Podcast: Dental X-Rays and Brain Tumors-A Sensible Response
April 14th 2012A new study that showed a link between a yearly dental x-ray and meningioma must have sent a shiver down many a spine. Here, oral medicine specialist Dr Jeff Burgess offers guidance about what to think, and how to respond when a concerned patient asks.
Corticosteroids for Asthma and Rhinitis: Safety and Efficacy Today
April 14th 2012Despite widespread concern about the use of these drugs for patients with asthma and allergies, a review of the evidence shows that (used as recommended) there is very little risk from introducing a steroid into the upper respiratory system on a fairly regular basis, even for a child.
Podcast: Guide to the New NIH Online Directory of Genetic Tests
April 13th 2012With genetic tests rapidly entering medical practice, and some patients even ordering them on their own, the NIH has launched a Genetic Testing Registry to help doctors interpret and follow up on these tests. In this interview, the director of the new Genetic Testing Registry tells why you need it, and what's there for your reference.
AAAAI Weighs In On Possibly Unnecessary Tests
April 11th 2012As one of 17 medical organizations collaborating in the nationwide "Choosing Wisely" campaign to help doctors and patients work together to reduce unwarranted testing, the American Academy of Allergy and Immunology has made five suggested topics for discussion. Your patients with asthma and allergies may begin to raise the subject.
Parotid Gland Deformities in HIV Seropositive Patients: The Best Choice for Cosmetic Control
April 10th 2012More than half of people with HIV infection in the United States develop head and neck lesions. Common among these is enlargement of the parotid gland, which causes disfigurement and therefore distress. This review discusses the evidence for radiation treatment as the best option, as well as the dangers of choosing the wrong treatment for this benign comorbidity of HIV-positive status.
Podcast: New Codeine Guideline and More Help With Pharmacogenomics
April 6th 2012A consortium called CPIC has issued a new guideline on genetic tests that can mean the difference between toxic reactions or unrelieved pain for some patients on codeine. Dr. Mary Relling tells why primary care doctors need good information right now about the links between genes and drug response, and where you can find it.
An Elderly Woman With IgA Lambda Multiple Myeloma and Kidney Disease
April 5th 2012A 92-year-old woman presented with a 6-month history of progressively worsening fatigue, weight loss, generalized bone pain, and dyspnea on exertion. A skeletal survey found lytic lesions in the pelvis, sacrum, and calvarium (shown here).
Podcast: Hip Replacement Failure Risk-What To Tell Your Patients
April 4th 2012The FDA will launch an intensive review of data on the safety of metal-on-metal hip implants in June, responding to yet more evidence that they present a high risk of failure and revision surgery. Listen as orthopedic surgeon William Maloney of Stanford University School of Medicine discusses the risks and the realities of hip replacement today.
Hepatitis B Virus: 5 Things Primary Care Physicians Need to Know Now
March 22nd 2012Did you know: The hepatitis B virus is the only human virus that is routinely tested for by measuring a marker, or “footprint,” of the virus in the blood? Here, an explanation for this and 4 more things you need to know about HBV.
New HIV Guidelines Target Treatment Retention, Adherence
March 21st 2012US government guidelines tell how to treat HIV/AIDS effectively, but fewer than a third of patients achieve complete viral suppression. New recommendations from an independent association of physicians and other healthcare providers now recommend ways to be sure that HIV-positive individuals adhere to treatment and remain in care.
HIV Prophylaxis Fails to Prevent Infection Among Adults
March 15th 2012By starting patients on antiretroviral therapy (ART) before infection, researchers theorize, the drugs may inhibit HIV replication immediately after exposure to the virus. But adherence by uninfected individuals is a major challenge.
At AAAAI Meeting: Asthma, Obesity, Medications, and More
March 13th 2012At the 2012 Annual Meeting of the American Academy of Allergy, Asthma, and Immunology, held early this month in Florida, specialists learned a great deal that is important to primary care. Among the most noteworthy presentations: Why primary care isn't following asthma guidelines, the importance of body weight in asthma treatment, and the future of sublingual allergy drugs.