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...
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...
AARON SAGUIL, RICHARD SHERIDAN
A 36-year-old man who is enrolled in a master's degree program presents to your office stating that he is having difficulty focusing and concentrating on class material, and is afraid he will not be able to graduate. He reports a history of attention-deficit/hyperactivity...
NATHAN HITZEMAN, SIJIE JOY SHEN
Is weight loss an effective treatment for nonalcoholic fatty liver disease?
ABDUL REHMAN, JATINDER P. AHLUWALIA
A 47-year-old man presented with a three-week history of cramping lower abdominal pain, change in bowel habits, and hematochezia. Symptoms started with constipation and lower abdominal pain. The pain worsened over two to three days, then his bowel movements resumed with...
DAVID A. KLEIN
It was great that my 15-year-old female patient, who seemed emotionally disengaged during the routine confidential time at her annual visit, felt comfortable enough to return for advice. On the other hand, it was disconcerting to see her in distress and accompanied by a male...
Guideline source: American Academy of Neurology, American Association of Neuromuscular and Electrodiagnostic Medicine, American Academy of Physical Medicine and Rehabilitation
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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