Asthma exacerbation in a 27-year-old woman.Guidelines and Treatment for Asthma Pearls of Wisdom Q&A Case Asthma is a common and potentially serious chronic disease that imposes a substantial burden on patients, their families and the community. It causes respiratory symptoms, limitation of activity, and flare-ups (attacks) that sometimes require urgent health care and may be fatal. Asthma attacks – called … Read More
Clinical Pearl of the Month – Identify and Treat Tinea Capitis
A 10-Year-Old Boy with an Itchy Scalp and Patches of Hair LossIdentify and Treat Tinea Capitis Pearls of Wisdom Q&A Case Tinea capitis is a dermatological condition most common in children. It is caused by a fungal infection of the hair and scalp caused by dermatophyte fungi. Let’s take a look at this tinea capitis case and see if you … Read More
Tips for a Successful Early Clinical Career for Residents, Fellows, and New Board-Certified Clinicians
Tips for a Successful Early Clinical Career for Residents, Fellows, and New Board-Certified CliniciansHow to get off to a good start in your clinical practice. Completion of residency or fellowship training is an important step in one’s early clinical career. Equally important is getting off to a good start in your chosen branch of medicine once you have completed training. … Read More
Clinical Pearl of the Month – Ticks and Tickborne Diseases
Tickborne Disease in a 53-year-old WomanTicks and Tick-borne Disease Clinical Pearls of Wisdom Q&A Case Tickborne diseases in the United States include Rocky Mountain spotted fever, Lyme disease, ehrlichiosis, tularemia, babesiosis, Colorado tick fever, and many others according to the CDC. It is important for physicians to consider these illnesses when patients present with influenza-like symptoms. Early, accurate diagnosis allows … Read More
Clinical Pearl of the Month – Preeclampsia, High Risk Pregnancy, High Blood Pressure
Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. Preeclampsia usually begins after 20 weeks of pregnancy in women whose blood pressure had been normal. Left untreated, preeclampsia can lead to serious — even fatal — complications for both you and your baby. If you … Read More
Clinical Pearl of the Month – Tremor and Tremor Differentiation
Tremor consists of alternating contractions of agonist and antagonist muscles in an oscillating, rhythmic manner. Tremor may also be characterized based on distribution, frequency, amplitude, and related neurologic dysfunction.The first step in the evaluation of a patient with tremor is to categorize the tremor based on its activation condition, topographic distribution, and frequency. The diagnosis of tremor is based on … Read More
Clinical Pearl of the Month – Gout Treatment in 49-year-old Chinese American man
Gout affects 8.3 million Americans according to NHANES 2007–2008, roughly 3.9% of the U.S. population. Gout has significant impact on physical function, productivity, health-related quality of life and health care costs. Compared to whites, racial/ethnic minorities have higher prevalence of gout and there is a wide variation in the prevalence of gout in various populations in the Asia‐Pacific region. There’s … Read More
Against Medical Advice (AMA): Clinical Pearls Blog
When a patient leaves against medical advice – or AMA, the patient is leaving before their treating physician recommends discharge or despite medical advice to the contrary. This definition implies the patient received and understood the medical advice given. In practice, the term “AMA” is often used regardless of whether medical advice was given or not. Patients may lack the … Read More
Asymptomatic Bacteriuria: Clinical Pearls Blog
Asymptomatic bacteriuria (ASB) is a common finding in many populations, including healthy women and persons with underlying urologic abnormalities or those who have bladder catheters inserted for an extended period. Asymptomatic bacteriuria is a condition in which larger than normal numbers of bacteria are present in the urine but symptoms do not result. A 76-year-old woman with Alzheimer’s disease, hypertension, … Read More
Youth Sports Concussion: Clinical Pearls Blog
A concussion is a type of traumatic brain injury—or TBI—caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth. This sudden movement can cause the brain to bounce around or twist in the skull, creating chemical changes in the brain and … Read More
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