Articles related to PRACTICE PEARLS

Allergy testing in asthma is most useful when results could change management, with clinical history guiding targeted sensitization testing and total IgE serving a limited role outside anti-IgE biologic assessment.

Experts reviewing scleral lens care argue that underlying dry eye disease is a frequent but overlooked contributor to visual complaints among scleral lens wearers. The article emphasizes diagnostic evaluation and multimodal management strategies rather than new clinical trial evidence.

Singer-songwriter Carly Simon described years of mobility limitations initially attributed to arthritis and joint replacement recovery before receiving a Parkinson’s disease diagnosis. Her experience highlights the diagnostic challenges created when evolving symptoms appear consistent with existing conditions.

Sedative-hypnotic drug effects vary with meal timing, metabolism, and drug half-life in patients with insomnia. These pharmacologic factors influence sleep onset and maintenance, particularly in patients with psychiatric comorbidities requiring concurrent medications.

A man in his early 30s presenting with post-viral chest pain and bilateral forearm numbness posed a diagnostic challenge when automated ECG interpretation missed findings later consistent with acute pericarditis, including diffuse concave-upward ST elevation, PR depression, and a positive Spodick sign.

A quiz-format clinical vignette from Consultant360 walked through imaging selection and analgesia decisions in a 47-year-old woman presenting with acute right upper quadrant pain, using the case to reinforce diagnostic sequencing in the acute abdomen.