May 15, 2017

The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Timing of the repair, wound irrigation techniques, providing a clean field for repair to minimize contamination, and appropriate use of anesthesia are…

Over the past two decades, a variety of refractive surgery procedures have been developed and marketed as alternatives to glasses or contact lenses. Laser-assisted in-situ keratomileusis is the most common. Although there are few high-quality prospective studies, general…

The prevention of perioperative cardiovascular complications is an imoprtant consideration before noncardaic surgery. Antiplatelet therapy for primary prevention of cardiovascular events should generally be discontinued seven to 10 days before surgery. Antiplatelet therapy for…

VA Offers Funding for Residency Expansion | Direct Primary Care Model Gains Traction | Study Finds Even Split Between ‘Desktop Medicine,’ Office Visits | Registration Deadline Looming for Practices Participating in MIPS

Recently, the U.S. Preventive Services Task Force (USPSTF) updated its recommendation on screening for colorectal cancer. The final recommendation has been released, and it again makes an A recommendation for colorectal cancer screening in persons 50 to 75 years of age.1 An A…

The use of colorectal cancer screening tests in the United States has increased significantly since 2000. However, in 2015, less than two-thirds of non-Hispanic white adults 50 to 75 years of age were up-to-date on U.S. Preventive Services Task Force (USPSTF)–recommended tests…

A 50-year-old woman presents for a routine visit. She is healthy with no significant medical history, takes no medications, and has no personal or family history of cancer.

Family physicians commonly care for survivors of trauma, but they may not always realize it. Trauma, which can affect any patient regardless of age or sex, is broadly defined as the experience of violence or victimization, including sexual abuse, physical abuse, psychological…

What are the effects of treatments for venous leg ulcers? What are the effects of various interventions for venous leg ulcers?

Sofosbuvir/velpatasvir is an effective treatment for patients with HCV and has minimal adverse effects. It is the preferred treatment for patients with genotype 2 or 3. As with other curative treatments, it is very expensive.

A man presented with a papule on the dorsum of the left third finger with slight scaling

The American College of Physicians (ACP) has provided recommendations for treatment of chronic insomnia in adults. Treatment, which can include psychological or pharmacologic therapy, alone or combined, as well as complementary and alternative methods, is aimed at improving…

The USPSTF recommends that all women who are planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid.

The European approach to determining the pretest likelihood of coronary artery disease (CAD) in patients with chest pain is superior to that of the Diamond-Forrester approach recommended by U.S. guidelines, and will result in less need for immediate invasive treatment.

In women with mild to moderate pelvic floor prolapse, a formal program including physiotherapist-guided pelvic floor exercises only modestly improved symptoms.

Topiramate, amitriptyline, and placebo all led to a similar, substantial improvement in migraine frequency and disability. How to harness this strong placebo effect for our patients is an important, but unanswered, question.

LASIK is a type of surgery in which a laser is used to reshape the surface of the eye. This helps some people with vision problems see better. LASIK stands for laser-assisted in-situ keratomileusis (KER-uh-toe-mi-LOO-sus).