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NUTRITION411

An Overview of Nutrition for Bariatric Surgery. Regina Kosiba, RD, LD, bariatric dietitian at Del Sol Bariatric Center in Texas, discusses key components of nutrition for bariatric surgery recipients. HOME | PRACTICAL UPDATES 2021 Welcome to the 2021 Virtual Series. The Practical Updates in Primary Care Virtual Series will be your official source for comprehensive and forward-thinking education, putting you at the forefront of care. This year, we're offering four opportunities to attend a meeting with like-minded professionals that works for you and your schedule. CT SCAN VS STRESS TEST: WHICH IS BETTER FOR IDENTIFYING Overall, CT scan accurately identified clogged arteries in 91% of patients, compared to 69% identified by stress tests. In a subgroup of 111 high-risk patients, CT was accurate in 96% of patients, compared with 80% for stress tests. “No tests is 100 percent accurate 100 percent of the time, but our findings indicate CT angiograms get

pretty

IS HYDROXYCHLOROQUINE SAFE FOR PATIENTS WITH G6PD There is no data to support the withholding of hydroxychloroquine (HCQ) therapy among African American patients with glucose-6-phosphate dehydrogenase (G6PD), according to the results of a recent review. The researchers conducted a retrospective chart review that included 275 patients with a measured G6PD and HCQ usage (84% of patients were THE MTHFR GENE AND BREAST CANCER RISK Breast cancer is the most common form of cancer in women worldwide. 1 Risk factors include alcohol use, obesity, inactivity, family history, and genetic mutations. The BRCA1 and BRCA2 mutations are well-known, but other genetic variants and single nucleotide polymorphisms (SNPs) also play a role in influencing one’s risk. SNPs are small mistakes, comparable to a spelling mistake, in a person MAN WITH SHARP ANKLE PAIN OF SUDDEN ONSET Rubin RN. Man with sharp ankle pain of sudden onset. Consultant. 2011;51 (5):279-280. A 57-year-old man presents with pain in his left ankle. He denies trauma to the ankle or foot. His symptoms began 2 nights earlier when he was awakened from sleep by the sudden onset of pain in the medial ankle area. He felt feverish and diaphoretic that

night

POLYMYALGIA RHEUMATICA RESPONDS TO ACTEMRA Polymyalgia Rheumatica Responds to Actemra. (MedPage Today) - Tocilizumab (Actemra) showed promise as a first-line therapy for early polymyalgia rheumatica (PMR) in a small proof-of-concept study, French researchers reported. Among 20 patients whose median disease duration was slightly over 3 months, all reached the primary endpoint of a PMR FATIGUE IN A WOMAN WITH A HEART MURMUR Fatigue in a Woman With a Heart Murmur. Consultant: Volume 42 - Issue 3 - March 2002. A 59-year-old woman comes to your office for evaluation of her heart murmur. During the last several months, she has tired more easily and has had less energy. Recreational activities, such as lap swimming, have become difficult because she is

easily winded.

REGISTRATION

Cancellation Policy. Cancellation requests for Practical Updates in Primary Care 2021 must be received in writing by emailing registration@hmpglobal.com or postmarked by 30 days out from meeting. A cancellation fee of $100.00 (or full registration amount, whichever

is less) will

SUBSCRIPTIONS AND SIGN-UPS eNewsletter Sign-Up Create a Consultant360 Account. 2021 HMP. Consultant360 is a trademark of HMP. All Rights Reserved.

NUTRITION411

An Overview of Nutrition for Bariatric Surgery. Regina Kosiba, RD, LD, bariatric dietitian at Del Sol Bariatric Center in Texas, discusses key components of nutrition for bariatric surgery recipients. HOME | PRACTICAL UPDATES 2021 Welcome to the 2021 Virtual Series. The Practical Updates in Primary Care Virtual Series will be your official source for comprehensive and forward-thinking education, putting you at the forefront of care. This year, we're offering four opportunities to attend a meeting with like-minded professionals that works for you and your schedule. CT SCAN VS STRESS TEST: WHICH IS BETTER FOR IDENTIFYING Overall, CT scan accurately identified clogged arteries in 91% of patients, compared to 69% identified by stress tests. In a subgroup of 111 high-risk patients, CT was accurate in 96% of patients, compared with 80% for stress tests. “No tests is 100 percent accurate 100 percent of the time, but our findings indicate CT angiograms get

pretty

IS HYDROXYCHLOROQUINE SAFE FOR PATIENTS WITH G6PD There is no data to support the withholding of hydroxychloroquine (HCQ) therapy among African American patients with glucose-6-phosphate dehydrogenase (G6PD), according to the results of a recent review. The researchers conducted a retrospective chart review that included 275 patients with a measured G6PD and HCQ usage (84% of patients were THE MTHFR GENE AND BREAST CANCER RISK Breast cancer is the most common form of cancer in women worldwide. 1 Risk factors include alcohol use, obesity, inactivity, family history, and genetic mutations. The BRCA1 and BRCA2 mutations are well-known, but other genetic variants and single nucleotide polymorphisms (SNPs) also play a role in influencing one’s risk. SNPs are small mistakes, comparable to a spelling mistake, in a person MAN WITH SHARP ANKLE PAIN OF SUDDEN ONSET Rubin RN. Man with sharp ankle pain of sudden onset. Consultant. 2011;51 (5):279-280. A 57-year-old man presents with pain in his left ankle. He denies trauma to the ankle or foot. His symptoms began 2 nights earlier when he was awakened from sleep by the sudden onset of pain in the medial ankle area. He felt feverish and diaphoretic that

night

FATIGUE IN A WOMAN WITH A HEART MURMUR Fatigue in a Woman With a Heart Murmur. Consultant: Volume 42 - Issue 3 - March 2002. A 59-year-old woman comes to your office for evaluation of her heart murmur. During the last several months, she has tired more easily and has had less energy. Recreational activities, such as lap swimming, have become difficult because she is

easily winded.

POLYMYALGIA RHEUMATICA RESPONDS TO ACTEMRA Polymyalgia Rheumatica Responds to Actemra. (MedPage Today) - Tocilizumab (Actemra) showed promise as a first-line therapy for early polymyalgia rheumatica (PMR) in a small proof-of-concept study, French researchers reported. Among 20 patients whose median disease duration was slightly over 3 months, all reached the primary endpoint of a PMR

REGISTRATION

Cancellation Policy. Cancellation requests for Practical Updates in Primary Care 2021 must be received in writing by emailing registration@hmpglobal.com or postmarked by 30 days out from meeting. A cancellation fee of $100.00 (or full registration amount, whichever

is less) will

IRRITANT CONTACT DERMATITIS CAUSED BY HAND SANITIZER USE A 13-year-old middle-school student being home-schooled under a stay-at-home mandate due to the COVID-19 pandemic presented in mild distress with moderate to severe erythema and cracking to the dorsal aspects of both hands. She reported associated pruritus and pain. COVID-19 ROUNDUP: DEATH RATES, DIET, MONOCLONAL ANTIBODIES This COVID-19 roundup discusses changes in death rates across various age groups, the effect of diet on disease severity, and the use of monoclonal antibodies in organ transplant patients. SGLT2 INHIBITORS AND CKD IN 2021 In this article, James Matera, DO, writes about the benefits of using SGLT2 inhibitors to treat patients with type 2 diabetes, chronic kidney disease, and cardiovascular disease, including how the use of SGLT2 inhibitors can help address racial and ethnic disparities in

health care.

CONSULTANT360.COM

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LUPUS NEPHRITIS: AN OVERVIEW Lupus nephritis is a serious kidney complication caused by systemic lupus erythematosus (SLE). SLE is most common among women, especially during the childbearing years, as well as people of African or Asian

descent.

OSTEOARTHRITIS IS LINKED TO INCREASED PARKINSON DISEASE Osteoarthritis (OA) is associated with an increased risk of developing Parkinson disease (PD), according to the results of a recent study. 1 The researchers conducted a retrospective cohort study using data from Taiwan’s Longitudinal Health Insurance Database 2005, including 33,360 patients aged 50 to 64 years with OA and 33,360 age- and sex-matched individuals without OA. PROGRESSIVE RENAL FAILURE IN A 24-YEAR-OLD MAN A 20-year-old man presented to the emergency department with a 3- to 4-week history of worsening dyspnea upon exertion, lower extremity edema, weakness, anorexia, and vomiting. TRENDS IN CANNABIS-RELATED ACUTE PSYCHOSIS DIAGNOSES IN Introduction. Colorado was the first state to legalize recreational cannabis in the United States. In November 2012, the inaugural state passed Colorado Amendment 64, which legalized the manufacturing, commercial sale, and use of recreational cannabis for adults aged 21 years or older. 1 The legislation was implemented 2 years later on

January 1, 2014.

BLOOD SUGAR CONTROL IS DECLINING IN ADULTS WITH DIABETES Blood sugar and blood pressure control is declining among adults with diabetes, according to the results of a recent study. To better understand the diabetes epidemic in the United States, the researchers conducted a nationwide study to examine trends over the past several

decades.

URINARY TRACT INFECTIONS IN ELDERLY PATIENTS: HOW BEST TO In a relatively young, healthy older person, the classic triad is usually present. In patients who are older than 75 years and less robust, however, the predominant symptoms are found outside of the urinary tract. A decline in functional ability, weight loss, and delirium are common presentations. CONSULTANT360CMELOG INSUBSCRIBEALLERGY & IMMUNOLOGYCARDIOLOGYDERMATOLOGY Coronary Calcium Scan: The Role of Calcium Scoring in Preventing a First Myocardial Infarction. Rolando L. deGoma, MD, writes about how coronary calcium scores can impact patient care, especially when it comes to preventing heart disease and CVD events.

NUTRITION411

Researchers recently conducted the first global review of herbal and dietary supplements for weight loss in 16 years, including data from 121 randomized trials. HOME | PRACTICAL UPDATES 2021 Welcome to the 2021 Virtual Series. The Practical Updates in Primary Care Virtual Series will be your official source for comprehensive and forward-thinking education, putting you at the forefront of care. This year, we're offering four opportunities to attend a meeting with like-minded professionals that works for you and your schedule.

PEDIATRICS

A 5-month-old infant was brought to the emergency department with vomiting and concerns for reflux. He was a full-term infant born by C-section due to failure to progress, with a birth weight of 3.3 kg. WHAT'S NEW IN THE 2020-2025 DIETARY GUIDELINES? In fact, “Make Every Bite Count” is the 2020-2025 Dietary Guidelines’ call to action. 2. Four key quantitative recommendations. These are the same as the previous edition of the Dietary Guidelines, but they now include some age-related guidance: Everyone age two and older should limit foods with added sugar to less than 10% of calories CT SCAN VS STRESS TEST: WHICH IS BETTER FOR IDENTIFYING Overall, CT scan accurately identified clogged arteries in 91% of patients, compared to 69% identified by stress tests. In a subgroup of 111 high-risk patients, CT was accurate in 96% of patients, compared with 80% for stress tests. “No tests is 100 percent accurate 100 percent of the time, but our findings indicate CT angiograms get

pretty

AN ATYPICAL CASE OF RAOULTELLA PLANTICOLA URINARY TRACT An 87-year-old gravida 2, para 2, postmenopausal woman with a history of vaginal vault prolapse and cystocele presented for a pessary fitting. She recently had been fitted for a size 5 pessary ring; however, the ring was too large, and the patient returned to the MIDDLE-AGED WOMAN WITH ABNORMAL LIVER ENZYME LEVELS Middle-aged Woman With Abnormal Liver Enzyme Levels. A 58-year-old woman is evaluated after routine blood tests revealed elevated transaminase levels. She is asymptomatic and reports no complaints. Several years earlier, mild hypercholesterolemia was diagnosed, and she has been taking simvastatin ever since. THE MTHFR GENE AND BREAST CANCER RISK Breast cancer is the most common form of cancer in women worldwide. 1 Risk factors include alcohol use, obesity, inactivity, family history, and genetic mutations. The BRCA1 and BRCA2 mutations are well-known, but other genetic variants and single nucleotide polymorphisms (SNPs) also play a role in influencing one’s risk. SNPs are small mistakes, comparable to a spelling mistake, in a person

REGISTRATION

Cancellation Policy. Cancellation requests for Practical Updates in Primary Care 2021 must be received in writing by emailing registration@hmpglobal.com or postmarked by 30 days out from meeting. A cancellation fee of $100.00 (or full registration amount, whichever

is less) will

CONSULTANT360CMELOG INSUBSCRIBEALLERGY & IMMUNOLOGYCARDIOLOGYDERMATOLOGY Coronary Calcium Scan: The Role of Calcium Scoring in Preventing a First Myocardial Infarction. Rolando L. deGoma, MD, writes about how coronary calcium scores can impact patient care, especially when it comes to preventing heart disease and CVD events.

NUTRITION411

Researchers recently conducted the first global review of herbal and dietary supplements for weight loss in 16 years, including data from 121 randomized trials. HOME | PRACTICAL UPDATES 2021 Welcome to the 2021 Virtual Series. The Practical Updates in Primary Care Virtual Series will be your official source for comprehensive and forward-thinking education, putting you at the forefront of care. This year, we're offering four opportunities to attend a meeting with like-minded professionals that works for you and your schedule.

PEDIATRICS

A 5-month-old infant was brought to the emergency department with vomiting and concerns for reflux. He was a full-term infant born by C-section due to failure to progress, with a birth weight of 3.3 kg. WHAT'S NEW IN THE 2020-2025 DIETARY GUIDELINES? In fact, “Make Every Bite Count” is the 2020-2025 Dietary Guidelines’ call to action. 2. Four key quantitative recommendations. These are the same as the previous edition of the Dietary Guidelines, but they now include some age-related guidance: Everyone age two and older should limit foods with added sugar to less than 10% of calories CT SCAN VS STRESS TEST: WHICH IS BETTER FOR IDENTIFYING Overall, CT scan accurately identified clogged arteries in 91% of patients, compared to 69% identified by stress tests. In a subgroup of 111 high-risk patients, CT was accurate in 96% of patients, compared with 80% for stress tests. “No tests is 100 percent accurate 100 percent of the time, but our findings indicate CT angiograms get

pretty

AN ATYPICAL CASE OF RAOULTELLA PLANTICOLA URINARY TRACT An 87-year-old gravida 2, para 2, postmenopausal woman with a history of vaginal vault prolapse and cystocele presented for a pessary fitting. She recently had been fitted for a size 5 pessary ring; however, the ring was too large, and the patient returned to the MIDDLE-AGED WOMAN WITH ABNORMAL LIVER ENZYME LEVELS Middle-aged Woman With Abnormal Liver Enzyme Levels. A 58-year-old woman is evaluated after routine blood tests revealed elevated transaminase levels. She is asymptomatic and reports no complaints. Several years earlier, mild hypercholesterolemia was diagnosed, and she has been taking simvastatin ever since. THE MTHFR GENE AND BREAST CANCER RISK Breast cancer is the most common form of cancer in women worldwide. 1 Risk factors include alcohol use, obesity, inactivity, family history, and genetic mutations. The BRCA1 and BRCA2 mutations are well-known, but other genetic variants and single nucleotide polymorphisms (SNPs) also play a role in influencing one’s risk. SNPs are small mistakes, comparable to a spelling mistake, in a person

REGISTRATION

Cancellation Policy. Cancellation requests for Practical Updates in Primary Care 2021 must be received in writing by emailing registration@hmpglobal.com or postmarked by 30 days out from meeting. A cancellation fee of $100.00 (or full registration amount, whichever

is less) will

SUBSCRIPTIONS AND SIGN-UPS eNewsletter Sign-Up Create a Consultant360 Account. 2021 HMP. Consultant360 is a trademark of HMP. All Rights Reserved. IRRITANT CONTACT DERMATITIS CAUSED BY HAND SANITIZER USE A 13-year-old middle-school student being home-schooled under a stay-at-home mandate due to the COVID-19 pandemic presented in mild distress with moderate to severe erythema and cracking to the dorsal aspects of both hands. She reported associated pruritus and pain. COVID-19 ROUNDUP: DEATH RATES, DIET, MONOCLONAL ANTIBODIES This COVID-19 roundup discusses changes in death rates across various age groups, the effect of diet on disease severity, and the use of monoclonal antibodies in organ transplant patients.

CONSULTANT360.COM

consultant360.com

WHAT'S NEW IN THE 2020-2025 DIETARY GUIDELINES? In fact, “Make Every Bite Count” is the 2020-2025 Dietary Guidelines’ call to action. 2. Four key quantitative recommendations. These are the same as the previous edition of the Dietary Guidelines, but they now include some age-related guidance: Everyone age two and older should limit foods with added sugar to less than 10% of calories PROGRESSIVE RENAL FAILURE IN A 24-YEAR-OLD MAN A 20-year-old man presented to the emergency department with a 3- to 4-week history of worsening dyspnea upon exertion, lower extremity edema, weakness, anorexia, and vomiting. LUPUS NEPHRITIS: AN OVERVIEW Lupus nephritis is a serious kidney complication caused by systemic lupus erythematosus (SLE). SLE is most common among women, especially during the childbearing years, as well as people of African or Asian

descent.

TRENDS IN CANNABIS-RELATED ACUTE PSYCHOSIS DIAGNOSES IN Introduction. Colorado was the first state to legalize recreational cannabis in the United States. In November 2012, the inaugural state passed Colorado Amendment 64, which legalized the manufacturing, commercial sale, and use of recreational cannabis for adults aged 21 years or older. 1 The legislation was implemented 2 years later on

January 1, 2014.

OSTEOARTHRITIS IS LINKED TO INCREASED PARKINSON DISEASE Osteoarthritis (OA) is associated with an increased risk of developing Parkinson disease (PD), according to the results of a recent study. 1 The researchers conducted a retrospective cohort study using data from Taiwan’s Longitudinal Health Insurance Database 2005, including 33,360 patients aged 50 to 64 years with OA and 33,360 age- and sex-matched individuals without OA. CHRONIC FINGER AND HAND PAIN IN A MIDDLE-AGED WOMAN A 48-year-old woman complains of finger and knuckle pain in her right hand of 1 year's duration. She is right-handed. The pain is located over the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints of the index and middle fingers. The pain has recently become more intense and now makes it difficult to sleep and to grasp objects.

NUTRITION411

Researchers recently conducted the first global review of herbal and dietary supplements for weight loss in 16 years, including data from 121 randomized trials. SUBSCRIPTIONS AND SIGN-UPS Subscriptions and Sign-Ups. eNewsletter Sign-Up. Create a Consultant360 Account. HOME | PRACTICAL UPDATES 2021 Welcome to the 2021 Virtual Series. The Practical Updates in Primary Care Virtual Series will be your official source for comprehensive and forward-thinking education, putting you at the forefront of care. This year, we're offering four opportunities to attend a meeting with like-minded professionals that works for you and your schedule.

PEDIATRICS

Delayed Nail Findings in Hand-Foot-and-Mouth Disease. A 7-year-old boy with a history of eczema presented with painful peeling of his fingernails of several days’ duration. He denied any trauma or other inciting injury to his fingernails. His mother had a history of CT SCAN VS STRESS TEST: WHICH IS BETTER FOR IDENTIFYING Overall, CT scan accurately identified clogged arteries in 91% of patients, compared to 69% identified by stress tests. In a subgroup of 111 high-risk patients, CT was accurate in 96% of patients, compared with 80% for stress tests. “No tests is 100 percent accurate 100 percent of the time, but our findings indicate CT angiograms get

pretty

APPLE CIDER VINEGAR RELIEVES INFLAMMATION, FIGHTS BACTERIA Apple Cider Vinegar Relieves Inflammation, Fights Bacteria. Commercial apple cider vinegar has potent antimicrobial properties and can safely and effectively relieve inflammation, according to results of a new study. Findings from the study were presented by Dr Darshna Yagnik on August 21, 2017, at the 3rd Annual Congress on Infectious Diseases TREATMENT-RESISTANT TINEA CORPORIS For 4 years, a 10-year-old boy had a recurrent rash on his left leg. He had been treated for presumed ringworm with multiple topical antifungal medications, including terbinafine, ciclopirox, and ketoconazole, each used twice daily for several weeks with near complete clearing after each course. However, the rash recurred in the same location several weeks to months after therapy was URINARY TRACT INFECTION CAUSED BY KLUYVERA ASCORBATA Their PubMed search identified 40 cases of K ascorbata infection from 1971 to 2018, and 3 more cases were identified in the researcher’s own hospital in a retrospective review. The most common site of infection in the 43 cases was the urinary tract, identified in 19 cases, followed by the bloodstream (12 cases), intra-abdominal (10

cases

FATIGUE IN A WOMAN WITH A HEART MURMUR Fatigue in a Woman With a Heart Murmur. Consultant: Volume 42 - Issue 3 - March 2002. A 59-year-old woman comes to your office for evaluation of her heart murmur. During the last several months, she has tired more easily and has had less energy. Recreational activities, such as lap swimming, have become difficult because she is

easily winded.

REGISTRATION

Cancellation Policy. Cancellation requests for Practical Updates in Primary Care 2021 must be received in writing by emailing registration@hmpglobal.com or postmarked by 30 days out from meeting. A cancellation fee of $100.00 (or full registration amount, whichever

is less) will

NUTRITION411

Researchers recently conducted the first global review of herbal and dietary supplements for weight loss in 16 years, including data from 121 randomized trials. SUBSCRIPTIONS AND SIGN-UPS Subscriptions and Sign-Ups. eNewsletter Sign-Up. Create a Consultant360 Account. HOME | PRACTICAL UPDATES 2021 Welcome to the 2021 Virtual Series. The Practical Updates in Primary Care Virtual Series will be your official source for comprehensive and forward-thinking education, putting you at the forefront of care. This year, we're offering four opportunities to attend a meeting with like-minded professionals that works for you and your schedule.

PEDIATRICS

Delayed Nail Findings in Hand-Foot-and-Mouth Disease. A 7-year-old boy with a history of eczema presented with painful peeling of his fingernails of several days’ duration. He denied any trauma or other inciting injury to his fingernails. His mother had a history of CT SCAN VS STRESS TEST: WHICH IS BETTER FOR IDENTIFYING Overall, CT scan accurately identified clogged arteries in 91% of patients, compared to 69% identified by stress tests. In a subgroup of 111 high-risk patients, CT was accurate in 96% of patients, compared with 80% for stress tests. “No tests is 100 percent accurate 100 percent of the time, but our findings indicate CT angiograms get

pretty

APPLE CIDER VINEGAR RELIEVES INFLAMMATION, FIGHTS BACTERIA Apple Cider Vinegar Relieves Inflammation, Fights Bacteria. Commercial apple cider vinegar has potent antimicrobial properties and can safely and effectively relieve inflammation, according to results of a new study. Findings from the study were presented by Dr Darshna Yagnik on August 21, 2017, at the 3rd Annual Congress on Infectious Diseases TREATMENT-RESISTANT TINEA CORPORIS For 4 years, a 10-year-old boy had a recurrent rash on his left leg. He had been treated for presumed ringworm with multiple topical antifungal medications, including terbinafine, ciclopirox, and ketoconazole, each used twice daily for several weeks with near complete clearing after each course. However, the rash recurred in the same location several weeks to months after therapy was URINARY TRACT INFECTION CAUSED BY KLUYVERA ASCORBATA Their PubMed search identified 40 cases of K ascorbata infection from 1971 to 2018, and 3 more cases were identified in the researcher’s own hospital in a retrospective review. The most common site of infection in the 43 cases was the urinary tract, identified in 19 cases, followed by the bloodstream (12 cases), intra-abdominal (10

cases

FATIGUE IN A WOMAN WITH A HEART MURMUR Fatigue in a Woman With a Heart Murmur. Consultant: Volume 42 - Issue 3 - March 2002. A 59-year-old woman comes to your office for evaluation of her heart murmur. During the last several months, she has tired more easily and has had less energy. Recreational activities, such as lap swimming, have become difficult because she is

easily winded.

REGISTRATION

Cancellation Policy. Cancellation requests for Practical Updates in Primary Care 2021 must be received in writing by emailing registration@hmpglobal.com or postmarked by 30 days out from meeting. A cancellation fee of $100.00 (or full registration amount, whichever

is less) will

ABOUT THE JOURNAL

About Consultant and Consultant360.com. Consultant and Consultant360.com pull together practical clinical advice from top experts in many specialties in convenient print and online sources for primary care practitioners.. The journal provides peer-reviewed articles on key topics encountered in clinical practice, as well as short, quick-reading features that emphasize diagnostic quizzes and

A CASE OF MELANOMA

Discussion. Melanoma is a form of skin cancer that begins in the melanocytes, found in the basal layer of the epidermis, which produce melanin.1 Melanin determines the pigmentation of the skin.1 Mutations occur in the DNA and are thought to be due to UV radiation exposure. These mutations cause the melanocytes to reproduce uncontrollably in

the

IRRITANT CONTACT DERMATITIS CAUSED BY HAND SANITIZER USE A 13-year-old middle-school student being home-schooled under a stay-at-home mandate due to the COVID-19 pandemic presented in mild distress with moderate to severe erythema and cracking to the dorsal aspects of both hands. She reported associated pruritus and pain. PRESENTATIONS OF PSORIASIS In this slideshow, we present 4 cases involving psoriasis. Click through the slides to read through the case reports and learn more about the treatments for each. PHIL LEMPERT ON THE EFFECTS OF EATING WITH COWORKERS Phil Lempert is a television and radio news reporter, newspaper columnist, author, consumerologist, and food marketing expert.For more than 25 years, Lempert, an expert analyst on consumer behavior, marketing trends, new products, and the changing retail landscape, has identified and explained impending trends to consumers and some of the most prestigious companies worldwide. OSTEOARTHRITIS IS LINKED TO INCREASED PARKINSON DISEASE Osteoarthritis (OA) is associated with an increased risk of developing Parkinson disease (PD), according to the results of a recent study. 1 The researchers conducted a retrospective cohort study using data from Taiwan’s Longitudinal Health Insurance Database 2005, including 33,360 patients aged 50 to 64 years with OA and 33,360 age- and sex-matched individuals without OA. POP QUIZ: PRESENTING SYMPTOMS OF FABRY DISEASE Fabry disease can affect children as well as adults. Do you know the presenting symptoms in children? INFLAMMATION ASSOCIATED WITH DEPRESSION IN PSA Although depression is known to be associated with psoriatic arthritis (PsA), new research indicates that depressed mood may be due to biological as well as emotional and sociological factors. ALCOHOL SEPTAL ABLATION MAY BE BENEFICIAL FOR VENTRICULAR Alcohol septal ablation is an effective therapy for patients with Fabry disease and left ventricular hypertrophy, according to results

of a new study.

HELPFUL DOCUMENTS AND INFORMATION Virtual exhibit space, attendee engagement options, and branding opportunities are available to companies interested in participating

in the meeting.

NUTRITION411

Researchers recently conducted the first global review of herbal and dietary supplements for weight loss in 16 years, including data from 121 randomized trials. SUBSCRIPTIONS AND SIGN-UPS Subscriptions and Sign-Ups. eNewsletter Sign-Up. Create a Consultant360 Account. HOME | PRACTICAL UPDATES 2021 Welcome to the 2021 Virtual Series. The Practical Updates in Primary Care Virtual Series will be your official source for comprehensive and forward-thinking education, putting you at the forefront of care. This year, we're offering four opportunities to attend a meeting with like-minded professionals that works for you and your schedule.

PEDIATRICS

Delayed Nail Findings in Hand-Foot-and-Mouth Disease. A 7-year-old boy with a history of eczema presented with painful peeling of his fingernails of several days’ duration. He denied any trauma or other inciting injury to his fingernails. His mother had a history of APPLE CIDER VINEGAR RELIEVES INFLAMMATION, FIGHTS BACTERIAAPPLE CIDER VINEGAR AND BACTERIAAPPLE CIDER VINEGAR KILLS BACTERIAAPPLE CIDER VINEGAR INFLAMMATIONAPPLE CIDER VINEGAR BACTERIAL INFECTIONAPPLE CIDER VINEGAR IN NOSEAPPLE CIDER VINEGAR FOR ARTHRITIS Apple Cider Vinegar Relieves Inflammation, Fights Bacteria. Commercial apple cider vinegar has potent antimicrobial properties and can safely and effectively relieve inflammation, according to results of a new study. Findings from the study were presented by Dr Darshna Yagnik on August 21, 2017, at the 3rd Annual Congress on Infectious Diseases CT SCAN VS STRESS TEST: WHICH IS BETTER FOR IDENTIFYING Overall, CT scan accurately identified clogged arteries in 91% of patients, compared to 69% identified by stress tests. In a subgroup of 111 high-risk patients, CT was accurate in 96% of patients, compared with 80% for stress tests. “No tests is 100 percent accurate 100 percent of the time, but our findings indicate CT angiograms get

pretty

REVISITING DEMENTIA’S RELATIONSHIP TO HYPOTHYROIDISM Overt hypothyroidism in elderly individuals is a cause of dementia, 5 and is prevalent in 2% to 5% of persons aged 65 years and older. 4 Subclinical hypothyroidism, defined as isolated elevation of thyroid-stimulating hormone (TSH) levels with normal T4 and T3, with or without symptoms, is estimated to affect another 5% to 10% of

people aged 65

THE MTHFR GENE AND BREAST CANCER RISK Breast cancer is the most common form of cancer in women worldwide. 1 Risk factors include alcohol use, obesity, inactivity, family history, and genetic mutations. The BRCA1 and BRCA2 mutations are well-known, but other genetic variants and single nucleotide polymorphisms (SNPs) also play a role in influencing one’s risk. SNPs are small mistakes, comparable to a spelling mistake, in a person FATIGUE IN A WOMAN WITH A HEART MURMUR Fatigue in a Woman With a Heart Murmur. Consultant: Volume 42 - Issue 3 - March 2002. A 59-year-old woman comes to your office for evaluation of her heart murmur. During the last several months, she has tired more easily and has had less energy. Recreational activities, such as lap swimming, have become difficult because she is

easily winded.

TOPICAL DICLOFENAC SAFELY RELIEVES CLINICAL NEUROPATHIC Topical diclofenac safely relieves clinical neuropathic pain. By Reuters Staff. NEW YORK (Reuters Health) - Topical diclofenac (1.5%) provides moderate pain relief in some patients with clinical neuropathic pain, according to results from a small, randomized crossover trial. "Given the challenge of treating neuropathic pain and

the minimal side

NUTRITION411

Researchers recently conducted the first global review of herbal and dietary supplements for weight loss in 16 years, including data from 121 randomized trials. SUBSCRIPTIONS AND SIGN-UPS Subscriptions and Sign-Ups. eNewsletter Sign-Up. Create a Consultant360 Account. HOME | PRACTICAL UPDATES 2021 Welcome to the 2021 Virtual Series. The Practical Updates in Primary Care Virtual Series will be your official source for comprehensive and forward-thinking education, putting you at the forefront of care. This year, we're offering four opportunities to attend a meeting with like-minded professionals that works for you and your schedule.

PEDIATRICS

Delayed Nail Findings in Hand-Foot-and-Mouth Disease. A 7-year-old boy with a history of eczema presented with painful peeling of his fingernails of several days’ duration. He denied any trauma or other inciting injury to his fingernails. His mother had a history of APPLE CIDER VINEGAR RELIEVES INFLAMMATION, FIGHTS BACTERIAAPPLE CIDER VINEGAR AND BACTERIAAPPLE CIDER VINEGAR KILLS BACTERIAAPPLE CIDER VINEGAR INFLAMMATIONAPPLE CIDER VINEGAR BACTERIAL INFECTIONAPPLE CIDER VINEGAR IN NOSEAPPLE CIDER VINEGAR FOR ARTHRITIS Apple Cider Vinegar Relieves Inflammation, Fights Bacteria. Commercial apple cider vinegar has potent antimicrobial properties and can safely and effectively relieve inflammation, according to results of a new study. Findings from the study were presented by Dr Darshna Yagnik on August 21, 2017, at the 3rd Annual Congress on Infectious Diseases CT SCAN VS STRESS TEST: WHICH IS BETTER FOR IDENTIFYING Overall, CT scan accurately identified clogged arteries in 91% of patients, compared to 69% identified by stress tests. In a subgroup of 111 high-risk patients, CT was accurate in 96% of patients, compared with 80% for stress tests. “No tests is 100 percent accurate 100 percent of the time, but our findings indicate CT angiograms get

pretty

REVISITING DEMENTIA’S RELATIONSHIP TO HYPOTHYROIDISM Overt hypothyroidism in elderly individuals is a cause of dementia, 5 and is prevalent in 2% to 5% of persons aged 65 years and older. 4 Subclinical hypothyroidism, defined as isolated elevation of thyroid-stimulating hormone (TSH) levels with normal T4 and T3, with or without symptoms, is estimated to affect another 5% to 10% of

people aged 65

THE MTHFR GENE AND BREAST CANCER RISK Breast cancer is the most common form of cancer in women worldwide. 1 Risk factors include alcohol use, obesity, inactivity, family history, and genetic mutations. The BRCA1 and BRCA2 mutations are well-known, but other genetic variants and single nucleotide polymorphisms (SNPs) also play a role in influencing one’s risk. SNPs are small mistakes, comparable to a spelling mistake, in a person FATIGUE IN A WOMAN WITH A HEART MURMUR Fatigue in a Woman With a Heart Murmur. Consultant: Volume 42 - Issue 3 - March 2002. A 59-year-old woman comes to your office for evaluation of her heart murmur. During the last several months, she has tired more easily and has had less energy. Recreational activities, such as lap swimming, have become difficult because she is

easily winded.

TOPICAL DICLOFENAC SAFELY RELIEVES CLINICAL NEUROPATHIC Topical diclofenac safely relieves clinical neuropathic pain. By Reuters Staff. NEW YORK (Reuters Health) - Topical diclofenac (1.5%) provides moderate pain relief in some patients with clinical neuropathic pain, according to results from a small, randomized crossover trial. "Given the challenge of treating neuropathic pain and

the minimal side

COVID-19 CARE360

COVID-19 Roundup: NSAID Use, Rehabilitation, Pregnancy. This COVID-19 roundup discusses the recent update non-steroidal anti-inflammatory use, rehabilitation for long-haul covid symptoms, and mortality risk and vaccination in pregnant women. COVID-19 ROUNDUP: NEW TREATMENT, OBESITY, BIRTH RATES This COVID-19 roundup discusses a potential new treatment for COVID-19, how obesity affects long-term symptoms of the virus, and how birth rates were impacted UNEXPECTED DROP IN HEMOGLOBIN IN A PATIENT AFTER A 71-year-old Black man presented to the emergency department (ED) with an upper gastrointestinal tract bleed. He presented with borderline shock with an initial hemoglobin level of 6.8 g/dL prior to fluid resuscitation and transfusion of 4 units of packed red blood cells. He was admitted to the hospital and had a complicated 6-day hospital course characterized by hematemesis and melena. FIRST-OF-ITS-KIND MEDICATION FOR ALZHEIMER DISEASE The US Food and Drug Administration (FDA) has granted accelerated approval for aduhelm (aducanumab) a first-of-its-kind treatment for

Alzheimer disease.

PERIPHERAL ARTERIAL DISEASE: DIAGNOSIS AND TREATMENT ABSTRACT: The classic symptom of peripheral arterial disease (PAD) is intermittent claudication (IC); however, the ankle-brachial index, which is the Doppler ultrasound–recorded ratio of the systolic blood pressure in the ankle to that in the arm, is a much more sensitive method of diagnosis than subjective reports of IC. Among the major risk factors for PAD are advanced age, smoking

FABRY DISEASE

In a new study, researchers aimed to better understand the effects of alcohol septal ablation for patients presenting with Fabry disease and left ventricular hypertrophy. NEW CHRONIC RHINOSINUSITIS TREATMENT ALGORITHM RELEASED BY In response to new FDA-approved treatments for chronic rhinosinusitis with nose polyps, a group of experts has developed a stepwise treatment paradigm for patients with the condition. URINARY TRACT INFECTIONS IN ELDERLY PATIENTS: HOW BEST TO In a relatively young, healthy older person, the classic triad is usually present. In patients who are older than 75 years and less robust, however, the predominant symptoms are found outside of the urinary tract. A decline in functional ability, weight loss, and delirium are common presentations. COULD CAFFEINE INTAKE AFFECT GLAUCOMA RISK? In a recent study, researchers evaluated the association between levels of habitual caffeine intake and intraocular pressure and glaucoma, and the effects of genetic predisposition to FDA APPROVES NEW CHRONIC WEIGHT MANAGEMENT OPTION The US Food and Drug Administration (FDA) has approved wegovy (semaglutide) injection (2.4 mg once weekly) for the management of weight in adults with overweight or obesity and at least one weight-related condition. THIS WEBSITE USES COOKIES This website uses cookies in order to improve its performance and enhance your user experience. For more information about how we use cookies and the choices you have with respect to control of cookies, please read our privacy policy

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Pop Quiz: Treatment of Ankylosing Spondylitis Are you familiar with the 2019 Update of the ACR/SAA/SRTN Recommendations for the Treatment of Ankylosing Spondylitis and Nonradiographic Axial Spondyloarthritis? Find out by taking our pop

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Cluster Headache: What Role Does Family History Play? In a recent systematic review, researchers investigated the influence of inheritance patterns and family history rates in cluster headache. Here is what they found.

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