October 15, 2012

Therapy targets the four factors responsible for lesion formation: increased sebum production, hyperkeratinization, colonization by Propionibacterium acnes, and the resultant inflammatory reaction. Treatment goals include scar prevention, reduction of psychological morbidity…

Chronic fatigue syndrome is a clinical diagnosis that can only be made when other etiologies for fatigue are excluded. Persons with chronic fatigue syndrome should be evaluated for concurrent depression, pain, and sleep disturbances. Treatment options include cognitive behavior…

Chronic kidney disease is a common condition that is associated with an increased risk of cardiovascular morbidity and mortality. The management of risk factors that affect cardiovascular disease and the progression of chronic kidney disease is reviewed. The use of intravenous…

Failure to Disclose

Updated Recommendations

Study Links Extended Physician Office Hours with Lower Health Care Costs | CMS Set to Begin Audits of Claims Containing Targeted CPT Codes | United States Trails Other Countries in Percentage of Avoidable Deaths | Step-Off Approach to Beta₂ Agonist Therapy for Asthma…

What are the effects of oral medical treatments to control heart rate in patients with chronic (longer than one week) nonvalvular atrial fibrillation? What is the effect of different treatment strategies for patients with persistent nonvalvular atrial fibrillation?

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

In patients at high risk of stroke because of nonvalvular atrial fibrillation, rivaroxaban is as safe and effective as warfarin. However, it should not be used in patients at risk of stroke for reasons other than nonvalvular atrial fibrillation until research shows its relative…

Case study: A 17-year-old white female patient with dark hair comes to your office for a refill of her seasonal allergy prescription. Her primary residence is in Minnesota. She mentions that she heard that sun tanning was “bad for you” and asks whether it is true.

Evidence indicates that reducing risk can slow the progression of cardiovascular disease (CVD); therefore, the National Heart, Lung, and Blood Institute (NHBLI) Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents…

The U.S. Preventive Services Task Force (USPSTF) recommends counseling children, adolescents, and young adults 10 to 24 years of age who have fair skin about minimizing their exposure to ultraviolet (UV) radiation to reduce the risk of skin cancer.

The evaluation of patients with elevated transaminase levels should be individualized based on the presence of symptoms or physical examination findings that suggest serious disease or hepatic decompensation.

Atherosclerotic cardiovascular disease events are the culmination of a process that has clearly been shown to begin in childhood, with accumulation of abnormal lipids in the vascular intima.1 Autopsy studies demonstrate significant correlations between elevated levels of total…

Atherosclerosis can be demonstrated in young arteries, and its development over time correlates with the presence of risk factors for the disease, including higher lipid levels. But the presence of this association should not prompt screening just because it is available. We…

Acne is the most common skin disorder in the United States. It is a long-term condition that involves the oil glands around each hair. Hairs grow from a follicle, which can become plugged by oil. Once the follicle is plugged, germs invade and cause bumps that can fill with pus…

Chronic fatigue syndrome (CFS) is a disorder that causes you to be very tired. It does not go away with rest. People with CFS may have other symptoms, such as poor sleep, trouble with remembering things, pain, sore throat, tender lymph nodes, or headaches. Not everyone with CFS…