Consultantlive Staff

Articles

U.S. PSYCH: Depression Remission Rates Remain Low, But There's Hope

April 26, 2007

SAN FRANCISCO -- Remission rates remain low for major depression even with multiple antidepressant drug classes available, but the recently approved selegiline patch (Emsam) aims to bring the rates up.

USPSYCH: Vigilance Still Necessary for Atypical Antipsychotics

April 26, 2007

SAN FRANCISCO -- Atypical antipsychotic medications have improved adverse-event profiles compared with the older generation of antipsychotics, but careful attention to major side effects is still required.

USPSYCH: Concurrent Treatment Works for ComorbidADHD and Substance Abuse

April 25, 2007

SAN FRANCISCO -- Given the high prevalence of substance abuse in patients with attention deficit hyperactivity disorder (ADHD), psychiatrists need to consider comorbidity in assessment of both conditions.

Conjunctival Granuloma

April 15, 2007

Two months after undergoing bilateral transconjunctival blepharoplasty, a 48-year-old man presented with dryness and pruritus of the left eye of 1 week's duration. He denied any discharge, change in vision, or fever.

Vice-President Cheney Develops DVT in Left Calf

March 05, 2007

WASHINTON -- Doctors discovered a blood clot in Vice- President Dick Cheney's left calf today and started him on first-line therapy for deep vein thrombosis, his office said.

Jaundice:

March 01, 2007

ABSTRACT: In patients with jaundice and normal liver function, the cause of hyperbilirubinemia is an isolated disorder of bilirubin metabolism. In patients with hyperbilirubinemia who have abnormal liver enzyme levels, hepatocellular disease must be differentiated from cholestatic liver injury. In general, if the cause of jaundice is global hepatocellular dysfunction, the serum alanine aminotransferase and aspartate aminotransferase levels will be predominantly elevated. If the cause is cholestasis, the serum alkaline phosphatase and gγ-glutamyl peptidase levels will be elevated. In most patients, imaging studies will be needed. The initial workup should include abdominal ultrasonography, which can identify dilated intrahepatic and extrahepatic biliary ducts as well as findings that may suggest cirrhosis or signs of portal hypertension, including splenomegaly and ascites.

Childhood Vaccination Schedule Expanded for 2007

January 04, 2007

ATLANTA -- A more comprehensive vaccination schedule for children and adolescents has been issued by the CDC for 2007.

Off the Wires

January 01, 2007

US researchers recently reported initial phase 1 results from 2 vaccine candidates that successfully produced immune responses in healthy uninfected adults (Gibian JJ. United Press International. November 16, 2006). Eventually, the approach may be used to protect against HIV infection. Barney Graham of the NIH Vaccine Research Center and colleagues performed the tests (Graham BS, Koup RA, Roderer M, et al. J Infect Dis. 2006;194:1650-1660; Catanzaro AT, Koup RA, Roderer M, et al. J Infect Dis. 2006;194:1638-1649).

Our Thanks to Reviewers in 2002

December 31, 2006

At Consultant, our goal is to provide the practical, authoritative information youneed to best serve your patients. That is why we “pre-test” article ideas (beforewe invite articles on those topics) to be sure they are of high interest to you andyour colleagues. It is also why we take great care in checking facts, creating usefultables and figures, and choosing illustrations and photographs to enhanceteaching messages.

LASIK: For Which of Your Patients With Refractive Error?

December 31, 2006

Laser in situ keratomileusis, orLASIK, was first described in 1990 1;since then, it has surpassed cataractsurgery as the most common eye operationperformed in the world. 2 Asmany as 1.5 million corneal refractivelaser surgeries are done annually inthe United States. 3,4