LORI M. DICKERSON, PETER J. CAREK, ROBERT GLEN QUATTLEBAUM
Stroke survivors have an average of 10 outpatient visits per year. At each visit, physicians should evaluate vascular risk factors (e.g., hypertension, diabetes, hypercholesterolemia) and lifestyle risk factors (e.g., obesity, smoking, alcohol use). Preventive therapy...
TOM LYNCH, AMY PRICE
Cytochrome P450 enzymes can be inhibited or induced by drugs, resulting in clinically significant drug-drug interactions that may cause unanticipated adverse effects or therapeutic failures. Knowledge of the drugs metabolized, as well as the most common inhibiting and...
MICHAEL C. LU
Every woman of reproductive age who is capable of becoming pregnant is a candidate for preconception care, even if she is not planning to conceive. Most components of preconception care can be performed in the primary care setting.
The clinical manifestations of Turner syndrome vary; however, the syndrome should be considered in girls with short stature or primary amenorrhea. Complications and risk factors associated with Turner syndrome should be managed throughout the patient's life.
LIZ SMITH, LISA GRAHAM
This year, the Council of Science Editors (CSE) celebrated its 50th anniversary by looking to the future. In May, at the CSE annual meeting in Austin, Texas, speakers addressed issues such as the future of print journals and the potential impact of new delivery methods. One...
CMS Proposes Medicare Rule That Includes 9.9 Percent Payment Cut | Level Funding Likely in 2008 for Primary Care Training Programs | Family Medicine Alliance Protests CMS Proposal Regarding Education Costs | Family Medicine Organizations Oppose Graduate Education Funding...
Is it love that's in the air? No, it's cocaine, marijuana, caffeine, and nicotine. Researchers sampled the air in areas of Rome and Taranto, Italy, and Algiers, Algeria, and found particles of caffeine and nicotine suspended in the air of each city, as well as cocaine and...
DAVID B. MATCHAR, MUGDHA THAKUR
Individual variation in response to drugs is a problem that physicians routinely face in clinical practice. Such variation can result in lack of anticipated response, serious adverse drug reactions, or unexpected drug interactions in patients receiving multiple medications....
KENNETH W. LIN, MARGUERITE R. DUANE
As family physicians, we often face difficult decisions about ordering tests for the early diagnosis or prevention of disease in healthy-appearing persons. It is hard to convince many patients to think about prevention, and those who come in for health maintenance visits...
KATHRYN K. HOLDER
A 53-year-old man with idiopathic hypertension has not achieved blood pressure control after three years of treatment.
JESSICA T. SERVEY
Alpha-glucosidase Inhibitors May Reduce the Risk of Type 2 Diabetes
Antiretroviral Prophylaxis for Occupational Exposure to HIV
JOHN KELLUM, MARTINE LEBLANC, RAMESH VENKATARAMAN
One systematic review found that low osmolality contrast media reduced nephrotoxicity in persons with underlying renal failure needing contrast investigation compared with high osmolality contrast media. This benefit was greatest in persons with underlying renal impairment.
JULIO JIMENEZ, SARAH SAFRANEK, ANTHONY J. VIERA
What type of angiotensin blockade is preferred in patients with diabetic nephropathy?
JAMES S. STUDDIFORD, JANIS BONAT
A 29-year-old woman presented to the office with a pruritic rash. She had just returned from a three-day Caribbean vacation. On day 3 of her vacation, she took a swim in the ocean, returned to her room for a shower and, within minutes, became aware of an itching sensation on...
KARL E. MILLER
ANNE D. WALLING
KARL E. MILLER
KARL E. MILLER
I have been taking care of a wealthy patient for many years. She has always given me small gifts, mostly food gift baskets that I give to my staff. However, the gifts have escalated since she was hospitalized several years ago. Soon after her hospitalization she said, “If it...
Guideline source: American Academy of Pediatrics
Cesarean Delivery Rate Hits All-time High
AGA Releases Position Statement on CT Colonography
A stroke happens when an area of the brain is damaged, this usually happens when blood does not reach certain parts of the brain. You can lose function in the parts of your body that are controlled by that part of the brain. For example, you may not be able to move an arm or...
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