April 15, 2013

Urinary incontinence is classified as transient or chronic. Transient incontinence is reversible after the underlying problem is resolved. Chronic incontinence is divided into five types: stress, urge, mixed, over flow, and functional. To determine the type, patients should…

Warfarin, unfractionated heparin, and low-molecular-weight heparin are commonly used for the prevention and treatment of disorders such as systemic embolism associated with atrial fibrillation, stroke, and venous thromboembolism. The American College of Chest Physicians…

Wrist pain may result from traumatic injury or may arise spontaneously from overuse, neurologic causes, or systemic causes. The diagnosis is based on the patient history, physical examination, and imaging findings. This article presents case scenarios that review common…

Legislature Promotes Primary Care Training | HHS Seeks Input on Accelerating the Process of EHR Adoption | CMS Toolkit to Aid in Transition to ICD-10 | E-visits vs. Office Visits: Pros and Cons | AHRQ Report on Patient Safety Strategies

What are the effects of antihypertensives and different blood pressure targets in persons with diabetes and hypertension?

Case Study: A 22-year-old primigravid woman at 20 weeks' gestation presents to your office with her boyfriend for a routine obstetric examination. She has had an uneventful pregnancy. She states that things are “okay” at home, even though she was laid off from her job just…

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

Studies suggest that more than one-third of persons with migraine need preventive therapy; however, only 3 to 13 percent use it. The American Academy of Neurology (AAN) and American Headache Society (AHS) recently reviewed studies published since 2000 to determine which…

There are no studies evaluating whether metformin prevents or delays the onset of diabetes in adolescents who are obese. In adults, metformin is as effective as lifestyle interventions in preventing increases in A1C and fasting glucose levels, but it is less effective in…

The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen women of childbearing age for intimate partner violence (IPV), such as domestic violence, and provide or refer women who screen positive to intervention services.

There are numerous problems with regularly measuring serum vitamin D levels to assess for deficiency.1 One issue is the lack of standardization in the screening process. The accepted test is to measure levels of 25-hydroxyvitamin D because of its half-life of three weeks…

Vitamin D is critical for bone mineralization.1 Over the previous decade, vitamin D deficiency has received significant media attention for its association with many adverse health outcomes beyond bone health, including cancer, autoimmune diseases, infections, diabetes mellitus…