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Academic Journals
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From:ConsultantPeer-ReviewedAnalogies often help make explanations clearer to patients. For example, when treating eczema, I tell them that the potent topical corticosteroid they use for the first 1 to 2 weeks is like the powerful hose that is...
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From:ConsultantPeer-ReviewedI read with great interest the recent commentary by Dr Gregory Rutecki, "Predicting the Risk of Type 2 Diabetes: When Does the Clock Start Ticking?" (CONSULTANT, March 2010, page 99). Dr Rutecki makes some excellent...
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From:ConsultantPeer-ReviewedFor more than a week, a 74-year-old man has had diminished vision in his left eye. He reports that the problem started acutely with a sensation of flashing lights in the affected eye, followed by the presence of dark...
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From:ConsultantPeer-ReviewedSince 3000 years BCE, headache sufferers have been writing about their painful history. (1) More specifically, migraines have been a bane to such notable figures as Alexander Pope, Edgar Allan Poe, Frederic chopin, and...
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From:ConsultantPeer-ReviewedAdvise runners to write the date they start wearing a pair of running shoes on the underside of the tongue, with a permanent marker. If they keep a log of how many miles they run (which most runners do), this makes it...
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From:ConsultantPeer-ReviewedMany elderly patients have fragile, atrophic skin. Tears can occur easily in such skin when you are suturing margins together or when the area is under stress (eg, around a joint). To prevent such tears, apply mastic...
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From:ConsultantPeer-ReviewedSome women 75 and older who are in good health and have excellent functional status may benefit from mammography screening, while others who are in poor health and have short life expectancies probably do not. The most...
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From:ConsultantPeer-ReviewedFor my patients who use nasal spray, I advise them to use the right hand to spray into the left nostril and the left hand to spray into the right nostril. This approach ensures that the greatest amount of medication...
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From:ConsultantPeer-ReviewedIn her article "Breast Cancer Screening: At What Age to Stop?" on page 196 of this issue, Dr Mara Schonberg does an excellent job of presenting the pros and cons of continued breast cancer screening in elderly women and...
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From:ConsultantPeer-ReviewedTell patients that cotton swabs dipped in water and frozen in individual plastic bags provide quick relief for a burned tongue or lip or a tooth that is almost out. They can also help stop bleeding in the mouth or nose....
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From:ConsultantPeer-ReviewedPoor adherence is a problem we all confront regularly. When I prescribe long-term medications, such as antibiotics for acne, I write the prescription for a 1-month supply, plus refills, and schedule a follow-up visit 2...