ANNE-MARIE LOZEAU, BETH POTTER
This high-risk condition, which is the leading cause of pregnancy-related death in the first trimester, can be treated by expectant management, medical management with methotrexate, or surgery.
SUSAN SNYDER, BERNADETTE PENDERGRAPH
Once chronic kidney disease is detected, the underlying causes should be identified and treated to delay or prevent progression to kidney failure.
EDDIE NEEDHAM
The cause should be identified as prerenal, intrarenal, or postrenal, with management strategies including correction of fluid and electrolyte levels, avoidance of nephrotoxins, and kidney replacement therapy.
TODD A. FORMAN, SCOTT K. FORMAN, NICHOLAS E. ROSE
A variety of diagnostic tests and a basic understanding of common causes of wrist pain can assist in evaluating patients with wrist problems.
MARJORIE P. GOLDEN, HOLENARASIPUR R. VIKRAM
Diagnosis can be elusive and necessitates a high index of suspicion, but response to empiric therapy usually is favorable.
STEVEN H. WILLIAMS
New evidence supports the pharmacologic treatment of alcohol dependence, with serotonergic and anticonvulsant agents potentially playing a larger role.
JOYCE A. MERRIMAN
The 2005 Scientific Assembly drew more than 15,000 participants to San Francisco between September 28 and October 2. Physicians, other health care professionals, exhibitors, and guests had many activities to choose from, including Academy business and committee sessions,...
CARRIE MORANTZ
AAFP Launches Disaster Assistance Fund for Physicians and Students | Medical Community Calls on Congress to Fix Medicare Payment System | Proposals Aim to Accelerate Physicians’ Use of EHR and E-prescribing | AAFP Delegates Request Restoration of Resident, Student Commission ...
LISA GRAHAM
More and more high school students are finding it harder to breathe. According to a study by the Centers for Disease Control and Prevention (CDC), one in six high school students claims to have asthma. In 2003, researchers surveyed approximately 13,000 high school students...
MICHELLE PROSER
In the United States, health care reform across the political spectrum has been focused on removing cost as a barrier to health care—principally by making insurance coverage more accessible. The U.S. Census Bureau recently reported that 45 million Americans, or nearly one in...
At least three models have been used to project the future physician workforce, and each produces different results. No physician workforce predictions can be relied on until there is more consideration of and agreement on desired health outcomes and what physicians must do...
TONY MIKSANEK
There are going to be occasions when doctors and patients butt heads. Mr. Zetes disappeared from my practice two years ago. I assumed he was avoiding me—not an easy thing to do when you live in a small town. I last saw him when he came for a routine checkup, and I recommended...
KATHERINE L. MARGO
A 35-year-old man comes to you for follow-up after his third emergency department visit for continued intermittent chest pain. He has no cardiac risk factors and his electrocardiography (ECG) and stress test results were normal in the emergency department. You suspect a...
MARK H. EBELL
Do inhaled or oral corticosteroids improve outcomes for patients with pulmonary sarcoidosis?
What is the best acute treatment of an elevated serum potassium level?
The U.S. Preventive Services Task Force (USPSTF) recommends that physicians screen all sexually active women, including those who are pregnant, for gonorrhea if they are at increased risk for the infection (i.e., if they are young or have other individual or population risk...
MARK H. EBELL
What is the best approach to diagnosing and treating a patient with suspected influenza?
STEVEN REID, TRUDIE CHALDER, ANTHONY CLEARE, MATTHEW HOTOPF, SIMON WESSELY
One systematic review identified three randomized controlled trials (RCTs) that showed that a graded aerobic exercise program improved measures of fatigue and physical functioning compared with flexibility and relaxation training or general advice. The review identified one...
DAVID MEYERS
A 22-year-old woman comes to your office for her routine well-woman examination. She says that she is currently sexually active in a long-term monogamous relationship. She had a chlamydial infection two years ago. Her only concern today is that her menstrual period is late.
CHRISTOPHER WENNER, JOAN NASHELSKY
Do antiviral medications prevent perinatal transmission of genital herpes to neonates?
MICHAEL D. BURG, FRANK VAN DER HEIJDEN
A pregnant 26-year-old woman with a one-week history of nausea and vomiting presented to the emergency department with dyspnea and left-sided chest pain. Her heart rate was 105 beats per minute; otherwise her vital signs were normal. Her oxygen saturation was 90 percent. Her...
HENRY BARRY
DAVID SLAWSON
MARK EBELL
ALLEN F. SHAUGHNESSY
CAROLINE WELLBERY
KENNETH W. LIN
CHUCK CARTER
KARL E. MILLER
CAROLINE WELLBERY
ANNE D. WALLING
KENNETH W. LIN
KARL E. MILLER
ANNE D. WALLING
CAROLINE WELLBERY
KARL E. MILLER
ANNE D. WALLING
CAROLINE WELLBERY
CAROLINE WELLBERY
CAROLINE WELLBERY
KARL E. MILLER
ANNE D. WALLING
CAROLINE WELLBERY
CHUCK CARTER
CAROLINE WELLBERY
KARL E. MILLER
CAROLINE WELLBERY
KENNETH W. LIN
KARL E. MILLER
CAROLINE WELLBERY
ANNE D. WALLING
ANNE D. WALLING
CAROLINE WELLBERY
RALPH GONZALES
In my walk-in office I see many patients with respiratory ailments, and I usually have reasonable and successful conversations with them about antibiotic use. However, the patients that I find most difficult to deal with are those who are looking specifically for an...
AMBER HUNTZINGER
The Quality Standards Subcommittee of the American Academy of Neurology (AAN) has released evidence-based recommendations for the initiation of pharmacologic and surgical therapies for patients with essential tremor. The recommendations are based on a systematic literature...
AMBER HUNTZINGER
The American Heart Association (AHA) has released an advisory statement to highlight the findings of the Public Access Defibrillation Trial, which studied the effects of lay rescuer automated external defibrillators (public access defibrillation). The trial was funded by the...
AMBER HUNTZINGER
The Committee on Practice Bulletins–Obstetrics of the American College of Obstetricians and Gynecologists (ACOG) has released a practice bulletin on screening for and managing hemoglobinopathies during pregnancy. Practice Bulletin Number 64, “Hemoglobinopathies in Pregnancy,”...
An ectopic (say: ek-TOP-ik) pregnancy is when the baby grows in the wrong place in the body. In a normal pregnancy, the baby grows in the uterus. In an ectopic pregnancy, the baby grows outside the uterus (see drawing), which is not safe. It is important to find the ectopic...
The kidneys clean the blood by removing waste and extra fluid. The waste then passes out of the body in urine. The kidneys also help control blood pressure, keep bones strong, and help make red blood cells.
A tension headache is a dull, achy feeling on both sides of the head. Some people with tension headaches also have a tight feeling in their head or neck muscles. Tension headaches start slowly, usually in the middle of the day. Another name for this type of headache is ...
Migraine headaches seem to be caused by changes in the amount of a chemical called serotonin (say: sair-uh-TONE-in) you have in your body. When serotonin levels are high, your blood vessels shrink. When serotonin levels are low, your blood vessels swell. This swelling can...
A cluster headache is a rare type of headache that is more common in men. Cluster headaches start suddenly. The pain is usually behind or around one eye and is very bad. If you have a cluster headache, your nose and eye on the same side as the pain may get red, swollen, and...
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