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Exploring role of elective lymph node dissection in managing high-risk CSCC

The jury is still out on whether patients with high-risk cutaneous squamous cell carcinoma (CSCC) whose lymph nodes are clinically node-negative (N0) may benefit from elective neck dissection (END), according to Jonathan L. Cook, M.D., associate professor of medicine and director of dermatologic surgery, Duke University Medical Center, Durham, N.C. END, a diagnostic staging procedure, allows microscopic detection of subclinical nodal metastases.
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Infectious Disease

Update on fever in the returning traveler

Returning travelers who are febrile require an urgent diagnostic workup and appropriate consultation even if signs on the physical exam are unremarkable. Here's how you should proceed.
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Infectious Disease

Avian flu, West Nile virus, and Lyme disease: Tracking the progress of hot zoonoses

Emerging and spreading zoonoses are major concerns among the public and public health professionals. Recognition, surveillance, and reporting are our first line of defense.
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Urology

Ureteral calculi: Improving stone passage rates with medical therapy

Use of a pharmacotherapeutic regimen incorporating a calcium channel blocker or an a1-receptor blocker and a corticosteroid can facilitate spontaneous ureteral stone passage and reduce the morbidity associated with a conservative approach to treatment of selected patients with ureteral stones. But important questions about this therapy remain—including stone size cut-points and optimal ureteral locations.
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Focus On: Business & Practice
Medicare Part D

Medicare's drug coverage: Get ready for questions

By educating yourself, you can help answer your patients' questions—and there are bound to be lots of them.
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Practice Management

Teaching residents pays off for us

Doctors tend to shy away from resident education, thinking it takes too much time and money. In this FP's experience, it can actually save you both. There are common reasons why physicians are reluctant to participate in resident education. But teaching residents doesn't have to be a drain. If done effectively, it can lead to increased productivity, a fatter bottom line, and improved quality of life. And best of all, it can boost your job satisfaction.
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Medicare Part D

Medicare Part D Prescription Coverage

For 40 years, Medicare has dependably covered primary care visits, hospital stays and life-saving surgeries for millions of Americans. That's a great record of supporting older Americans. But even successful programs need modernizing. There's a crucial fact about the new coverage: It's voluntary
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August 2008
 
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