August 15, 2018

Primary bone cancers include osteosarcoma, Ewing sarcoma, and chondrosarcoma. They account for less than 1% of diagnosed cancers each year and are associated with significant morbidity and mortality. Timely diagnosis is challenging because of late patient presentation…

Older adults experience disproportionate levels of morbidity and mortality following surgery. To decrease the likelihood of poorer surgical outcomes, physicians should first discuss patients' goals and priorities in the context of their overall health to determine whether the…

During toddlerhood, children develop preferences that affect their food selections. Children one to two years of age should begin drinking whole cow's milk. Water is a good option for between meals. Sugary drinks should be avoided, although 100% juice may be given in moderation…

Epistaxis is a common otolaryngologic emergency. At presentation, physicians should assess patients’ vital signs, mental status, and airway patency before examining the nose for the source of bleeding. Stepwise management of anterior epistaxis consists of compression, directive…

Study Suggests Link Between Scope of Practice and Burnout | Authors See Crucial Role for Primary Care in Opioid Epidemic | CMS Releases Planned Changes for 2019 Medicare Payments | Patients, Caregivers Weigh In on Care Transition

There is mounting evidence that point-of-care ultrasonography (POCUS) can help decrease the costs of care while improving patient access to care and safety.

Delafloxacin is a new fluoroquinolone antibiotic available in intravenous and oral formulations for the treatment of serious skin and skin structure infections in patients requiring initial intravenous therapy. It is effective for infections caused by MRSA or P. aeruginosa, in…

Extended prophylaxis with low-dose aspirin is similar in efficacy to rivaroxaban for the prevention of symptomatic VTE following TKA or THA. Aspirin is cheap, widely available, and effective, making it a good alternative to the more costly direct oral anticoagulants.

None of the medications in this systematic review prevented or delayed cognitive decline, cognitive impairment, or dementia.

Beginning antihypertensive treatment when the systolic blood pressure is greater than 140 mm Hg delays death and prevents major cardiovascular events in some persons without preexisting heart disease; in patients with existing heart disease, it prevents further events, but does…

Use of the PERC clinical decision rule significantly reduces the need for CT pulmonary angiography in adults with an initial low-risk clinical estimate of suspected PE.

A man presented with nevi on his back and a nontender, ulcerated lesion on his upper arm that was heterogenous in color with irregular borders.

Mr. and Mrs. J. present to your office for their annual wellness visits. He is 75 years of age, has well-controlled hypertension, does not smoke, and has a body mass index (BMI) of 26 kg per m2. He recently fell while walking from his home to a neighborhood barbeque.

When is urgent imaging warranted in patients presenting with sudden, severe, nontraumatic headache and normal findings on a neurologic examination?

The National Partnership for Maternal Safety has developed a patient safety bundle that outlines important practices that every maternity unit should implement to reduce the number of primary cesarean births and improve care to increase the number of vaginal births.

The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls.

The USPSTF concludes that the current evidence is insufficient to assess the balance of the benefits and harms of vitamin D and calcium supplementation, alone or combined, for the primary prevention of fractures in men and premenopausal women.

Many types of cancer can spread to the bones. But, there are three cancers that start in bones: osteosarcoma (OS-tee-oh-sar-CO-ma), Ewing sarcoma, and chondrosarcoma (KON-dro-sar-CO-ma). Osteosarcoma and Ewing sarcoma are more common in children and teenagers. Chondrosarcoma is…

Raising a healthy, active toddler takes work, and parents need to know the best foods to give their children. Feeding toddlers isn't always easy, but knowing about nutrition and eating habits will help you make the best choices for your child.