RICHARD P. USATINE, ROCHELLE TINITIGAN
Nongenital infections caused by herpes simplex virus often can be diagnosed by patient history and clinical presentation of lesions. Oral treatment with acyclovir, valacyclovir, or famciclovir is more effective than topical treatments.
IRINA V. ERLIKH, SHERLY ABRAHAM, VASANTHA K. KONDAMUDI
The 2009 pandemic influenza A (H1N1) virus is expected to continue to circulate during the 2010–2011 season. The diagnosis of influenza should be made clinically, and the decision to begin antiviral therapy should not be delayed for laboratory confirmation of influenza....
DAVID C. FIORE, SCOTT HALL, PANTEA SHOJA
Acute mountain sickness is the most common presentation of altitude illness. It will usually resolve within three days but may progress to high-altitude cerebral edema. Descent is mandatory for all persons with high-altitude cerebral or pulmonary edema.
MICHELE VAN VRANKEN
Microcytosis is often discovered incidentally with a complete blood count performed for other reasons. The cause of microcytosis can usually be determined with appropriate history and laboratory testing. Because the condition is usually asymptomatic, physical examination...
Most Toddler Vaccination Rates are Close to HHS' Healthy People 2010 Goals | <i>MedWatch</i>: FDA Restricts Rosiglitazone Use, Requests Withdrawal of Sibutramine | Cholesterol Levels in Women Vary with Menstrual Cycle Phase, Study Says | HHS Proposed Rule Imposes Medicare...
MINA MATIN, RONALD H. GOLDSCHMIDT
Last year, the new strain of influenza we now know as 2009 pandemic influenza A (H1N1) hit the United States and worldwide. Vaccine makers scrambled to manufacture adequate supplies; however, a temporary lack of sufficient vaccines required prioritization among patient groups...
JONATHAN R. MURROW
The Role of Nonstatin Therapy in Managing Hyperlipidemia
DANIEL L. SONTHEIMER
For Hyperlipidemia, Go Where the Evidence Takes You: Give a Statin and Nothing Else
WILLIAM E. CAYLEY, JR.
A 70-year-old woman with type 2 diabetes mellitus who is in otherwise good health is experiencing gradually increasing glucose levels. Her physician considers starting her on an oral diabetes agent, but is concerned that her age may put her at risk for adverse effects if she...
Should persons with epilepsy have routine monitoring of medication blood levels to optimize treatment for preventing seizures?
MARTHA C. CARLOUGH, AMI GOLDSTEIN
I work in an office where there are a lot of obstetric patients, and I feel privileged as a family physician to be able to perform deliveries. But I also have a full-spectrum practice and a private life. Many of my patients are on the teaching service for a nearby residency...
ADAM B. WOLDOW, FARAMARZ H. SAMIE
A 58-year-old white man presented to the outpatient clinic with a single asymptomatic nodule on his face that had appeared months earlier. He had no history of skin cancer. The nodule was 1.5 × 1 cm, translucent, and located below the right lateral lower eyelid (see...
DANIEL GIBBS, III
KENNETH T. MOON
KENNETH T. MOON
KENNETH T. MOON
Guideline source: American Academy of Neurology
JIYO SHIN, DIAMONDIS J. PAPADOPOULOS, FASDS WAYNE BLOUNT
DARRELL R. OVER
Cold sores usually show up on the lips or mouth as a cluster of blisters with a red base. They are also called “fever blisters.” They may be painful and feel itchy, dry, and crusty. If the blisters come back another time, they may cause a tingling feeling before they appear...
Influenza, also called the flu, is a viral infection of the nose, throat, and lungs. It is often confused with other illnesses, especially the common cold. The flu is more severe than a cold, usually comes on suddenly, and is caused by a different virus. In 2009, a new strain...
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