DAVID E. TRACHTENBARG
Diabetic ketoacidosis occurs when a patient’s plasma glucose concentration is above 250 mg per dL, pH level is less than 7.30, and bicarbonate level is 15 mEq per L orless. Treatment involves fluids, insulin, and monitoring electrolyte levels.
GREGG D. STONER
Hyperosmolar hyperglycemic state is a life-threatening emergency caused by infections,certain medications, noncompliance, undiagnosed diabetes, substance abuse,and coexisting diseases. Vigorous correction of dehydration followed by potassiumand insulin replacement is crucial.
SUSAN KLEIN
A thorough clinical breast examination, imaging, and tissue sampling are neededfor definitive diagnosis of breast masses. Fine-needle aspiration can differentiatesolid and cystic masses. Core-needle biopsy allows histologic diagnosis and differentiatesin situ and invasive...
ALAN M. ADELMAN, MEL P. DALY
Dementia is a common disorder in older patients. The initial evaluation of apatient with suspected dementia includes the Mini-Mental State Examination,blood chemistry profiles, and structural neuroimaging.
JOYCE A. MERRIMAN
Receiving AFP on your desk is routine; you probably never even think about how it gets there. Perhaps you have written a manuscript for AFP and have wondered why it takes time process that involves many people in several states. First, submitted manuscripts are evaluated by...
CARRIE A. MORANTZ
Physicians May See Decrease in Medicare Payments in 2006 | AAFP Backs Effort to Give FDA Regulatory Control of Tobacco Products | HHS Begins Initiative to Reduce Obesity in Blacks | ChiT Web Site Offers Mentoring for Electronic Health Records | National Initiative Underway to...
AMBER HUNTZINGER, LAURA COUGHLIN
Is beer beneficial to the brain? The Washington Post reports on a recent study that found women who drank light to moderate amounts of beer or wine daily for four years were about 20 percent less likely to experience mental impairment in old age. The study, published in BMJ,...
ABBAS E. KITABCHI
Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are serious metabolic emergencies that affect patients with type 1 and type 2 diabetes. DKA and HHS are responsible for about 100,000 hospital admissions per year,1 and account for one of every four...
TONY MIKSANEK
“Doesn’t his face look unusually red?” Otis’s wife asked. Her 54-year-old husband had hypertension treated with sustained-release verapamil. He didn’t smoke cigarettes or consume alcohol. His wife was right; Otis had a ruddy face. Otis reported feeling tired and experiencing...
JOSHUA STEINBERG
A 31-year-old woman asks for help with frequent migraines. She gets good response from abortive medication but had no success with the two preventive medications she has tried. You consider trying an anticonvulsant.
CLARISSA KRIPKE
What are the effects of medications for social phobia?
ANNE LETHABY, BEVERLEY VOLLENHOVEN
Gonadorelin Analogues (GnRHa) Plus Progestogen (No Significant Difference in Heavy Bleeding Compared with GnRHa Alone, but Adding Progestogen Reduces Vasomotor Symptoms and Hot Flashes Associated with GnRHa). One small randomized controlled trial (RCT) found no significant...
Janelle Guirguis-Blake, Clodagh Cashman
RS, a 37-year-old woman, comes to your office with her four children and elderly mother, who lives with them, for their routine check-ups. She says that her husband has to miss his appointment that day because of work. You see RS first.
ANNAMARIE D. IBAY, LYNDA M. BASCELLI, JOAN NASHELSKY
How should patients with subclinical hypothyroidism be managed?
MICAH R. CHAN, MONICA ZIEBERT, DIANA L. MAAS, PENNAPA S. CHAN
A 58-year-old woman presented to establish a primary care relationship. Her chief complaints were chronic pain of the hip and knee and excessive daytime sleepiness. Over the past few years, she felt that her body had been changing. She reported polyuria, excessive...
DAVID SLAWSON
ALLEN F. SHAUGHNESSY
DAVID SLAWSON
HENRY BARRY
MARK EBELL
MARK EBELL
DAVID SLAWSON
DAVID SLAWSON
ANNE D. WALLING
ANNE D. WALLING
CAROLINE WELLBERY
BILL ZEPF
CAROLINE WELLBERY
KARL E. MILLER
CAROLINE WELLBERY
RICHARD SADOVSKY
RICHARD SADOVSKY
KARL E. MILLER
CAROLINE WELLBERY
KARL E. MILLER
RICHARD SADOVSKY
RICHARD SADOVSKY
RICHARD SADOVSKY
CAROLINE WELLBERY
CAROLINE WELLBERY
CAROLINE WELLBERY
KAREN HELLEKSON
The Agency for Healthcare Research and Quality has issued a systematic review of the evidence regarding screening patients for celiac disease, a small-bowel malabsorption disorder that results in mucosal inflammation, villous atrophy, and crypt hyperplasia, which occur on...
MATTHEW J. NEFF
AAP Releases Updated Breastfeeding Recommendations
MATTHEW J. NEFF
Cesarean and Vaginal Birth After Previous Cesarean Delivery
ANN HARVEY, RONALD H. GOLDSCHMIDT
A 41-year-old healthy male patient often presents at my office requesting human immunodeficiency virus (HIV) testing, but always refuses to give me a reason for his requests. He came in again today, after a previous visit for the same reason two or three months ago. In fact,...
VICTORIA A. CRAIN, SALIL GULATI, SATYANARAYANAN BHAT, STEPHEN M. MILNER
Diabetic ketoacidosis (say: key-toe-acid-OH-sis), or DKA for short, happens when your body has high blood sugar (also called glucose) and a build-up of acid. If it isn’t treated, it can lead to coma and even death. It mainly affects persons with type 1 diabetes. But, it can...
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