Book Reviews
(Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Polyarteritis Nodosa
AbstractPolyarteritis nodosa, as a diagnosis, has been progressively narrowed from a collection of ill-defined vasculitides to its current definition as a systemic transmural necrotizing vasculitis that usually affects medium-sized muscular arteries and sometimes small muscular arteries, commonly within the kidneys, gastrointestinal tract, skin, nerves, joints, and muscles. In this review, we will highlight the clinical features and classification of this disease and emphasize that more accurate diagnosis of subtypes leads to more effective treatment. (Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Editorial
(Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Evidence-based Treatment of Chronic Heart Failure
The past two decades have seen a knowledge explosion in the field of cardiovascular diseases, in general, and in the understanding of chronic heart failure (HF) as a complex neurohumoral syndrome in particular. A new staging system for chronic HF has been developed within the last decade to facilitate the evidence-based prescription of medications and medical devices for each of its four stages. The burden of care for patients with chronic HF is substantially provided in primary care settings. Primary care physicians need to understand the underlying pathophysiology of chronic HF, the elements of its evaluation and treatme...
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Cinchonism in a Patient Taking Quinine for Leg Cramps
Quinine is often used as a treatment for benign nocturnal cramps. The use of Quinine remains controversial with conflicting studies regarding its efficacy. Quinine has a side effect profile that cannot be ignored. Cinchonism, or quinine toxicity, includes nausea, vomiting, and tinnitus. Many other side effects have been reported in the literature. A case report demonstrating the side effects of quinine is presented. We briefly review the literature on quinine and alternative medications. (Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

CME Questions
(Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Acute Retinal Necrosis Complicating Chickenpox in a Healthy Adult—A Case Report and Review of Literature
We report a case of unilateral ARN with marked vitritis and retinal necrosis leading to retinal breaks following chickenpox in a 32-year-old healthy lady. This patient was successfully treated with intravenous acyclovir followed by oral acyclovir and orbital floor triamcinolone injections to contain the inflammation with barrier laser therapy to secure the retinal breaks with good visual outcome. This case is unusual in its severity, and to our knowledge, orbital floor triamcinolone therapy was not used earlier to contain ARN inflammation. (Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

A Man with Tropical Travel History, Fever, and Pulmonary Infiltrates
Acute Respiratory Distress Syndrome (ARDS) are one of the most serious complications of falciparum malaria. Pathogenesis of ARDS along with factors contributing towards the development and treatment of ARDS is discussed. (Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Treatment of Postmenopausal Osteoporosis
Abstract Osteoporosis is a skeletal disease characterized by low bone mass and microarchitectural deterioration with a resulting increase in bone fragility and hence susceptibility to fracture. Calcium and vitamin D are the most commonly used therapies for osteoporosis, although their efficacy in osteoporotic fracture prevention remains uncertain. Biphosphonates are the most frequently prescribed medication for treatment of osteoporosis and are often considered as first-line therapy for the treatment of osteoporosis. Currently, hormone replacement therapy is only approved by the Food and Drug Administra...
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Book Reviews
(Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Polyarteritis Nodosa
Abstract Polyarteritis nodosa, as a diagnosis, has been progressively narrowed from a collection of ill-defined vasculitides to its current definition as a systemic transmural necrotizing vasculitis that usually affects medium-sized muscular arteries and sometimes small muscular arteries, commonly within the kidneys, gastrointestinal tract, skin, nerves, joints, and muscles. In this review, we will highlight the clinical features and classification of this disease and emphasize that more accurate diagnosis of subtypes leads to more effective treatment. (Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Editorial
(Source: Comprehensive Therapy)
Source: Comprehensive Therapy - September 1, 2007 Category: Primary Care Source Type: research

Acute Retinal Necrosis Complicating Chickenpox in a Healthy Adult —A Case Report and Review of Literature
We report a case of unilateral ARN with marked vitritis and retinal necrosis leading to retinal breaks following chickenpox in a 32-year-old healthy lady. This patient was successfully treated with intravenous acyclovir followed by oral acyclovir and orbital floor triamcinolone injections to contain the inflammation with barrier laser therapy to secure the retinal breaks with good visual outcome. This case is unusual in its severity, and to our knowledge, orbital floor triamcinolone therapy was not used earlier to contain ARN inflammation. < /p > (Source: Comprehensive Therapy)
Source: Comprehensive Therapy - August 31, 2007 Category: Primary Care Source Type: research