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Poll: What is Your Next Step?

February 7, 2012

You have a patient with recurrent vaginal candidiasis and have tried everything you can think of, including vaginal suppositories and repeated courses of oral combined metronidazole(Drug information on metronidazole) and itraconazole(Drug information on itraconazole). A high vaginal swab shows only candida.

 

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by Devdas Acharya | February 10, 2012 10:03 AM EST

Exclude Diabetes

by Devdas Acharya | February 10, 2012 10:03 AM EST

Indiscriminate use of antibiotics are not very helpful.






MedicalProfessionalForum

Re: OB: Elective Induction at Term May Save Lives
OBGYN.net -
Yes. Study can be found here http://www.bmj.com/content/344/bmj.e2838 Art Art Fougner, MD Liability Reform IS Healthcare Reform Follow @sonodoc99 on Twitter
Re: petitive colposcopy
OBGYN.net -
THANKS. As usual you have information with excellent science. As I think we all know the ASCCP guidelines are great for first line and are great for the NPs and FPs doing colpos. The question posed is for those cases that then get referred to the ObGyns. THANKS again Joanne Joanne Bulley, MD, FACOG Keene, NH
Re: Repetitive colposcopy
OBGYN.net -
This is a multipart message in MIME format. =_alternative 0004BE5888257A00 When the colpo is negative (no AWE or vascular changes), do You routinely check random biopsies, along with the ECC? Anticipating the answer is yes, and Path returns negative for SIL, keep in mind that most CIN2-3 originated in Patients with persistent HPV of 5-10 years duration. Integration of the (formerly) episomal DNA into the host genome takes time (some will
Repetitive colposcopy
OBGYN.net -
I see quite a lot of patients with ASCUS, HPV DNA (+) in whom colposcopy is negative, but who continue to come back with the same cytology. For a number of years, I'd repeat the colposcopy only to continue to have the same result. Now, I have stopped doing a second colposcopy unless the cytology is consistent with high grade disease. I have found no reason to return to the very
Fibroid Tumors Triggered By A Single Stem Cell Mutation
OBGYN.net -
Fibroid Tumors Triggered By A Single Stem Cell Mutation http://www.medicalnewstoday.com/releases/245058.php Yours Sincerely; Professor Galal Lotfi, MD, MRCOG. 14A Sherif Street. Roxy. Heliopolis, Cairo 11341. Egypt. 2, Road 100. Maadi. Cairo. Egypt. Tel:#202-24535597, #202-25254631. E mail.

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FromPhysiciansPractice

Physician Performance Goals Are Great, But Balance Is More Realistic
Jennifer Frank, MD,  May 15, 2012
Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice
C. Noel Henley, MD,  May 11, 2012
Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices
Audrey "Christie" McLaughlin, RN,  May 10, 2012
Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes
James Doulgeris,  May 10, 2012
There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice?
Rosemarie Nelson,  May 9, 2012
Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.
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