ITEMS IN AFP WITH KEYWORD:
Infectious Disease, Bacterial
The incidence of tickborne disease is increasing in the United States. Patients presenting with flulike symptoms during the spring and summer months should be evaluated for a tickborne disease. Treatment based on experience and observation is recommended for tickborne diseases that fit the clinical presentation and geographic distribution of the disease. Early treatment with doxycycline has been shown to improve morbidity and mortality. Prophylactic treatment after tick exposure in patients without symptoms is generally not recommended.
Apr 15, 2020 Issue
Screening for Asymptomatic Bacteriuria in Adults: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons. The USPSTF recommends against screening for asymptomatic bacteriuria in nonpregnant adults.
A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.
To improve sepsis diagnosis, which can be challenging, clinicians must obtain historical, clinical, laboratory, and radiographic data supportive of infection and organ dysfunction. After initial airway and respiratory stabilization, the sepsis bundle should be initiated (fluid resuscitation, antibiotics, lactate measurement, and cultures) within three hours of presentation. Vasopressor therapy is needed if fluid resuscitation is ineffective.
Guidelines for the diagnosis and treatment of Clostridiodes difficile (formerly called Clostridium difficile) infection have recently been updated. Find out which antibiotics have the highest risk of causing C. difficile infection and which treatments are recommended based on whether the episode is from an initial vs. recurrent infection.
A man who worked as a butcher presented with erythema, swelling, and painful lesions on his index finger that did not resolve with antibiotics. Plain radiography did not show bony abnormalities.
A woman presented with several months of increasingly problematic foot odor. Physical examination revealed small pits in the skin on her soles and a slight scale over the plantar surface of both feet.
Feb 15, 2019 Issue
Otalgia, Preeclampsia, Latent Tuberculosis, Pityriasis Rosea, Extremity Pain [AFP Clinical Answers]
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
A man presented in late fall with a progressive rash on his hands, arms, back, chest, and feet after a hiking trip.