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Academic Journals
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From:ConsultantPeer-ReviewedI have found that most of my patients with celiac disease actually have to convince their own physicians that they have the disorder. If a patient presents with migraine, mouth ulcers, diarrhea, weight loss, and...
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From:ConsultantPeer-ReviewedAlthough the diagnosis and treatment of Parkinson disease is tricky enough to warrant subspecialty consultation and follow-up, affected patients frequent primary care practice for a host of related problems. A recent...
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From:ConsultantPeer-ReviewedMany patients who take fish oil capsules complain of burping, which is often accompanied by an unpleasant fishy taste or odor. To prevent this problem, suggest that patients keep the bottle of fish oil capsules in the...
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From:ConsultantPeer-ReviewedA 5-year-old boy was brought for evaluation of left leg pain. He had awoken with the pain 2 days earlier. He identified an area just above the medial malleolus as most painful. The pain worsened with movement (eg,...
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From:ConsultantPeer-ReviewedA 68-year-old woman complains of diffuse, severe myalgia. She reports stiffness, heaviness, and cramping, which are most marked in her thighs and calves. The heaviness and discomfort result in a sensation of weakness as...
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From:ConsultantPeer-ReviewedWhen caring for a patient with diarrhea that may be caused by Clostridium difficile, make sure that you and everyone on your team wash their hands with soap and water rather than using an alcohol-based hand sanitizer....
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From:ConsultantPeer-ReviewedA common method used to locate the radial artery involves palpation of the radial pulse with 2 or 3 fingers of the nondominant hand, followed by an attempt to puncture the artery with a needle held in the dominant hand....
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From:ConsultantPeer-ReviewedMany pharmacological options exist for allergic rhinitis. Intranasal corticosteroids are the most effective medication class for patients with moderate to severe symptoms; those with milder intermittent symptoms can be...
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From:ConsultantPeer-ReviewedI found "In Africa With the Pygmies" by Dr Scott Kellerman very moving (CONSULTANT, February 2010, page 51). If other readers want to see an old classic about the people that the Kellermans serve, I recommend Colin...
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From:ConsultantPeer-ReviewedConsider having a friend or family member evaluate your practice as a "mystery shopper." He or she can provide valuable feedback about your phone system and front office staff; the contents, layout, and "feel" of the...
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From:ConsultantPeer-ReviewedOne of the most important roles for primary care practitioners is the review and implementation of necessary immunizations across a broad spectrum of age. Although adherence to the recommended schedule is better in...