Skin and GI Lesions: What’s the Connection?
Cutaneous hyperpigmentation and papules coupled with active GI bleeding and a submucosal mass. What’s the diagnosis—and the chief clinical concern? (Source: Consultant Live)
Source: Consultant Live - November 1, 2013 Category: Primary Care Source Type: news

Beware Before Prescribing: Direct Thrombin Inhibitors Pose Increased Risk of MI
Dabigatran became more widely prescribed for patients with non-valvular AF after initially showing superiority to warfarin in the RE-LY trial. Results of subsequent analyses, however, dictate caution. (Source: Consultant Live)
Source: Consultant Live - November 1, 2013 Category: Primary Care Source Type: news

Racial Differences in Response to Antiretroviral Therapy
A recent study sought to separate psychosocial influences from biological factors at work in the higher rates of virologic failure among black Americans vs whites. (Source: Consultant Live)
Source: Consultant Live - November 1, 2013 Category: Primary Care Source Type: news

Diabetes, Intussusception, Celiac Disease: Take the Weekly Quiz
Among the disorders in the spotlight this week: intussusception, Celiac disease, sickle cell disease. See how well you do. (Source: Consultant Live)
Source: Consultant Live - November 1, 2013 Category: Primary Care Source Type: news

Black Hairy Tongue: What Cause?
The condition is characterized by an abnormal hypertrophy and elongation of filiform lingual papillae with an associated “brown” or “black” discoloration. Can you name the causes? (Source: Consultant Live)
Source: Consultant Live - October 30, 2013 Category: Primary Care Source Type: news

Obstructive Sleep Apnea Causes Myocardial Injury
OSA is associated with subclinical myocardial injury as indicated by increased high-sensitivity troponin T levels, according to this study. (Source: Consultant Live)
Source: Consultant Live - October 30, 2013 Category: Primary Care Source Type: news

Peripheral Nerve Stimulation for Chronic Headache
Electric stimulation of peripheral nerves shows promise as a long-term treatment for patients with chronic headache. (Source: Consultant Live)
Source: Consultant Live - October 30, 2013 Category: Primary Care Source Type: news

Lower Blood Glucose Levels May Stop Cognitive Decline
Lowering blood sugar levels is a promising strategy for preventing memory problems and cognitive decline as persons age, even for those whose blood sugar levels fall within the normal range. (Source: Consultant Live)
Source: Consultant Live - October 30, 2013 Category: Primary Care Source Type: news

Multiple Conditions Lower Seniors’ Quality of Life
In a recent study, both baseline and new multiple chronic conditions led to worse health in older patients. (Source: Consultant Live)
Source: Consultant Live - October 29, 2013 Category: Primary Care Source Type: news

Pearls From the Emergency Medical Literature
Here: tips from top articles culled from the emergency medical literature, with take-home messages for primary care. (Source: Consultant Live)
Source: Consultant Live - October 29, 2013 Category: Primary Care Source Type: news

Drug Offers Novel Approach for Airway Diseases
For patients with asthma or COPD, PL554 has the potential to both reverse bronchodilation and reduce inflammation more quickly and with fewer adverse effects. (Source: Consultant Live)
Source: Consultant Live - October 29, 2013 Category: Primary Care Source Type: news

Medication Errors in Adults—Case #4: Chemotherapy Drug Interactions
This case highlights medication errors that can result from drug interactions noted with the use of tamoxifen or other chemotherapeutic agents. (Source: Consultant Live)
Source: Consultant Live - October 27, 2013 Category: Primary Care Source Type: news

The Rapid, High-Yield Ortho Exam: A Systematic Approach
Attention to detail and a systematic approach combined with the knowledge and use of specific diagnostic exam tests will help minimize missing common orthopedic soft tissue injuries. (Source: Consultant Live)
Source: Consultant Live - October 24, 2013 Category: Primary Care Source Type: news

Treatment-Resistant Annular Rash
Antifungal creams haven’t made a dent in this intermittent rash. What is this lesion? (Source: Consultant Live)
Source: Consultant Live - October 24, 2013 Category: Primary Care Source Type: news

Mostly GI, with Pain and CAP for Good Measure
This week: 3 questions on GI disorders, 1 Pneumonia, and the link between the brain and pain. Can you answer all 5 questions? (Source: Consultant Live)
Source: Consultant Live - October 24, 2013 Category: Primary Care Source Type: news