Primary Care Reports
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Appropriate Cardiac Testing in an Inappropriate World
This two-part series will look at the rationale and causes of inappropriate testing and how to select the best, most appropriate cardiac test for each patient. The first part will focus on the theory of ordering tests and strategies to minimize unnecessary testing while the second part will focus on when and how to select each individual test given the patient's clinical scenario.
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Managing Complications of New-Age Cancer Therapy
Cancer patients undergoing treatment are immunocompromised and at high risk for developing early complications leading to critical illness. Compared to complications encountered with conventional chemotherapy, new-generation immunotherapies pose unique diagnostic challenges because their presentation can be vague and nonspecific or can mimic autoimmune diseases.
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Melancholia: A Review of Depression
Depression is a multifaceted recurrent disease of growing prevalence. The World Health Organization reports that depression will be the second leading cause of disability worldwide by 2020.
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Osteoporosis Review
Osteoporosis is a skeletal disorder in which bone density and quality are reduced. Patients experience loss of bone mass, deterioration of bone tissue, and a decline in bone quality, which leads to increased bone fragility and a higher risk of fractures. It is imperative that primary care providers address this challenge by implementing practices to screen patients for onset of osteoporosis to prevent and/or treat the disorder.
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Deciphering Medical Marijuana
The expansion of the sanctioned use of marijuana for recreational and medical purposes has exploded in recent years and warrants a critical appraisal of the primary care physician’s role in providing advice to and counseling patients.
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Common Foot Problems in Primary Care
Foot problems are a common complaint to primary care physicians and often mirror the patient’s general health, such as autoimmune disorders, endocrine disorders, neuropathies, and vasculopathies.
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Lifestyle Modification for the Prevention and Reversal of Cardiovascular Disease
Lifestyle is a critical determinant of the common risk factors for cardiovascular disease (hypertension, diabetes, hyperlipidemia, and smoking) that have been well-known to predict disease outcomes. Lifestyle medicine can be used in conjunction with traditional medications to provide the best care to patients. Clinicians need to act now to prevent being overwhelmed with the eventual increase in coronary artery disease following the obesity/diabetes epidemic.
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Influenza Cases Rising: What Clinicians Need to Know
The burden of influenza is significant. So far in the current 2018-2019 season, about 7 million Americans have been affected, with half of those people seeing a physician. Between 69,000 and 84,000 people have been hospitalized for flu-related illness.