An Unusual Presentation of Duodenal Metastasis of a Previously Undiagnosed Primary Lung Adenocarcinoma.

A cancer diagnosis can be a frightening experience for both patients and their families. It is at this juncture that a prompt diagnosis of cancer becomes vital. Lung cancer is the leading cause of cancer-related deaths in men and women due to its aggressive nature and widespread metastasis.

Preventive and Primary Care for Lesbian, Gay and Bisexual Patients.

Among the minorities underserved by today׳s healthcare system, the lesbian, gay and bisexual (LGB) population may be the least studied, and the least understood by healthcare providers. High-quality evidence is often lacking regarding optimal preventive care measures, both in medical areas that (to date) fail to identify differences in need between LGB and heterosexual patients, and in those more prevalent in or more specific (or both) to sexual minorities. Issues of substance abuse, sexual health and sexually transmitted diseases, obesity and other eating disorders, cardiovascular prevention, cancer prevention and screening, depression and other psychological disorders, social isolation and personal and intimate partner violence are all as or more important to address in LGB patients as they are in the general American population.

Pharmacology update: tapentadol for neuropathic pain.

Neuropathic pain in a common problem encountered in palliative care. When neuropathic pain is diagnosed, appropriate treatment is important in limiting the severe psychosocial impairment that can ensue with undertreated pain. Proper evaluation of the patient to clarify the type of pain experienced is the first step to determine appropriate management.