Web Roundup

EXCLUSIVE TO THE WEB AT THE WEB AT ClinicalAdvisor.com

NEWS

ClinicalAdvisor.com/News

Impact of Low-Dose Aspirin on Colorectal and Lower GI Cancer Risk Examined

Long-term continuous use of low-dose aspirin has been found to be associated with a decreased risk of CRC; however, the underlying mechanisms for this are con icting.

Assessment Tool Shows Promise for Monitoring SUD Treatment Success

A recently developed 10-item progress assessment tool that monitors substance use disorder (SUD) factors shows promise as a helpful tool in treatment for SUD.

Prasugrel Found Effective for Acute Coronary Syndrome

In patients aged <75 years with a body weight of ≥60 kg, prasugrel 10 mg was associated with signi cantly lower risk for ischemic complications at 1 year compared with ticagrelor.

AHA/AMA Endorse Home Blood Pressure Monitoring to Improve Hypertension Rx

Self-measured blood pressure monitoring can prevent misclassi cation of hypertension in patients with elevated in-o ce blood pressure (white-coat hypertension).

Maternal Hypertension Increases Risk for Morbidity and Obesity in Children

Mothers with hypertension had higher maternal age, higher likelihood of >5 deliveries, greater prevalence of gestational diabetes, and increased likelihood of preterm delivery.

CLINICAL CHALLENGE

ClinicalAdvisor.com/CaseStudy

Brady Pregerson, MD

Epigastric Abdominal Pain and Vomiting

A patient in his 70s presents with a 1-day history of intermittent epigastric abdominal pain that radiates into his back. The pain has been increasing in severity over the past few hours. The patient vomited after lunch, which led him to seek medical help. The patient has a history of hypertension that is being controlled with metoprolol. He has not experienced fever, diarrhea, or other symptoms associated with his abdominal pain. See the full case at: ClinicalAdvisor.com/CaseOct20

THE WAITING ROOM

Of cial Blog of The Clinical Advisor ClinicalAdvisor.com/WaitingRoom

Jim Anderson, MPAS, PA-C, DFAAPA

Managing Provider Depression in the Era of COVID-19

Now more than ever, clinicians need to check in with their emotions as the COVID-19 pandemic can cause feelings of sadness, loneliness, and depression.

FEATURE

ClinicalAdvisor.com/Features

Screening, Diagnosis of Abdominal Aortic Aneurysms

Abdominal aortic aneurysms are likely to be encountered in the primary care setting, making appropriate diagnosis and management indispensable.

Advisor Dx

Interact with your peers by viewing the images and offering your diagnosis and comments. To post your answer, obtain more clues, or view similar cases, visit ClinicalAdvisor.com/AdvisorDx. Learn more about diagnosing and treating these conditions, and see how you compare with your fellow colleagues.

Check out some of our latest cases below!

DERM DX

Growth on the Lower Leg

An 84-year-old woman is referred for evaluation of 2 skin lesions — a nodular growth on her back and a 0.8-cm deeply pigmented papule on her right shin that was first noted 4 months ago. Her medical history indicates hypertension, coronary artery disease, and stasis dermatitis.

CAN YOU DIAGNOSE THIS CONDITION?

• Pyogenic granuloma • Kaposi sarcoma • Pigmented basal cell carcinoma • Hemosiderotic dermatofibroma

● See the full case at ClinicalAdvisor.com/DermDx_Oct20

ORTHO DX

In partnership with

Black Necrosis of the Left Foot

A 61-year-old man presents with a 2-month history of an infection in his left foot. The patient has poorly controlled insulin-dependent diabetes and underwent a below-the-knee amputation 2 years ago. His infection started as cellulitis but has progressed to full necrosis of the lateral aspect of the left foot over the course of 2 months.

WHICH INTERVENTION WOULD BEST ALLOW FOR A SUCCESSFUL LIMITED AMPUTATION?

• Lower extremity arterial angioplasty • Intravenous antibiotics • Surgical debridement • Diabetic education consultation

See the full case at ClinicalAdvisor.com/OrthoDx_Oct20

TheJopa.org

Journal of Orthopedics for Physician Assistants