August 15, 2008

Screeni ng options for latent tuberculosis infection include the tuberculin skin and interferon-gamma release assays. Nine months of isoniazid is the treatment of choice for most patients with latent tuberculosis infection; active disease requires combination therapy in two…

Glucosamine is a popular dietary supplement used to treat osteoarthritis, particularly of the knee. Although study results have been conflicting, there is no clear evidence to recommend against its use. It is reasonable to support a 60-day trial of glucosamine sulfate…

Atypical gastroesophageal reflux disease can present with respiratory, nasopharyngeal, or noncardiac chest pain symptoms. Aggressive acid suppression with proton pump inhibitors twice daily before meals is the standard treatment.

The evaluation of nocturnal enuresis usually includes an enuresis-focused history, physical examination, and urinalysis. Treatment begins with family and patient education and reassurance and is followed by behavior therapy with or without pharmacologic therapy.

Payment Reform Necessary for Physicians to Provide Appropriate Chronic Illness Care | CMS Offers Medicare Payment Bonus to Physicians Using E-prescribing Technology | Influenza Vaccination Rates for Patients with Asthma Fail to Meet Expectations | Physicians Receive Increase in…

Thiazide diuretics are underused in the treatment of hypertension, despite their proven superiority.1,2 The most common thiazide used in the United States is hydrochlorothiazide (HCTZ) at a dose of 12.5 to 25 mg per day. Chlorthalidone (Thalitone; brand available as 15-mg…

The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.

Generalized anxiety disorder leads to considerable morbidity and affects approximately 3 percent of patients in primary care practices.

What are the effects of treatments for acute diarrhea in adults living in resource-rich countries? What are the effects of treatments for mild-to-moderate traveler's diarrhea in adults from resource-rich countries traveling to resource-poor countries? What are the effects of…

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Zoledronic acid, in combination with calcium and vitamin D, will reduce the risk of vertebral fractures, and to a lesser extent, hip fractures in women with osteoporosis. It decreases subsequent fractures and mortality in high-risk patients who have had a hip fracture…

In 2007, the American College of Emergency Physicians (ACEP) updated its 2001 clinical policy on assessing patients with syncope in the emergency department. Syncope, which involves a brief loss of consciousness followed by spontaneous recovery, accounts for 1 to 1.5 percent of…

Tuberculosis (too-BERK-you-LOW-sis), or TB for short, is an infection that is caused by certain bacteria (also called germs).

Glucosamine (glue-CO-suh-mean) is a natural substance that is found in cartilage, which is the padding between the bones of a joint (for example, your hip or knee). When the cartilage in your joints starts to wear away, the bones begin to rub against each other. This is called…

Enuresis (say: EN-yur-EE-sis) is bed-wetting in a child five years or older. Most children stop wetting the bed before five years of age. More boys than girls have enuresis. It also tends to run in families.

The article “Diagnosis and Management of Diastolic Dysfunction and Heart Failure,” (March 1, 2006, page 841) contained two errors in the first paragraph of page 845. The words dihydropyridine and nondihydropyridine were misspelled. Also, there was an error in describing the…