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Are All Cardiovascular Risk Factors Created Equal: Can Lp (a) be a contributor to cardiovascular disease?

As providers we are all aware of that patient who presents with premature heart disease, or that patient who closes off a newly placed stent shortly after placement in spite of treatment with traditional medications of statins, anti-coagulants, along with Beta blockade or ACE or ARB inhibition. …

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ARE GENITAL INSPECTION AND SPECULUM EXAMINATION IN ASYMPTOMATIC WOMEN NECESSARY AND HELPFUL?

To perform or not to perform a genital and speculum exams in asymptomatic non-pregnant women? That is a controversial question with no clear answer. Most clinicians assume genital inspection and speculum examination in asymptomatic women is clinically valuable. Despite these practices being considered routine by most clinicians, …

ARE GENITAL INSPECTION AND SPECULUM EXAMINATION IN ASYMPTOMATIC WOMEN NECESSARY AND HELPFUL? Read More »

When Imaging is Necessary

I am sure at one time or another in all of our careers, we struggle with conflict in what we should do and what we actually do for a patient. The patient may be requesting an antibiotic when it is not really necessary, but you may prescribe …

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Red Flags of Back Pain

Although back pain is one of the most common patient complaints we see in many practice settings, I find it amazing how many clinicians are uncomfortable or unsure how to evaluate and manage their patients with back pain. If you boil this down to some no nonsense …

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