HCPLive Network

Family Practice Recertification

Editor's Letter
Menopause Hormone Therapy: What Does the Evidence Say
By Martin Quan, MD
It has been more than a decade since the findings of the Women's Health Initiative and even since that time the question of estrogen treatment remains contentious for the medical community.
FPR Journal Club
Looking at the Mediterranean Diet and Telomere Length
By Frank J. Domino, MD
This cohort study looked at the influence of maintaining a Mediterranean diet on telomere length, which is commonly used as a surrogate marker for longevity.
How Effective are Beta Blockers After Myocardial Infarction?
By Frank J. Domino, MD
In the era of reperfusion, beta blockers post myocardial infarction appear to have no mortality benefit.
A Closer Look at the Use of Fecal Immunochemical Testing
By Frank J. Domino, MD
The use of fecal immunochemical testing was found to be an effective method for colorectal cancer screening; this study found it led to an 8.4% positivity rate. On subsequent colonoscopy, 40% of those with positive FIT tests had advanced adenomas or colorectal cancer.
What Does IMPROVE-IT Improve?
By Frank J. Domino, MD
The highly publicized IMPROVE-IT trial was presented at the American Heart Association Scientific Sessions in mid-November. The conclusion of the study being that for those who are at the highest risk, like those who have suffered myocardial infarction, the combination of ezetimibe plus simvastatin lowered the risk of cardiovascular death, myocardial infarction, or stroke. The significance of this risk lowering is relatively minimal and despite years of research showing no benefit, this presentation was the first time when this drug combination resulted in a benefit.
Low Carb Diet Decreases Weight and Improves Framingham Risk Scores
By Frank J. Domino, MD
Eating a low carbohydrate diet compared to a low fat diet leads to greater loss of weight as well as a significant reduction in Framingham Risk Score.
Consultant's Corner
How Should I Evaluate This Young Woman with Urinary Urgency?
By Jennifer Kwok, DO
A 26-year-old recently married female is seen by you for a 2-day history of urinary urgency and mild “burning” on urination. On questioning, she also notes a slight vaginal discharge. She denies flank pain, hematuria, fevers, or chills.
Radiology Rounds
Why Does This Young Woman with Hypertension Have Rib Notching on Her Chest Radiograph?
By James D. Collins, MD
This 27-year old female medical student with recently diagnosed hypertension is seen following a chest x-ray in work up of a positive PPD. Upon questioning, the patient notes what she described as “gray-out spells” when tired and leg numbness with exercise after periods of sitting.
Pain Perspectives
Opioid Risk Mitigation- Part 5 Risk Stratification
By Michael E. Schatman, PhD, CPE
A commonly asked question by physicians pertains to the ideal frequency of urine drug testing. The answer is an unequivocal “it depends”.
Cardio Corner
75-Year-Old Man with a History of Single-chamber Pacemaker Presents with Dizziness and Nausea
By Daniel Schimmel, MD, MS
A 75 year-old man with a history of paroxysmal atrial fibrillation and a single-chamber pacemaker placed for bradycardia 5 years prior presents with dizziness and nausea to clinic. He notes that he has also been feeling short of breath with normal activities of daily living.
The HIT List
New Federal Strategic Plan Proposed for Health Information Technology
By Adam Hochron
The federal government recently established a new strategic plan for Health Information Technology which is expected to be in effect until 2020.
Dermatology Quiz
Leg Lesion in an Older Woman
Leg Lesion in an Older Woman
By Daniel Stulberg, MD
This 71-year-old woman presented with an itchy raised erythematous leg lesion that had been present for 10 months. She has a history of significant sun exposure in the past and was prescribed topical triamcinolone 4 months ago which she believes has made it slightly smaller and less itchy.
What is your diagnosis?