JOHN W. ELY, MARLAN R. HANSEN, ELIZABETH C. CLARK
Causes of primary otalgia include otitis media and otitis externa, and the diagnosis is typically apparent on examination. Secondary otalgia has many potential causes, making diagnosis more difficult. If the diagnosis is not clear from the history and physical examination,...
JENNIFER E. FRANK, PATRICIA MISTRETTA, JOSHUA WILL
A comprehensive sexual history is an important component of primary care and can help identify women with sexual complaints. Although patient education and therapy are the basis of treatment, the role of pharmacotherapy in treating female sexual dysfunction is being investigated.
BRIAN A. SELIUS, RAJESH SUBEDI
Causes of urinary retention can be classified as obstructive, infectious and inflammatory, pharmacologic, neurogenic, or other. A thorough history, physical examination, and selected diagnostic testing should determine the cause in most patients and management may include...
CHRISTOPHER KENNEY, SHENG-HAN KUO, JOOHI JIMENEZ-SHAHED
Diagnosis of Tourette's syndrome may be challenging because it mimics many hyperkinetic disorders. Treatment can be behavioral, pharmacologic, or surgical, depending on the type and severity of symptoms, and can substantially improve quality of life and functioning in...
JOYCE A. MERRIMAN
The Academy's branding initiative was described in this column in the January 1, 2008, issue. A segment of this campaign involves redesigning the Web site to feature the new seal and depict the Academy's position as the “bold champion” for family physicians. The new design of...
President Bush's final budget proposal calls for deep reductions in funding for Medicare and Medicaid programs as well as the elimination of health care initiatives important to primary care. The proposal, which is part of the 2009 fiscal year budget, includes eliminating...
MARK A. GRABER, ROBERT DACHS, ANDREA DARBY-STEWART
ROBERT M. EWART
The logic is simple. Low levels of high-density lipoprotein (HDL) cholesterol are a risk factor for coronary disease. Torcetrapib raises HDL levels; therefore, it should prevent coronary disease. However, Pfizer Inc. recently withdrew its licensing application for torcetrapib...
A hospital-based seminar demonstrated an excessive amount of inappropriate antibiotic prescribing for inpatients, and an associated increase in the rate of nosocomial infections and worsening antimicrobial resistance patterns.
What is the safest and most effective short-term medical treatment for reflux esophagitis?
HEMANT M. KOCHER
Chronic pancreatitis is characterized by longstanding inflammation of the pancreas owing to a wide variety of causes, including recurrent acute attacks of pancreatitis.
KEVIN T. RICH, SARAH SAFRANEK
What is the best medical therapy for benign prostatic hyperplasia (BPH)?
JEFFREY B. GRAHAM, BLAKE FAGAN, ROBYN LATESSA
A 65-year-old white woman presented at the clinic for a follow-up visit after her first pulmonary embolism six days earlier. Warfarin (Coumadin) and enoxaparin (Lovenox) therapy were initiated during her hospitalization. At the follow-up visit, the patient had painful lesions...
ANNE D. WALLING
KENNETH T. MOON
Guideline source: American Heart Association
AAN Releases Recommendations for Treating Lyme Disease Neuroborreliosis
Source: American Heart Association
MICHAEL K. WALSH
Tourette's syndrome (too-RETTS SIN-drome) is a disorder that causes tics. Tics are sudden, brief movements (like muscle spasms) or sounds (like words or grunts) that a person repeats over and over. They are hard to control, can be mild to severe, and come and go over time....
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