R. JOHN PRESUTTI, JOHN R. CANGEMI, HARVEY D. CASSIDY, DAVID A. HILL
Patients with persistent gastrointestinal symptoms such as diarrhea, abdominal pain, and bloating should be evaluated for celiac disease. Immunoglobulin A tissue transglutaminase antibody testing is recommended, with confirmatory small bowel biopsy in most patients. Adherence...
ART PAPIER, DAVID J. TUTTLE, TARA J. MAHAR
The differential diagnosis of eyelid erythema and edema is broad, ranging from benign, self-limiting dermatoses to malignant tumors and vision-threatening infections. A definitive diagnosis usually can be made on physical examination of the eyelid and a careful evaluation of...
MICHELE VAN VRANKEN
The Centers for Disease Control and Prevention has published revised guidelines for the prevention and treatment of sexually transmitted diseases. Updates include the recommendation to use azithromycin as a first-line treatment of Chlamydia trachomatis infection in pregnant...
CUNG B. PHAM, ROBERT L. DICKMAN
Adverse drug events are a common, but often preventable, occurrence in older patients. Use of a multidisciplinary approach and avoidance of prescribing new medications to counteract adverse drug reactions are key.
JOYCE A. MERRIMAN
I have mentioned many times in this column that we are constantly looking for ways to update and improve AFP. As I reflect on the changes and progress we've made during 2007, I again realize how many talented, dedicated people we have who make it a priority to bring you the...
Physician Groups Urge Congress to Adopt New Payment Model | Major New York Insurers Agree to Restructure Physician Ranking Systems | Pay-for-Performance Programs May Not Affect Patient Outcomes | AHRQ Guide Aims to Make Health Information Technology Accessible | Ask and Act...
It started with pain in the right side of my face. It felt like it was in my jaw going up to my right ear. Then, a half-hour later, I was brushing my hair and saw six or seven little red blisters on my forehead. They were unusual, a triangle-shaped cluster. I wondered what...
ALLEN F. SHAUGHNESSY
On the other end of every prescription is a person with a biologic makeup that will react well, poorly, or not at all to the chemical just prescribed.
MARK H. EBELL
Do practical, accurate screening tools exist to help primary care physicians evaluate patients for post-traumatic stress disorder (PTSD)?
YU-PENG LIU, FEI-SHIH YANG, JON-KWAY HUANG
A 73-year-old man with a history of type 2 diabetes presented with right upper quadrant abdominal pain and fever. Physical examination revealed that the patient had tenderness in the right upper quadrant and a temperature of 100.4° F (38° C). Laboratory studies showed a white...
PATRICK P. GLEASON, ALLEN F. SHAUGHNESSY
Telithromycin (Ketek) is a ketolide antimicrobial that was approved in April 2004 for the treatment of several common respiratory infections. In February 2007, in response to reports of adverse effects, the U.S. Food and Drug Administration (FDA) issued revised safety...
ANNE D. WALLING
KARL E. MILLER
KENNETH T. MOON
Guideline source: American College of Chest Physicians
CDC Evaluates the Effect of Revised Guidelines on the Prevention of Group B Streptococci Disease
CDC Reports a Decrease in the Incidence of Breast Cancer
Celiac (SEE-lee-ack) disease is a problem that affects your intestines. If you have celiac disease, your body reacts to gluten, which is a protein in wheat, rye, and barley. Eating gluten irritates your small intestine and stops your body from absorbing vitamins and minerals....
An STD is a disease that can be passed from person to person through any type of sexual contact. You usually get STDs through vaginal sex, but you can also get them from having oral sex, anal sex, or skin-to-skin contact.
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