Of all the newly diagnosed bladder cancer patients, 25%-30% of them will have muscle-invasive disease that ideally will require major surgery in the form of a radical cystectomy, bilateral pelvic lymphadenectomy and creation of a urinary diversion as an integral part of curative therapy.
Neurologists are faced with many challenges in caring for patients with Parkinson's disease (PD). This chronic, long-term illness that affects at least one million people in the United States requires a coordinated healthcare partnership between the physician and the patient. The importance of early diagnosis is essential to delaying disease progression and early diagnosis and intervention may be aided by recent advances in biomarkers, genomics, and imaging.
Primary care providers are increasingly called upon to manage gout, a once less common disease that is becoming more prevalent and difficult to treat as our society rapidly ages. Gout is also on the rise and increasingly severe due to the increasing prevalence of obesity as well as animal fats and high fructose corn syrup in the Western diet.
"Why don't patients just do what we say?!!" Motivational Interviewing is a clinical method for helping people to resolve ambivalence and make successful behavior change by evoking motivation and commitment. In this voice-over slides interactive course you will acquire specific, tailored skills to have brief and effective interactions with patients. You will learn to recognize patient Change Talk, analyze self-assessed style in barriers to patient behavior change, and give personalized feedback and clinical recommendations in effective manner.
Many factors have been identified as predictive of acute pain becoming chronic. Unfortunately, the number of factors and the lack of consistent algorithms make the prediction and prevention of chronic pain difficult. A patient-centered approach to developing a risk profile for a patient in acute pain can decrease the likelihood of this patient developing chronic pain and experiencing its associated consequences. Specific examples are reviewed from each relevant domain or perspective of this approach.
From the July 2013 issue of The Clinical Advisor: Workplace stress and career burnout among clinicians. A shrinking pool of providers coupled with the extension of coverage to millions of previously uninsured individuals may increase practitioner anxiety.
This activity will discuss the nurse practitioner's role in managing coronary artery disease (CAD), including the goals of medical management, new pharmacotherapies available for treatment, strategies to improve treatment adherence, and common pitfalls to avoid when managing CAD in primary care patients. Recent clinical trials will also be discussed and case studies will be presented.
This activity presents a series of discussions on the clinical management of psoriasis and psoriatic arthritis from our expert faculty. Video vignettes depicting patient-clinician interactions in four separate case presentations are used to illustrate evidence-based best practices for diagnosing and treating patients with psoriasis and psoriatic arthritis. Disease management in the context of comorbid conditions is also discussed. The cases include a man with genital psoriasis and psoriatic arthritis; a woman of child-bearing age with severe scalp psoriasis; a woman with plaque psoriasis on the elbows, knees, and scalp who previously had cervical cancer; and a man with coronary artery disease who has palmoplantar psoriasis.
Osteoarthritis (OA) is among the more common sources of chronic pain. Risk factors for OA include age >50 years and obesity. Accordingly, OA prevalence is increasing. As you'll learn in this case, evidence-based guidelines recommend both therapeutic lifestyle changes and medical management to alleviate the diminished function and loss of quality of life associated with the chronic pain of OA.
Postmenopausal Osteoporosis, defined as a bone mineral density (BMD) T-score of ≤ -2.5 at the total hip, femoral neck, or lumbar spine, is a serious problem that predisposes women to increased bone fragility and fracture risk. BMD screening should be considered based on the woman's risk profile, and is recommended for all women aged ≥ 65years. However, screening rates vary widely, and family physicians may lack a rationale for BMD testing. Thus Postmenopausal Osteopososis often remains undiagnosed until a fracture occurs.
Crohn's disease is a chronic, inflammatory disorder that can become disabling over time. Because it is a lifelong disease, the importance of maintaining symptomatic control and remission is critical to minimizing short- and long-term complications and improving outcomes and quality of life for patients
Changes in cognitive function can reflect a number of conditions, including but certainly not limited, to the mild cognitive impairment that precedes the dementia phase of Alzheimer's disease. In this case, a woman who has exhibited some concerning cognitive lapses in her professional and family life undergoes evaluation to identify the probable pathology underlying these developments.
Diverticular disease is one of the most prevalent medical conditions in the United States. Symptomatic diverticular disease comprises a spectrum ranging from mildly symptomatic, with a profile similar to irritable bowel syndrome, to acute bouts of diverticulitis with complications such as abscess or perforation.
Chronic pain is a significant public health problem in the United States that is both common and costly. A significant barrier to the optimal diagnosis and treatment of chronic pain is a lack of knowledge regarding the underlying causes of chronic pain and the optimal use of analgesic compounds. This activity uses an interactive format to update clinicians on the pathophysiology of chronic pain and the mechanisms of action of common classes of analgesic therapies.
Cardiovascular disease (CVD) is the leading cause of death in the United States, primarily due to the effects of heart disease and stroke. The goal of this activity is to educate primary care clinicians on the evidence-based treatment of heart failure and provide guidance for commonly encountered clinical dilemmas.