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Academic Journals
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From:ConsultantPeer-ReviewedDr Rutecki's thoughtful note, "Diagnosing Dehydration: What Would Osler Do?" resonated strongly with me. I would add 2 domains in which review of the laboratory data in isolation will be most misleading, if we utilize...
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From:ConsultantPeer-ReviewedDoctors, especially primary care doctors, love stories. We love hearing them from patients and telling them to one another. "Anecdotal learning" it's called by some (somewhat derisively because it's not science)....
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From:ConsultantPeer-ReviewedTo obtain a general idea of intestinal transit time when doing a workup for chronic constipation or short-bowel syndrome, I use this simple test: I ask patients to eat a cup of cooked beets and note the amount of time...
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From:ConsultantPeer-ReviewedUrologists and pediatricians are puzzling over an apparent substantial increase in renal lithiasis among children.1 In 2007, a single-center study found a nearly 5-fold increase in the number of children presenting with...
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From:ConsultantPeer-ReviewedMost travelers to Third World countries encounter health-related problems during their stay and may require medical attention on returning home. Although malaria is still the most common diagnosis among travelers to the...
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From:ConsultantPeer-ReviewedPatients with kidney stones are often sent home with a bulky plastic filter cup and told to use it to strain their urine. Adherence to these instructions may be suboptimal because the filter cup is difficult to carry...
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From:ConsultantPeer-ReviewedDuring my residency more than 20 years ago, Dr Theodore Fraker (a) taught me these 2 diagnostic principles, and I will rely on them as long as I practice medicine: * Common diagnoses are common, and uncommon...
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From:ConsultantPeer-ReviewedHaving a magnifying mirror available in each examination room makes it easier for both patients and physicians to identify facial lesions. Readily available magnifying mirrors can also obviate treatment of the wrong...
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From:ConsultantPeer-ReviewedFor versatile, portable heat therapy, have patients run a hand towel under hot tap water, ring it out slightly, then put it in a large zip-lock bag. The zip-lock bag holds in the moisture and can be disposed of after...
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From:ConsultantPeer-ReviewedRecurrent or persistent vaginal itching is a common problem. If antifungals have not been effective, ask the patient, while she is in the stirrups, to point to the pruritic spot or touch it with her finger. Particularly...