THAD WILKINS, MARIAM AKHTAR, EUNICE GITITU, CHRISTINE JALLURI, JASON RAMIREZ
Hepatitis C is a major cause of liver disease and cirrhosis and is mainly transmitted via blood or body fluids. Periodic screening is recommended for at-risk adults, and one-time screening is recommended for adults born between 1945 and 1965. Treatment may be delayed for six...
DANIEL A. KNIGHT, DIANE JARRETT
Men who have sex with men (MSM) may face barriers to medical care, including a lack of a welcoming environment, lack of health insurance, and sexual minority stress. Physicians should focus on establishing trust, conducting a culturally competent history, providing routine...
KIM S. GRISWOLD, PAULA A. DEL REGNO, ROSEANNE C. BERGER
Patients with primary psychiatric disorders are likely to have auditory hallucinations, prominent cognitive disorders, and complicated delusions. If psychosis is caused by a medical condition, the patient may exhibit cognitive changes and abnormal vital signs, and may have...
CMS Encourages Physicians to Access User Accounts Prior to Computer System Update | HHS Says Basic Standards of Transparency Would Simplify Process for Sharing Patient Data | Move to Protect Hospital-Employed Family Physicians Seen as Patient Advocacy | Students Trained at...
DOUGLAS LEWIS
Individuals with cystic fibrosis (CF) are living healthier, longer lives, and as a result, family physicians are more likely to encounter adult patients with CF in their practices. In the 1970 Cystic Fibrosis Foundation annual registry, 700 adult patients were documented as...
CLINTON K. PONG, GEORGE E. MAXTED
Dapagliflozin will lower A1C levels by an average of 0.7 percentage points when used alone or by an average of 0.5 percentage points when added to metformin therapy. Its effect on diabetes-associated morbidity and mortality has not been studied, and although it is well...
TINA FAN, CARLO ROSSI
J.P. is a 16-year-old white female nonsmoker who presents for a sports clearance physical. She is in good overall health, excels academically, and plays water polo at school. During the patient history, she mentions that she and three friends were suspended from school for...
JEAVE L. RESERVA, MISTY GAMBLE, SURAJ S. VENNA
A man with a history of basal cell carcinoma presented with a solitary, 3.5-mm, skin-colored, dome-shaped, nontender, firm papule on his upper lip.
MARK H. EBELL
Aspirin improves long-term cardiovascular and thrombotic outcomes in patients who have had an initial unprovoked episode of VTE. The risk of bleeding was no higher in the aspirin group, perhaps because those at risk of bleeding were “uncovered” during the initial period of...
DAVID SLAWSON
MARK H. EBELL
The risk of diarrhea is significantly higher with amoxicillin/clavulanate (amoxiclav; Augmentin) than placebo, with a number needed to treat to harm (NNTH) of 8, which is not dissimilar from the number needed to treat for conditions such as otitis media. Contrary to popular...
LISA HAUK
The American Academy of Orthopaedic Surgeons (AAOS) has provided guidance, based on limited and moderate evidence, on diagnosing and nonsurgical treatments for developmental dysplasia of the hip in infants up to six months of age.
Hepatitis C, or hep C for short, is a virus that causes problems with your liver. Hepatitis C can spread from person to person, usually through blood. In the United States, most people get hepatitis C by sharing needles or other equipment used to inject drugs.
Ask your friends to recommend a supportive doctor or hospital. Check online sources such as social media and websites. Look for symbols such as a rainbow flag, photos of same-sex couples in clinic brochures, or the Human Rights Campaign logo (a yellow “equals” symbol on a...
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