THAD WILKINS, CHRISTA PEPITONE, BIJU ALEX, ROBERT R. SCHADE
Irritable bowel syndrome is classified based on change in bowel habits, such as constipation-predominant, diarrhea-predominant, or mixed presentation. Abdominal pain is the most common accompanying symptom. Treatment focuses on symptom relief. Exercise can be recommended for...
PETER L. MATTEI, THOMAS M. BEACHKOFSKY, ROBERT T. GILSON, OLIVER J. WISCO
Rates of primary and secondary syphilis have increased in the past decade, warranting renewed attention to the diagnosis and treatment of this disease. Nontreponemal screening tests followed by treponemal confirmatory tests continue to be standard diagnostics. Although...
MOLLY S. CLARK, KATE L. JANSEN, J. ANTHONY CLOY
Diagnostic criteria for major depressive disorder are the same for children and adults, but children and adolescents may express irritability rather than sad or depressed mood. Pharmacotherapy is recommended for patients with moderate or severe depression. Cognitive behavior...
ABDUL REHMAN, JATINDER P. AHLUWALIA
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
DAVID A. KLEIN
The American Medical Association's Principles of Medical Ethics clearly state that physicians “shall safeguard patient confidences and privacy within the constraints of the law.” However, the laws in American jurisdictions vary with respect to a minor's ability to consent to...
Painful diabetic neuropathy is a chronic disease that affects approximately 16 percent of patients who have diabetes mellitus. The American Academy of Neurology (AAN), the American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM), and the American Academy...
AARON SAGUIL, RICHARD SHERIDAN
Amphetamines improve ADHD symptom severity but, when compared with placebo, they are associated with increased discontinuation rates because of adverse effects. There does not appear to be a difference among dosages or between the immediate- and sustained-release formulations.
NATHAN HITZEMAN, SIJIE JOY SHEN
There are insufficient high-quality studies to determine patient-oriented outcomes of weight loss for the treatment of fatty liver disease. Nonetheless, weight loss remains a reasonable goal because it may reduce liver inflammation and improve comorbidities. In two of the...
HPV4 Vaccine Linked to Notable Decrease in HPV Cases Among Young Women | Interactive Preventive Health Records Increase Use of Preventive Care Services | AAFP METRIC Module Developed to Keep Children's Vaccinations Up-to-Date | HHS Initiative to Help States with Health Care...
JONATHAN R. MURROW
Sudden death is often the first manifestation of atherosclerotic coronary artery disease (CAD). One-third of deaths from CAD in the Atherosclerosis Risk in Communities study occurred without warning signs, and there was no prior diagnosis of CAD in most of these persons.1 For...
MARK H. EBELL
Screening for disease is challenging because we must minimize the possibility of taking someone who is perfectly healthy and making them worse off. Even relatively innocuous blood tests can lead to overdiagnosis and overtreatment, and imaging studies have the added danger of...
Syphilis is a bacterial infection that is spread through sexual contact (for example, vaginal, oral, or anal sex). If untreated, it can cause serious damage to your heart, lungs, nervous system, and other organs.
Irritable bowel syndrome, or IBS, is stomach discomfort or pain that happens with constipation, diarrhea, or both.
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