher risk for depression, obesity, and declining physical function, according to researchers from the Fred Hutchinson Cancer Center in Seattle. More »
Evid Based Mental Health. 2012; 15: 32 doi: 10.1136/ebmental-2012-100661. Aetiology. Review: depression is associated with an increased risk of developing stroke. ... Is depression associated with an increased risk of developing stroke? Incidence of
Evid Based Mental Health. 2012; 15: 29 doi: 10.1136/ebmental-2012-100575. Aetiology. Childhood and young adult-onset depression are associated with similar psychosocial risk factors. ... Do child-, adolescent- and young adult-onset depression have
Evid Based Mental Health. 2012; 15: 39 doi: 10.1136/ebmental-2011-100579. Prognosis. Depression 3 and 9 months after discharge is less common in cardiac patients who are receiving statins ... Is statin use associated with a reduced risk of developing
Mental health disorders ( defined using DSM-IV criteria): any mood disorder ( major depression, dysthymia, bipolar I, bipolar II), any anxiety disorder ( panic disorder, social phobia, specific phobia, post-traumatic stress disorder,
Four psychological characteristics were measured: anxiety and depression ( Hospital Anxiety and Depression scale), impulsivity ( six item scale) and self-esteem ( eight item abbreviated Robson self-concept scale).
Approximately 1 in 10 primary care patients has major depressive disorder, and its presence is associated with poor health outcomes in numerous medical conditions. Using the case of Mr J, a 52-year-old man with depressive symptoms and several comorbid medical conditions, diagnosis and treatment of depression are discussed. Specific topics include evidence regarding appropriate depression screening and diagnosis, the importance of team-based care, patient self-management, exercise, structured psychotherapy, pharmacotherapy, monitoring of therapy, and indications for referral.
As research continues to document differences in the prevalence of mental health problems such as depression across racial/ethnic groups, the issue of measurement equivalence becomes increasingly important to address. The Mood and Feelings Questionnaire (MFQ) is a widely used screening tool for child and adolescent depression. This study applied a differential item functioning (DIF) framework to data from a sample of 6th and 8th grade students in the Seattle Public School District (N=3,593) to investigate the measurement equivalence of the MFQ. Several items in the MFQ were found to have DIF, but this DIF was associated with negligible individual- or group-level impact. These results suggest that differences in MFQ scores across groups are unlikely to be caused by measurement non-equivalence.
Hearing loss is isolating and embarrassing and can cause or exacerbate depression. This article advocates that diabetes educators receive training from an audiologist so that they can screen for hearing loss in people with diabetes and refer individuals with suspected hearing loss to audiologists for treatment.
22416097 2012 03 14 2012 03 16 1538-3598 307 10 Mar 14 JAMA 1033-4 Department of Psychiatry, Western Psychiatric Institute and Clinic of UPMC, 3811 O'Hara St, Pittsburgh, PA 15213, USA. Cuijpers Pim P Beekman Aartjan T F AT Reynolds Charles F CF 3rd
Behavioural variant of frontotemporal dementia (bvFTD) is a neurodegenerative disease that is clinically characterised by progressive behavioural changes and social interpersonal dysfunctions. Its diagnosis remains a clinical challenge, and depression is one of the main causes of misdiagnoses due to the prevalence of apathy in bvFTD.|To evaluate the sensitivity and specificity of the Social Cognition and Emotional Assessment (SEA) and the mini-SEA for differentiating bvFTD from major depressive disorder (MDD).|Scores for the SEA and mini-SEA for 37 patients with bvFTD (divided into subgroups of 17 with early bvFTD and 20 with moderate bvFTD according to the normal range of the Mattis Dementia Rating Scale), 19 MDD patients and 30 control subjects were compared to define the discrimination power of these tools compared with other standard neuropsychological tests.|SEA and mini-SEA scores were significantly lower for both the early and moderate bvFTD groups compared with control
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
Physician Performance Goals Are Great, But Balance Is More Realistic Jennifer Frank, MD, May 15, 2012 Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice C. Noel Henley, MD, May 11, 2012 Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices Audrey "Christie" McLaughlin, RN, May 10, 2012 Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes James Doulgeris, May 10, 2012 There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice? Rosemarie Nelson, May 9, 2012 Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.
Benign skin lesions can arise in the outer ear as easily as in any other body part frequently exposed to the sun. Seborrheic keratosis may mimic malignant melanoma but is innocuous. Actinic keratosis is premalignant and should be excised, biopsied, and the site of excision monitored vigilantly. 
These innocuous lesions of the outer ear may arise spontaneously or after trauma or surgery. Both auricular seroma and pyogenic granuloma usually resolve satisfactorily after minor surgery, though they may recur. 
Diagnostic challenge: Two case reports of easily treated and innocuous causes of lesions in the outer ear. Chondrodermatitis nodularis helicis is associated with long cellphone use. Verruca vulgaris is caused, like all other warts, by human papillomavirus. 
Much of the controversy on the relationship between grief and depression following recent bereavement has focused... 
Medicare announced in October that it would pay for depression screening in primary care settings that have... 
Take the poll and comment on on the race to patent bio-tests for schizophrenia and depression.
The articles by Arline Kaplan and Hagop Akiskal, MD, in the November 2011 issue of Psychiatric Times... 
Mood and cognitive disorders are major public health problems, and care for patients with such conditions is of... 
Researchers have tried lots of different kinds of tests from EEGs to blood-based biomarkers. Now genetic tests... 