ROBERT L. GAUER
Syncope is classified as neurally-mediated, orthostatic, cardiac, or neurogenic. Evaluation begins with a history and physical examination, followed by electrocardiography, orthostatic vital signs, and QT interval monitoring. Clinical decision rules can help determine which...
DIANE LEWIS HOROWITZ, ELENA KATZAP, SCOTT HOROWITZ, MARIA-LOUISE BARILLA-LaBARCA
Diagnosis of septic arthritis requires a thorough history, physical examination, and synovial fluid analysis. Empiric antibiotic treatment should be directed at the causative organism. Evacuation of purulent material with arthrocentesis or surgical methods is necessary.
PAUL L. MARTIN, JOANNE KURTZBERG, BRETT HESSE
Umbilical cord blood can be donated to a public bank, stored privately at the family's expense, or stored free when the donor's sibling has a disease treatable with stem cell transplantation. Experts do not currently recommend private banking for unidentified possible future use.
JAMES D. GOFF, ROBERT CRAWFORD
Plantar fasciitis is a common cause of heel pain. Obesity, excessive foot pronation, excessive running, and prolonged standing are risk factors. Diagnosis is primarily based on history and physical examination. Conservative treatments, such as rest, oral analgesics,...
National Demand for Primary Care Physicians Continues to Outstrip Supply | Medicare Plan Aims to Save Money and Improve Patient Care by Bundling Payments | Groups Provide Guidance in Transitioning Adolescents from Pediatric to Adult Care | Physicians Must Revalidate Medicare...
ROBERT DACHS, MARK A. GRABER, ANDREA DARBY-STEWART
PurposeIn AFP Journal Club, three presenters review an interesting journal article in a conversational manner. These articles involve “hot topics” that affect family physicians or “bust” commonly held medical myths. The presenters give their opinions about the clinical value...
Umbilical cord blood, which is rich in hematopoietic progenitor and stem cells, has become a major alternative donor source for blood and marrow transplantation in patients with leukemia, bone marrow failure, and immune disorders. In many cases, it is the only timely option...
Pain that occurs after resolution of acute herpes zoster infection can be severe. It may be accompanied by itching and follows the distribution of the original infection. All definitions of postherpetic neuralgia are arbitrary and include development from one to six months...
IGOR MELNYCHUK, WENDY BUSBY
A 21-year-old female college student presented to the hospital with rash and high fever. Severe arthralgias and a nonpruritic rash appeared on her lower extremities (Figure 1) shortly after the pharyngitis developed. The rash migrated to her chest and head (Figure 2) a few...
HEATHER M. RUDISILL, GARY KELSBERG, SARAH SAFRANEK
What therapies are effective for treating intermittent claudication?
Guideline source: American College of Obstetricians and Gynecologists (ACOG)Evidence rating system used? YesLiterature search described? YesPublished source:Obstetrics & Gynecology, April 2011Available at: http://journals.lww.com/greenjournal/Citation/2011/04000...
GEORGE E. WAY
It is your baby's blood that is left over in the placenta and umbilical cord after birth. It is usually thrown away, but scientists have found that it has stem cells that may help treat certain diseases.
Plantar fasciitis (PLANT-tar fash-ee-EYE-tis) is pain or swelling of the plantar fascia. The plantar fascia is a tough band of tissue that attaches to the heel bone and supports the arch of your foot (see drawing). ILLUSTRATION BY KATHRYN BORN
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