More than skin deep
This week’s quiz questions challenge you to dive below the skin’s surface to come up with the correct answers. (Source: Consultant Live)
Source: Consultant Live - August 22, 2013 Category: Primary Care Source Type: news
Medication Errors in Adults—Case #2: Acetaminophen
A 58-year-old female is prescribed Lortab for treatment of low back pain that resulted from trauma and picked up a bottle of Tylenol® Cold. What is the problem? (Source: Consultant Live)
Source: Consultant Live - August 21, 2013 Category: Primary Care Source Type: news
Which GERD Symptom Responds to Acid Suppression?
The choices include typical and atypical symptoms; which resolves with PPI therapy? (Source: Consultant Live)
Source: Consultant Live - August 21, 2013 Category: Primary Care Source Type: news
Treat GERD-associated Heartburn with Acid Suppressants
Proton pump inhibitors in GERD-associated heartburn are indicated to heal mucosal damage (erosive esophagitis). (Source: Consultant Live)
Source: Consultant Live - August 21, 2013 Category: Primary Care Source Type: news
Persistent Duodenal Ulcers: Order a Serum Gastrin Next
Gastrinomas oversecrete gastrin, a peptide hormone that stimulates secretion of hydrochloric acid from parietal cells. The result is often multiple ulcers in the stomach and duodenum. (Source: Consultant Live)
Source: Consultant Live - August 21, 2013 Category: Primary Care Source Type: news
Gestational Diabetes Increases Risk of Sleep Apnea
The risk of obstructive sleep apnea is increased nearly 7-fold in pregnant women with gestational DM, according to a study that used polysomnography to evaluate sleep quality. (Source: Consultant Live)
Source: Consultant Live - August 21, 2013 Category: Primary Care Source Type: news
“Gluten-free” for Food Labeling Defined by FDA
A new regulation provides a uniform standard definition to help patients who have celiac disease, up to 3 million Americans. (Source: Consultant Live)
Source: Consultant Live - August 21, 2013 Category: Primary Care Source Type: news
Managing Physical Illness and Depression
What is the relationship between common illnesses and depression? And why is the relationship so strong? What can clinicians do now to manage both medical illness and the depression? More in this podcast. (Source: Consultant Live)
Source: Consultant Live - August 20, 2013 Category: Primary Care Source Type: news
Recurrent Colon Cancer Presenting with Back Pain and Renal Metastases
Back pain as the first symptom of visceral disease may delay proper diagnosis and treatment. This was one of several atypical presentations in this patient and provides a case in point. (Source: Consultant Live)
Source: Consultant Live - August 20, 2013 Category: Primary Care Source Type: news
Abdominal Cramping After a Marathon: What’s Most Likely?
Abdominal cramping develops in a 31-year-old healthy woman after she runs a marathon. Which of the following is most likely? (Source: Consultant Live)
Source: Consultant Live - August 20, 2013 Category: Primary Care Source Type: news
Non-celiac Gluten Sensitivity: Are Short-chain Carbs to Blame?
A new study suggests that fermentable, oligo-, di-, mono-saccharides and polyols, or FODMAPs, may prove to be as important as gluten in, or even the primary culprits behind, GI symptoms for patients with NCGS. (Source: Consultant Live)
Source: Consultant Live - August 20, 2013 Category: Primary Care Source Type: news
Crohn Disease: When Infliximab Fails, a Customized Algorithm May Succeed
Rather than merely intensifying the infliximab dose in response to loss of therapeutic effect, a Danish treatment algorithm tailors subsequent therapy based on drug bioavailability and pharmacodynamics. (Source: Consultant Live)
Source: Consultant Live - August 20, 2013 Category: Primary Care Source Type: news
Mediterranean Diet Trims Genetic Stroke Risk
A gene variant strongly associated with development of type 2 diabetes mellitus appears to respond to a Mediterranean diet to prevent stroke. (Source: Consultant Live)
Source: Consultant Live - August 20, 2013 Category: Primary Care Source Type: news
Antibiotics and Celiac Disease: Significant Statistical Correlation Found
This study, conducted in Sweden, is the first to establish a correlation between use of any type of antibiotic and biopsy-proven celiac disease. But, could "reverse causation" be at work? (Source: Consultant Live)
Source: Consultant Live - August 20, 2013 Category: Primary Care Source Type: news
Liver Disease in Pregnancy: Best Guide to Differential Dx?
What is the best guide to the differential diagnosis of liver disease in a pregnant woman? (Source: Consultant Live)
Source: Consultant Live - August 20, 2013 Category: Primary Care Source Type: news
