KENNETH S. YEW, ERIC CHENG
Common signs of stroke include speech disturbance and acute onset of unilateral weakness or numbness. Computed tomography or magnetic resonance imaging can help distinguish between ischemic and hemorrhagic stroke.
MARK L. WILLENBRING, SUENA H. MASSEY, MAUREEN B. GARDNER
Excessive alcohol use is a leading cause of preventable morbidity and mortality, although few patients receive treatment. Primary care physicians should be prepared to screen for, assess, and treat at-risk drinking and alcohol use disorders.
DAVID C. SERLIN, ROBERT W. LASH
Diagnosis of gestational diabetes is made by using a screening glucose challenge test followed by a diagnostic glucose tolerance test for women with a positive screening test. Management includes glucosemonitoring, diet control, exercise, and medication, if necessary.
KENNETH W. LIN, DAVID C. SLAWSON
Good practice guidelines are based on systematic reviews of patient-oriented evidence, have a transparent development process, identify potential conflicts of interest, and offer flexibility in various clinical situations.
Manufacturers Move Forward with Development of H1N1 Virus Vaccine | Obama Administration, Physician Groups Propose Medicare Payment System Reform | Study Reveals Annual Costs of Contracting with Patients' Health Insurance Plans | NHSC Begins Loan Repayment Program for...
WILLIAM R. MILLER, BRONWYN E. WILSON
Patients often present to family physicians with a range of modifiable behaviors that influence the incidence, course, and outcomes of acute and chronic illnesses. Physicians know that smoking, poor diet, and physical inactivity are risk factors that can be addressed with...
NATHAN HITZEMAN, FLORA RAFII
A previously healthy 65-year-old man presents with a tremor of his right hand. The examination reveals a resting tremor, cogwheel rigidity, and a shuffling gait. He is diagnosed with early Parkinson disease, and he and his wife inquire about drug therapy.
For patients with cancer and venous thromboembolism (VTE), is low-molecular-weight heparin (LMWH) or an oral anticoagulant (vitamin K antagonists warfarin [Coumadin] or acecumarol [not available in the United States]) more effective for preventing recurrent VTE?
WEI CHEN, WU-HUEI HSU
A 52-year-old, otherwise healthy woman presented with a cough and purulent sputum that persisted for more than 10 days. She denied dyspnea on exertion, palpitations, or light-headedness. Physical examination findings were unremarkable. Chest radiography showed multiple small...
One of my patients is a 55-year-old man in good health except for chronic low back pain. His back pain was stable, with intermittent flares that were controlled by receiving acetaminophen/hydrocodone (Xodol) tablets. However, in the past several months his focal back pain has...
Guideline source: American Academy of Allergy, Asthma & Immunology; the American College of Allergy, Asthma and Immunology; and the Joint Council of Allergy, Asthma and Immunology
KENNETH W. LIN
DAUSEN HARKER, AARON SAGUIL
A stroke is like a “brain attack.” In a heart attack, not enough blood gets to the heart. In a stroke, not enough blood gets to the brain. Parts of the brain can die during a stroke if blood is cut off for more than a couple of hours. If the blood is cut off for a shorter...
Gestational (jess-TAY-shun-ul) diabetes is a type of diabetes some women get during pregnancy if they have too much sugar in their blood. This happens because the body cannot manage glucose (blood sugar) the way it should. Your doctor can check the amount of sugar in your...
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