April 15, 2012

Knowledge of the normal nail apparatus is essential in identifying abnormalities. These abnormalities can reveal localized conditions that require treatment or prompt further evaluation for systemic disease.

The diagnosis of pelvic inflammatory disease is based primarily on clinical evaluation. Symptoms typically include pelvic or lower abdominal pain, and pelvic examination usually reveals cervical motion, uterine, or adnexal tenderness. Empiric treatment with broad-spectrum…

A systematic approach to finger injuries, including history, physical examination, and radiography, is needed to avoid potential complications. Most dislocations can be treated with splinting, and early range of motion and strengthening exercises. Conservative management is…

In the Practice Guidelines, “ACIP Releases 2012 Immunization Schedules,” (February 1, 2012, page 281) the accompanying 2012 young children (birth through six years of age) immunization schedule was clarified by the Centers for Disease Control and Prevention after publication…

CMS Delays Enforcement of the 5010 Electronic Transaction Standards | NRMP Reports a Small Increase in Match Rates for Family Medicine Residencies | Smoking Cessation Rates in Children and Young Adults Level Out After Gains | PCMH Practices May Have Higher Morale and Job…

Manual manipulation of the spine has been used by clinicians for thousands of years and continues to be a commonly used technique.1,2 Andrew Taylor Still, the founder of osteopathy, and Daniel David Palmer, the founder of chiropractic therapy, introduced manual manipulation…

Low back pain is a common symptom in primary care patients that has many possible etiologies. Spinal manipulation is one of many potential treatment options that have been used by many different types of clinicians for more than a century. Only in the past 50 years have…

Most adults experience low back pain at some point during their lives, making it one of the most common conditions encountered in primary care.1,2 The pain often improves greatly within one month, with more than 90 percent of patients no longer needing medical care within three…

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

Evening primrose oil may be effective for the treatment of atopic dermatitis.

What are the effects of treatments for unconjugated hyperbilirubinemia in term and preterm infants?

Heart failure is associated with poor prognosis and quality of life, as well as high health care costs. In 2010, the National Institute for Health and Clinical Excellence (NICE) updated its previous guideline on the management of chronic heart failure in adults. This update…

Letter

Pelvic inflammatory disease, or PID, is a common infection that women get in their pelvic organs. It usually starts in the vagina and cervix, and spreads into the uterus (womb), fallopian tubes, or ovaries. Most women with PID are 15 to 29 years of age.