April 15, 2016

There is a paucity of clinical trial data about the effectiveness and harms of cancer screening in older patients. In the United States, healthy older patients are often underscreened, whereas those in poor health are too often overscreened. An individualized approach to…

The glaucomas are a group of optic neuropathies that cause visual field loss. Elevated intraocular pressure is associated with glaucoma; however, this measurement has poor specificity and sensitivity to detect patients with the disease. Primary open-angle glaucoma and primary…

Gynecologic etiologies of an adnexal mass range from luteal cysts to ovarian cancer; however, nongynecologic origins, such as gastrointestinal, urinary, or metastatic sources, should also be considered. The initial step in evaluating an adnexal mass in a patient of reproductive…

2016 Match Sets Record for Family Medicine | CDC Releases Final Opioids Guideline | EHR Vendors Agree to Improve Data Sharing | Program Fosters Team-Based Primary Care

Practical strategies can help family physicians and women in their 40s make more informed decisions about breast cancer screening.

In patients with stable systolic heart failure already on maximal medication therapy, adding ivabradine may reduce the number of hospitalizations related to heart failure (NNT for two years = 20), but it does not reduce cardiovascular mortality. In addition, many patients will…

A mother brought her 19-year-old nonverbal, autistic son to our clinic. She requested medication for him to reduce the number of episodes that include loud vocalizations, thrashing, and head banging. These episodes usually occur in the car. At baseline, the man has difficulty…

A pregnant woman presented with a sore throat and tonsillar exudates. She did not respond to antibiotics and developed multiple erythematous nodules on both of her shins.

The highest quality studies, which are now fairly plentiful, show that hyaluronic acid injections are only minimally better than sham injections in improving pain and function in patients with knee DJD.

The American Cancer Society (ACS) organized an interdisciplinary guideline development group to review the available evidence on breast cancer mortality, quality of life, life expectancy, false-positive findings, overdiagnosis, and overtreatment, and to update their 2003…

The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.

A screening test can find diseases before you have symptoms or feel sick. Screening for certain cancers when you are at the right age can sometimes lead to better treatment, which may lower your chances of dying from the disease.

Each month during your period, you likely get a small cyst on your ovaries. These cysts are a normal part of your period. Sometimes they cause pain, but they usually do not cause any other symptoms. Most cysts go away each month. If the cysts stay or get larger, you may get…