September 15, 2013

The most common cause of acute nausea and vomiting is self-limited viral gastroenteritis. Alarm signs such as dehydration, acidosis, or an acute abdomen warrant additional evaluation. Laboratory testing should be based on the suspected diagnosis, and imaging may be warranted in…

This second annual summary of the top primary care research studies covers topics such as diabetes mellitus, cardiovascular disease, infectious disease, musculoskeletal disease, cancer screening, and women's health. The studies, known as POEMs (patient-oriented evidence that…

Disability is a risk factor for subsequent health decline in older adults. The severity depends on physical impairments caused by underlying medical conditions, and by external factors such as social support, financial support, and the environment. Interventions should focus on…

Survey: Increasing Operating Costs Top List of Challenges for Medical Practices | Government Agencies Develop Strategy to Advance Health Information Exchange | IOM Criticizes Plan to Base Medicare Value Index on Geographic Area | Primary Care Incentive Payments to Family…

Debility not otherwise specified (NOS) has surpassed lung cancer as the most common diagnosis in hospices. In August 2013, the Centers for Medicare and Medicaid Services issued a rule that debility NOS and adult failure to thrive can no longer be listed as principal hospice…

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.

Behavior therapy interventions, such as parent training, are first-line treatment for ADHD in preschool-aged children (three to five years of age). Medication is an option for children with moderate to severe ADHD if behavior therapy has not been effective and if the benefits…

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

This is the best and largest single trial comparing continued warfarin with a bridging strategy. Patients with an annual risk of thromboembolic events of 5% or more undergoing pacemaker or defibrillator surgery who continued to use warfarin had fewer device-pocket hematomas…

The American College of Rheumatology (ACR) has developed recommendations for the management of gout. The recommendations call for a systematic nonpharmacologic and pharmacologic management approach that is intended to be applicable to all patients with gout.