September 2014

Patient Participation in the Electronic Health Record Process

September 26, 2014

The HIT List

As more practices and hospitals enter the digital age with Electronic Health Records (EHR) and other health information technology tools, a recent article points out that all those efforts are only half the battle.

The Pelvic Examination: To Do or Not to Do...?

September 26, 2014

Editor's Letter

"Beauty is in the eyes of the beholder" and "seeing the same glass as being half-empty or half-full" are two commonly cited adages and nowhere is their meaning more evident than in the ongoing debate of whether a pelvic examination should be part of the routine check-up of a female patient.

Foot Lesions in Young Man

September 26, 2014

Dermatology Quiz

This 23-year-old man developed these lesions on his feet during a 10-month stay in Nicaragua. Initially he had itching and burning. He has been treated with 3 courses of topical antifungal preparations and there is no significant past medical history other than sweaty feet.

How Should I Handle This Patient Who Leaks Urine?

September 26, 2014

Consultant's Corner

A 58 year old G2P2, married woman presents to your office for her annual well woman exam. Upon questioning, she tells you that for several months she's been having trouble with urinary leaking. "I just can't seem to get to the bathroom on time and I feel like I go more often than usual." She also has been urinating at least twice during the night. She denies urinary burning or dysuria

Risks and Benefits of Aspirin for Primary Prevention

September 26, 2014

FPR Journal Club

This review article of recently reported systematic reviews demonstrates the cancer risks and benefits of taking aspirin over 5 years, finding a benefit beginning after 3 years of use.

Antiviral Treatment vs. Herpes Zoster Vaccines for Postherpetic Neuralgia

September 26, 2014

FPR Journal Club

This review and meta-analysis assessed whether antiviral treatment given during the acute herpes zoster rash is effective at preventing postherpetic neuralgia in patients with a first-time case of shingles.

Determining Risky Blood Pressure in Children and Adolescents

September 26, 2014

FPR Journal Club

Determining if a child or adolescent has hypertension is complex and requires use of gender, age, and height specific readings. This study used a simplified approach of systolic and diastolic blood pressure readings compared to height as a screening tool for the diagnosis of hypertension in Chinese children.