MARY L. LEWIS
The newborn examination should be systematic and begin with a general assessment for normal and dysmorphic features. The head is inspected for skull and scalp deformities. Eye and ear abnormalities may signify a genetic syndrome. A cardiopulmonary assessment includes...
MARY L. LEWIS
Although skin findings in newborns are common and often benign, the entire skin surface should be examined to differentiate these findings. The chest should be assessed for symmetric movement and for abnormalities, and the abdomen for bowel sounds and masses. Ref lexes and...
AJAY SRIVASTAVA, NEEL PATEL
Enlarging cysts in the kidneys are the hallmark of the disease, although other renal manifestations include kidney injury, urinary tract infections, kidney stones, and hematuria. Extrarenal manifestations, such as cardiovascular problems, pain, intracranial aneurysms,...
JONATHAN B. KARNES, RICHARD P. USATINE
The diagnosis of anogenital warts is usually made clinically, but atypical lesions should be confirmed by histology. Treatments may be applied by patients, or by a clinician in the office. Surgical treatments are also available. The quadrivalent human papillomavirus vaccine...
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AMY M. DREW, GOLDIE L. PETERS, PETER G. DANIS
E-cigarettes are gaining popularity as a novel approach to smoking cessation, but data regarding safety and effectiveness are lacking. Until there is further research into the benefits and risks of e-cigarettes, physicians should recommend more familiar alternatives to help...
NATHAN HITZEMAN, JENNIFER SHOEMAKER
Do intranasal corticosteroids, with or without antibiotics, hasten the resolution of symptoms of acute bacterial rhinosinusitis?
MEGHAN F. RALEIGH, DAVID SHAHA
There is some evidence that exercise improves cognitive function and the ability to perform activities of daily living in patients with dementia.
KAMRAN ZAKARIA
A woman presented with erythematous, pruritic skin patches on her trunk and extremities that were slowly increasing in size and number.
ALLEN F. SHAUGHNESSY
In patients with diabetes, ACE inhibitors decrease cardiovascular events and all-cause mortality. ARBs do not. Both drug classes decrease heart failure incidence. Although both drug classes have been available for almost 15 years, there is only one study of 250 patients that...
MARK H. EBELL
ALLEN F. SHAUGHNESSY
Low-dose aspirin—ranging from 60 to 100 mg per day—beginning as early as the second trimester decreases the risk of preeclampsia, preterm birth, and intrauterine growth retardation in women who are at high risk of preeclampsia. No harms to the mother or newborn were...
ALLEN F. SHAUGHNESSY
Advice regarding the use of steam inhalation, ibuprofen alone or with acetaminophen, acetaminophen alone, and regular vs. as-needed use of analgesics did not show any improved effectiveness in treating symptoms of acute respiratory tract infections. Ibuprofen may be...
LISA HAUK
The American College of Obstetricians and Gynecologists (ACOG) has provided recommendations for the treatment of vasomotor and vaginal symptoms related to menopause.
A genital wart is a small growth on the skin on or around the genitals or anus. They are caused by a virus called human papillomavirus (HPV). There are many types of HPV. Some cause warts on the skin or genitals, but are not harmful. Others can cause infections that may lead...
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