The patient A 12-year-old male initially was seen for significant bowing of the right tibia, causing knee pain — and his mom noted increasing deformity as he was growing older. There was concern for continued bowing of the leg, causing long-term issues with the right knee. He was having mild to moderate knee pain, which…
The Patient A 52-year-old male with a long-standing history of poorly controlled high blood pressure despite adherence to a four-drug antihypertensive regimen (including a calcium channel blocker, ACE inhibitor, thiazide diuretic and beta-blocker). The patient reported persistent systolic blood pressures in the range of 170–190 mmHg, confirmed by ambulatory monitoring. He had no evidence of…
The patient A 79-year-old man with essential tremor in the bilateral hands for at least 10 years Over the years, the severity of the tremor worsened, along with its negative impact on his life. First-line medications, propranolol and primidone, both were tried, without significant impact on the severity of tremor and the patient’s disability. Feeding…
The patient A 45-year-old man with bilateral thumb carpometacarpal joint arthritis for several years (Figures 1 and 2): He tried bracing and steroid injections, which eventually provided diminishing relief. He works as a mechanic for UPS but was having an increasingly difficult time at work due to pain and loss of pinch and grip strength….
The patient A 48-year-old male with a past medical history significant for malignant thymoma status post thymectomy and right lower lobe lobectomy, and myasthenia gravis, presented to Norton Women’s & Children’s Hospital emergency department with dyspnea on exertion (DOE). His CT was concerning for possible pulmonary embolism. His labs on this admission showed B-type natriuretic…
Menstrual migraine affects approximately 60% of women with migraine yet remains significantly underdiagnosed in clinical practice. This hormonal-triggered condition requires coordinated care to improve patient outcomes and quality of life. “In a primary care setting, especially OB/GYN offices, it’s important to expect migraine,” said Ricardo A. Herrera, M.D., neurologist and headache medicine specialist with Norton…
Norton Healthcare has received American Heart Association Get With The Guidelines achievement awards for demonstrating commitment to following up-to-date, research-based guidelines for the treatment of heart disease and stroke, ultimately leading to more lives saved, shorter recovery times and fewer readmissions to the hospital. Heart disease and stroke are the No. 1 and No. 5 causes of…
The treatment landscape for childhood obesity is evolving with the introduction of glucagon-like peptide-1 (GLP-1) receptor agonists in pediatrics. These medications, which have demonstrated substantial efficacy in adults, are now showing promising results in adolescent populations. “Integrating GLP-1 receptor agonists into pediatric obesity treatment represents a significant advancement in our ability to address a growing…
The landscape of opioid use disorder (OUD) treatment is evolving, with recent Drug Enforcement Administration regulation changes enabling physicians to treat patients without obtaining the X-waiver. This shift underscores the pivotal role primary care providers can play in addressing treatment gaps and offering care for patients with OUD. Understanding opioid use disorder: Definitions and diagnosis…