ITEMS IN AFP WITH KEYWORD:
Obstetric lacerations are a common complication of vaginal delivery and can lead to chronic pain and urinary and fecal incontinence. Perineal lacerations are defined by the depth of musculature involved. Late third-trimester perineal massage can reduce perineal lacerations in primiparous women. Lacerations involving the anal sphincter complex require additional expertise, exposure, and lighting. Postdelivery care should focus on pain control, preventing constipation, and monitoring for urinary retention. Acetaminophen and nonsteroidal anti-inflammatory drugs should be administered for pain as needed. Osmotic laxative use leads to earlier bowel movements and less pain during the first bowel movement.
Jun 1, 2021 Issue
Preoperative A1C Threshold in Patients with Diabetes [FPIN's Clinical Inquiries]
In patients with diabetes mellitus who are preparing for total joint replacement, what is the preoperative A1C goal to reduce postoperative periprosthetic joint infections?
The correct selection and interpretation of CSF tests can assist in the diagnosis and treatment of a variety of conditions, including bacterial and viral meningitis, opportunistic central nervous system infections in immunocompromised patients, subarachnoid hemorrhage, spontaneous intracranial hypotension, idiopathic intracranial hypertension, multiple sclerosis, Guillain-Barré syndrome, and malignancy.
Interventional radiology employs image guidance to perform diagnostic and treatment procedures. Interventional radiology techniques are effective, lower-risk alternatives to surgery for central venous catheter and port placement; for managing many sources of hemorrhage; and for some vascular interventions. Interventional radiology is also being used in cancer treatment, such as for targeted chemotherapy or radiation therapy and for pain control in patients with skeletal metastases.
Caring for hospitalized patients and arranging their discharge plans have become increasingly complex. Primary care physicians should have a prominent role in the transition of their hospitalized patients.
Should we stop using beta blockers to prevent myocardial infarction in persons undergoing noncardiac surgery? The data remain inconclusive. Although the POISE study is an important contribution to the literature, it uses a protocol that is unrealistic and should not change current practice.
Aug 1, 2008 Issue
Ethical Considerations of Patients with Pacemakers [Curbside Consultation]
Modern medicine has increasingly become infused with technology intended to extend a person's quantity and quality of life. More than 1 million persons in the United States have implantable pacemakers and the majority of this population is older than 65 years.
Mar 1, 2008 Issue
Interventions to Improve Antibiotic Prescribing Practices for Hospital Inpatients [Cochrane for Clinicians]
The choice of antibiotic, timing, dosage and route of administration in hospitalized patients can be improved through educational (persuasive) and restrictive measures. Although both types of interventions are effective, based on heterogeneous studies, restrictive measures appear to make a more significant change in antibiotic prescribing patterns.
Postoperative nausea and vomiting are uncomfortable for patients, can prolong hospitalization, and can lead to more serious complications, including aspiration pneumonia.
Feb 1, 2006 Issue
CDC Recommendations to Reduce Central Line Infections [Practice Guidelines]
The Centers for Disease Control and Prevention (CDC) has released a report detailing interventions to help prevent central line bloodstream infections in hospitals.