Posts Tagged ‘Clinical Decisions’

New Clinical Decisions: The Guidelines Battle on Starting Statins

Posted by Jennifer Zeis • April 24th, 2014

Stephen, a 52-year-old white jogger with a body-mass index (BMI, the weight in kilograms divided by the square of the height in meters) of 25, wants you to assess his cardiovascular risks. He had scheduled his visit after taking his father to another physician to discuss his father’s blindness, which is related to type 2… Read More…

Should young athletes undergo cardiac screening before participating in sports?

Posted by Karen Buckley • November 19th, 2013

The director of a high school athletic program is considering implementation of a requirement that all student athletes undergo cardiac screening by a physician before participating in any school sponsored athletic team. Several teachers at the high school have been advocating for a mandatory screening program after seeing a television news report that featured a… Read More…

New Clinical Decisions: Controlling Type 2 Diabetes

Posted by Karen Buckley • October 3rd, 2013

Which drug is best for a patient who needs to get her glycated hemoglobin level down to 7.0%? Review the arguments, choose a treatment option, and share your comments in our latest Clinical Decisions. Agnes is a 51-year-old widow with hypertension who has not been able to gain complete control over her type 2 diabetes… Read More…

New Clinical Decisions: Regulation of Sugar-Sweetened Beverages

Posted by Karen Buckley • September 24th, 2012

• Read the case • Vote on the controversy • Submit your comment Our latest Clinical Decisions presents the brief fictional vignette of a 12-year-old girl named Meredith, who has no history of medical illness and does not engage in regular physical activity, other than her school gym class, which lasts 30 minutes twice a… Read More…

Vote Now on PSA Screening

Posted by Karen Buckley • August 16th, 2012

Whether to screen for prostate cancer is an open question for clinicians and patients. Our latest Clinical Decisions presents the case vignette of a 55-year-old man who reports to the primary care clinic for a routine exam and asks whether or not he should have a PSA test. An argument to recommend prostate cancer screening… Read More…

Should ABIM “Grandfathers” Voluntarily Recertify?

Posted by Karen Buckley • March 15th, 2010

The latest Clinical Decisions asks about a 55-year-old physician who practices internal medicine with a strong subspecialty in endocrinology. He holds time-unlimited certificates from the American Board of Internal Medicine (ABIM) in both internal medicine and endocrinology, known as “grandfather” status because recertification is not required as it is for younger physicians. Should he voluntarily… Read More…

Management of Incidental Hepatitis C Virus Infection

Posted by Karen Buckley • May 14th, 2009

Our latest Clinical Decisions presents the case of a 25-year-old woman with incidentally identified hepatitis C virus infection. Three possible treatment options, any of which could be considered correct, are provided. We asked you to vote for one and welcomed comments about your choice. A broad selection of these comments are now available for your… Read More…

Consider an Ethical Dilemma

Posted by Karen Buckley • February 26th, 2009

Our popular Clinical Decisions feature centers on what you would do in a given clinical setting and why. The latest in this series presented the fictional case of a 56-year-old homeless man found to have a subarachnoid hemorrhage and acute hydrocephalus. He was in a coma, and his prognosis, at best, was to be left… Read More…

Clinical Decisions — Track the Results

Posted by Karen Buckley • October 22nd, 2008

A record number of readers voted on our latest Clinical Decisions interactive feature, where we described a fictional case of a college basketball player with a large red welt on his buttock. We provided three independent treatment opinions, and we invited you to select which you favored. Over 11,000 votes were cast, the most since… Read More…