Cocaine-induced Stroke
(Source: Consultant Live)
Source: Consultant Live - July 24, 2013 Category: Primary Care Source Type: news

A Positive Outlook Reduces Cardiac Events
Feeling cheerful, relaxed, energetic, and satisfied with life can reduce the chances of a myocardial infarction in patients who have early-onset coronary artery disease. (Source: Consultant Live)
Source: Consultant Live - July 23, 2013 Category: Primary Care Source Type: news

Digital Myxoid Cyst
This translucent dark pink nodule located just behind the nail is the classic presentation of a digital myxoid cyst. (Source: Consultant Live)
Source: Consultant Live - July 23, 2013 Category: Primary Care Source Type: news

Poor Adherence to Blood Pressure Rx Ups Risk of Stroke
Nonadherent patients were more likely than those who consistently took their antihypertensive medications to die from stroke at 2 years, 5 years, and 10 years after starting continuous treatment. (Source: Consultant Live)
Source: Consultant Live - July 22, 2013 Category: Primary Care Source Type: news

PTSD and Heart Disease: New Data Help Clarify the Connection
So concluded authors of a new study that followed male twin Vietnam veterans. After 13 years, the incidence of heart disease was more than double among twins who had a PTSD diagnosis at baseline than among those who did not. (Source: Consultant Live)
Source: Consultant Live - July 22, 2013 Category: Primary Care Source Type: news

Dark Maroon, Dome-Shaped Lesion
Minor trauma made this lesion on a patient’s back bleed. What is it? (Source: Consultant Live)
Source: Consultant Live - July 19, 2013 Category: Primary Care Source Type: news

Catching Infections—A Photo Quiz
Identification of infections often presents a major challenge because there may be significant overlap in clinical findings. This week's photo essay takes the form of a quiz to test your ability to meet the challenge and hone your diagnostic skills. (Source: Consultant Live)
Source: Consultant Live - July 19, 2013 Category: Primary Care Source Type: news

Splenic Rupture After Screening Colonoscopy
This injury is rare but can be lethal if the signs and symptoms are not recognized in a timely manner. Here, a classic case offers important reminders. (Source: Consultant Live)
Source: Consultant Live - July 18, 2013 Category: Primary Care Source Type: news

Low-Risk Lifestyle Protects Against Coronary Events, All-Cause Mortality
This study is the first single investigation to link the protective effects of healthy lifestyle habits across baseline subclinical CAD, CAC progression, clinical CHD, and mortality. (Source: Consultant Live)
Source: Consultant Live - July 18, 2013 Category: Primary Care Source Type: news

Opioid Conversion Tables: How Accurate Are They?
Any conversion table should be taken as an advisory starting point, not an absolute.The general rule of thumb is to start the dose of a new opioid at one-half the dose the conversion tables indicate. (Source: Consultant Live)
Source: Consultant Live - July 18, 2013 Category: Primary Care Source Type: news

Herpes Zoster, Blue Sclerae: What’s Your Dx?
A rapidly developing lesion . . . flashing lights . . . blue sclera: can you answer this week’s 5 quiz questions? (Source: Consultant Live)
Source: Consultant Live - July 18, 2013 Category: Primary Care Source Type: news

Apixaban: Effective in Acute VTE; Lower Risk of Major Bleeding
The novel anticoagulant can now be considered for both acute and extended treatment of VTE, with a lower risk of major bleeding than standard treatment with enoxaparin and warfarin. (Source: Consultant Live)
Source: Consultant Live - July 18, 2013 Category: Primary Care Source Type: news

Flu Vaccination Study Confirms Programs’ Efficacy
Vaccination against influenza substantially reduces the disease’s burden in the United States each year, according to the results of a unique look at the impact of vaccinations. (Source: Consultant Live)
Source: Consultant Live - July 17, 2013 Category: Primary Care Source Type: news

Syncope and Recurrent Vertigo in an Older Woman
Syncope accompanied by a sensation of coldness preceded a fall in this 67-year-old woman--an episode similar to one she had 6 months earlier. Results of ECG, EEG, and carotid Doppler ultrasound studies were normal. What could be wrong? (Source: Consultant Live)
Source: Consultant Live - July 16, 2013 Category: Primary Care Source Type: news

Hoops Help Shape Mental Health
One simple addition is doing more for health and mental health in this community than months or years of therapy or any number of medications or office visits with me. (Source: Consultant Live)
Source: Consultant Live - July 16, 2013 Category: Primary Care Source Type: news