Malcolm S. Thaler

All articles by Malcolm S. Thaler

Conjunctivitis

OVERVIEW: What every practitioner needs to know Are you sure your patient has conjunctivitis? The typical patient presents with: Red (or pink) eye – Dilatation of the vessels within the conjunctiva, the normally transparent outer lining of the eye, causes the sclera to appear red. Exudate – A purulent discharge is very common; it is…

Keratitis

OVERVIEW: What every practitioner needs to know Are you sure your patient has keratitis? What should you expect to find? Keratitis, inflammation of the cornea, can be sight-threatening and must be recognized promptly. Key symptom: Eye pain. Each time the eyelid migrates across the inflamed cornea, the patient experiences pain. Continue Reading Other symptoms: Foreign…

Diabetes and Continuous Glucose Monitoring

Are You Sure the Patient Requires Continuous Glucose Monitoring? Continuous glucose monitoring has the potential to offer several benefits, enabling patients and their health care providers to: Identify large excursions of hyperglycemia or hypoglycemia that the patient may not be aware of. Recognize real-time trends in glucose levels that permit therapeutic intervention to minimize glucose…

Diabetes Screening and Prevention

Should we screen for prediabetes and undiagnosed type 2 diabetes Prediabetes (also referred to, more accurately, as impaired glucose tolerance [IGT] and/or impaired fasting glucose [IFG]) and type 2 diabetes (defined in Table I) represent a pathophysiological and clinical continuum. Table I. Tests Impaired fasting glucose Impaired glucose tolerance Diabetes Fasting plasma glucose 100–125 mg/dl…

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