Photo Quiz – Nail Findings

Ed Day 8/9/17 - Photo Quiz slide set - nail findings - Simmons Credit for most photos:  Stanford 25 Photo Quiz Nails PHOTO QUIZ ANSWER SHEET – 8 AUGUST 2017

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Differentiating Conversion vs Factitious vs Malingering Disorders – Hughes

Difficulty is that these cannot be differentiated by self-report only; the clinician HAS to investigate other sources of information. CONVERSION Symptoms or deficits affecting voluntary motor or sensory functioning Actually very rare Commonly recurs (25% in the first year) Risk factors:  maladaptive personality traits (borderline, histrionic traits), history of childhood abuse/neglect, stressful life events may… Continue reading Differentiating Conversion vs Factitious vs Malingering Disorders – Hughes

Chronic Low Back Pain: What does and does not work (according to current evidence)

DOES WORK: Keeping moving Physical therapy or manipulation therapies Acupuncture, tai chi (clinician should emphasize possible benefits - likely enhances the placebo effect!) NSAIDs - lowest effective dose for shortest period - 1st line pharmacotherapy Can try APAP in those with NSAID contraindications, but unlikely to help Duloxetine (other SNRIs may work, but evidence lacking)… Continue reading Chronic Low Back Pain: What does and does not work (according to current evidence)