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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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