Issue
Plants of the genus Digitalis are the source of digoxin. Historical evidence of pharmacological use of purple foxglove (Digitalis purpurea) is documented as early as 1250, when it was used as a recipe for headache. Its topical form was used in 1466 for wound healing. In 1785, Dr. William Withering, an English physician and botanist, analyzed approximately 200 cases, mostly with “dropsy” in his An Account of the Foxglove and Some of its Medical Uses: With Pract
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Release Date: February 15, 2008
Expiration Date: February 15, 2009TARGET AUDIENCE
Internists, family practitioners, geriatricians, cardiologists, and others who care for older patients.MEDIUM USE
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Post-TestFebruary 2008
Learning Objectives
Upon completion of this educational activity, participants should be able to:
1. Identify common causes of macrocytosis and macrocytic anemia.
2. Evaluate and diagnose macrocytic anemia.
3. Recommend appropriate management for vitamin B12 and folate deficiency.
4 Recognize important strategies to evPoint of View
The purpose of this article is to review current perceptions of appropriate use of antipsychotic medications for behavioral problems in skilled nursing facility (SNF) residents with dementia. This is especially critical now given the public concern. While evidence regarding the pharmacologic treatment of behavioral problems in patients with dementia is sorely lacking, public focus is moving clinicians to stick to the
To the Editor:
The article “Wandering in Dementia” by Melinda S. Lantz, MD, from the November 2007 issue of Clinical Geriatrics1 uses a case description that is all too typical, but also an example of several common errors in medicine that are overlooked, not discussed, and were not addressed by the author.First, a diagnosis of dementia is not sufficient for initiation of treatment with a cholinesterase inhibitor, alt
To the Editor:
This article1 was quite odd. Its title suggests the author will show an example of a “healthcare system” failing to provide necessary services. Instead, we see how ridiculous it can be to attempt to maintain independence at all costs. The 62-year-old man does not even live in the same state as his father, who had had a severe stroke. He was concerned enough to arrange home care, but could- Somatization Disorder: When the Patient Has Multiple Medical Problems and Ongoing Somatic Complaints
Case Presentation
The patient, Ms. C, is a 68-year-old unmarried white woman who presents to the emergency room (ER) with complaints of shortness of breath. She is well known to the hospital staff due to her frequent visits and because she was employed as a nursing assistant there for more than 30 years. Ms. C is a long-time smoker who suffers from chronic obstructive pulmonary disease (COPD). In addition, she has a diagnosis of hypothyroidism and underwent a lumpectom
