October 1, 2009

The diagnosis of dehydration in children is best determined using multiple physical examination findings. Oral rehydration therapy is the preferred treatment for moderate to severe dehydration and has several advantages over intravenous fluids. For many children, oral…

Henoch-Schönlein purpura is characterized by purpura, abdominal pain, and arthritis. It is more common in patients younger than 10 years, although adults are more likely to develop complications, such as renal disease. Supportive treatment is the primary intervention; however…

Most patients who develop nephrogenic systemic fibrosis have a risk triad of exposure to gadolinium through contrast-enhanced magnetic resonance imaging, renal impairment, and a proinflammatory state. There is not yet an effective treatment for nephrogenic systemic fibrosis…

Accurate staging and grading of bladder cancer are important to determine the optimal treatment, which involves urology, pathology, and oncology. Non-muscleinvasive disease is typically managed with transurethral resection and perioperative intravesical chemotherapy, whereas…

Although drug information is readily available in books and drug databases accessed via the Internet or personal digital assistants, there are still some situations in which verbal communication with a knowledgeable source is often the quickest strategy for answering clinical…

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.

Study Examines Reasons Behind Low Level of Student Interest in Family Medicine | Clinical Trials of H1N1 Vaccine in Adults Demonstrate No Serious Adverse Events | MGMA Survey Results Reveal Top Concerns of Medical Practice Managers in 2009 | Organizations Reinforce Safety of…

Aerobic and resistance-training exercise programs lead to decreased overall fatigue and an improved quality of life during and after treatment of cancer.

Giving an injection of medroxyprogesterone (Depo-Provera) on any day of a patient's menstrual cycle decreases unintended pregnancies. For other hormonal methods, there is limited evidence. Compared with deferring until the patient's next menses, immediate start of hormonal…

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

The Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention (CDC) has published specific recommendations for vaccination against the novel influenza A (H1N1) virus, in addition to its recommendations for seasonal influenza vaccination.

Henoch-Schönlein purpura (HEN-awk SHERN-line PURR-purr-ah), or HSP, is a condition in which the blood vessels swell up. It causes a bumpy, non-itchy, reddish-purple rash on the skin. It can cause joints to swell and turn red, and it may cause stomach pain and bleeding. It can…

Bladder cancer is a type of cancer that is found in the tissue of the bladder (the organ that collects and stores urine).