June 15, 2013

To diagnose high-grade cervical intraepithelial neoplasia, two or more colposcopicdirected cervical biopsies should be performed. Sensitivity is best when the biopsy is taken from acetowhite epithelium. Treatment options include excision or ablation. Endometrial carcinoma can…

Inguinal hernias are usually diagnosed through history and physical examination findings; however, imaging may be helpful in certain cases. Although most inguinal hernias are repaired, surgery may not be necessary for small, minimally symptomatic hernias.

Dermatologic conditions in skin of color have distinct presentations because of differences in cutaneous structure and function. Timely identification and diagnosis of basal and squamous cell carcinomas and melanoma can help reduce morbidity and mortality. Proper management of…

Dermatosis papulosa nigra, pseudofolliculitis barbae, acne keloidalis nuchae, and keloids occur more commonly in skin of color. These conditions are benign, but may cause pruritus, pain, and cosmetic concerns. Oral, topical, intralesional, and surgical treatment options are…

Bipartisan Study Proposes Recommendations for Improving Health Care Payment and Delivery | ACGME Proposes Changes to Residency Requirements for Family Medicine | AAFP Issues Statement After Justice Department Appeals OTC Access to Plan B One-Step | Medical Associations Urge…

Family physicians, even if not providing prenatal care, can play a critical role in maintaining current vaccinations in pregnant women. Learn which vaccinations to consider and which to avoid.

Case Study: G.H., a 35-year-old woman, presents for a routine preventive visit. She has no chronic illnesses or significant family history of disease. She does not smoke, but admits she does not exercise regularly or eat a very healthy diet. She drinks a moderate amount of…

A trial showing that one drug is noninferior to another does not mean that these drugs are equivalent. The noninferiority margin allows researchers to choose their own benchmark for what is considered a clinically significant difference between two drugs.

Spinosad is safe and effective for the treatment of head lice; most patients will be lice-free after a single treatment. Nit combing following treatment is not necessary. These benefits must be weighed against its prescription-only status and higher cost compared with…

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

There are no medications that improve patient-oriented outcomes in children or adults with eustachian tube dysfunction. Oral corticosteroids, with or without antibiotics, improve pneumatic otoscopy and tympanometry findings in the short term, but these agents have no long-term…

Obstructive sleep apnea syndrome (OSAS) commonly occurs in children, and if not treated, can cause complications. The American Academy of Pediatrics (AAP) originally released a guideline on the diagnosis and management of OSAS in children in 2002, but because of the significant…

Population: General adult population without a known diagnosis of hypertension, diabetes mellitus, hyperlipidemia, or cardiovascular disease (CVD).

Dermatosis papulosa nigra (DUR-muh-TOE-sis PAP-yoo-LOW-suh NIE-gruh) is small, smooth, dark bumps on the skin. Usually, the bumps are not painful and do not itch. They are not harmful. They are mostly on the face, but also can be on the chest and back. Men and women can get…

A hernia occurs when part of the body bulges into an area where it normally shouldn't be. An inguinal hernia occurs in the groin. With an inguinal hernia, a small part of the intestine bulges through a weak spot in the lower wall of the stomach.