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Chronic kidney disease (CKD) affects approximately 15% of the US population and is associated with significant cardiovascular morbidity and mortality. The two leading causes of end stage kidney disease are hypertension and diabetes mellitus, both of which are modifiable risk factors. The cornerstones of CKD care include early detection, management of associated risk factors, modification … Read More
Hemoglobin A1c (HbA1c) is a very common measure utilized to diagnose diabetes and to monitor the level of glycemic control during the course of management. Despite the high utility of HbA1c, it has some limitations. Physiological conditions that affect the lifespan of red blood cells (RBCs) can falsely elevate or lower HbA1c results. In this … Read More
Context: Oral isotretinoin, a systemic retinoid and a vitamin A derivative, has been widely utilized to treat acne in both adult and pediatric populations. Additionally, systemic retinoids have also been utilized to treat neuroblastoma in pediatric patients. Common side effects associated with oral isotretinoin include dry eyes, dry mouth, elevated liver enzymes, depression, and arthralgia. … Read More
Context: The thoracic spine is a common area of focus in osteopathic manipulative medicine (OMM) for a variety of conditions. Thoracic spine somatic dysfunction diagnosis is achieved by palpating for asymmetry at the tips of the transverse processes (TPs). Previous studies reveal that instead of following the rule of threes, the TPs of a given … Read More
Context: It is generally acknowledged that osteopathic physicians take a holistic approach to patient care. This style may help prevent the progression of painful musculoskeletal conditions, particularly if combined with osteopathic manipulative treatment (OMT).
Context: During the COVID-19 pandemic, many clinicians quickly adapted their way of practicing patient care by offering telehealth and virtual office visits while simultaneously having to minimize direct patient care. The shift in direct clinical learning opportunities provided to third- and fourth-year medical students required a shift in the educational curriculum to develop learner skills … Read More
Context: Although pudendal neuralgia (PN) has received growing interest over the last few years, diagnosis remains difficult, and many different therapeutic approaches can be considered.
In the January issue of Journal of Osteopathic Medicine (JOM), you’ll find a lineup of articles across various subspecialty areas and topics, including an analysis of the effects of isotretinoin on premature epiphyseal closure in pediatric patients, practical guidance for primary care physicians to diagnose chronic kidney disease, an overview of the possible treatments of … Read More
A 37-year-old Hispanic man visiting from Northern Mexico was admitted due to intermittent, moderate, non-radiating, right upper quadrant abdominal pain for five days. On laboratory findings, complete blood count was only remarkable for eosinophils of 6.4 (reference range, 0.0–0.5). C-reactive protein, aspartate aminotransferase and alanine aminotransferase, bilirubin, alkaline phosphatase, and lipase were within normal limits.