The Clinical Picture
Opioid tables crushed, then injected intravenously
Real concerns include amotivation, worsening psychiatric states, chronic disability, and chemical dependence.
From the Editor
Not long ago, we were told we needed to do better at relieving pain.
Several recent studies suggest how doctors can better treat acute pain to prevent chronic opioid use.
Medical Grand Rounds
Many patients have undiagnosed bipolar depression, ie, depression with shifts to periods of mania.
An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.
It is important to diagnose and treat the female athlete triad to maintain optimal bone health.
It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.
While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.
Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.