JASON WILBUR, BRIAN SHIAN
Venous thromboembolism manifests as deep venous thrombosis or pulmonary embolism. Deep venous thrombosis may present with swelling, pain, warmth, and redness in the involved extremity, whereas pulmonary embolism may present with dyspnea, chest pain, tachypnea, syncope, and...
BRIAN A. SMOLEY, CHRISTA M. ROBINSON
With perfect use, modern natural family planning methods can be as effective in preventing pregnancy as hormonal contraceptives. Cervical mucus monitoring and the symptothermal method help couples identify the days of increased fertility. Lactational amenorrhea maximizes the...
MEJEBI T. MAYOR, MICHELLE A. ROETT, KELECHI A. UDUHIRI
Neisseria gonorrhoeae may cause urogenital, anorectal, and pharyngeal infections. Symptoms depend on the site of infection, although women often are asymptomatic. First-line treatment generally begins with intramuscular ceftriaxone. The U.S. Preventive Services Task Force...
KENNETH B. ROBERTS
The American Academy of Pediatrics has released significant updates from its 1999 guideline, as well as areas for further research. Key changes were made to diagnostic criteria and the use of imaging. Guidance on when to obtain a urine specimen was also added.
Survey Shows That Physicians Are Cutting Back on Hours, Patient Load | Physician Organizations Criticize Laws That Interfere with Medical Professionalism | The Use of EHRs Is Improving the Care of Patients with Diabetes Mellitus | Family Medicine Workforce Growing Too Slowly,...
MARK A. GRABER, ROBERT DACHS, ANDREA DARBY-STEWART
Is coronary CTA good enough to allow for the safe discharge of low- to intermediate-risk patients with chest pain? Coronary CTA and standard care were equally effective at identifying a low-risk population. The test saved seven hospital hours, but at the expense of radiation...
JENNIFER CROSWELL, SHELLY LUGER
Case study: A 40-year-old woman presents to your office for a routine well-woman examination. She has no significant medical history. She recently participated in a health fair at work and underwent free lipid and glucose screening; both levels were within normal limits.
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
ELIANA FERRONI, TOM JEFFERSON
What are the effects of vaccines to prevent influenza?
KENNETH T. MOON
The updated guidelines on central sleep apnea from the American Academy of Sleep Medicine (AASM) includes levels of recommendations (standard or option) based on the overall quality of evidence (high, moderate, low, or very low). Central sleep apnea syndromes are...
CRISTA B. WARNIMENT, KIRSTEN HANSEN
Natural family planning (NFP) is an effective and fulfilling method of avoiding pregnancy 1 that has developed significantly over the past 80 years. Because many physicians lack a correct understanding of modern NFP methods, they may underestimate the effectiveness of NFP and...
GRANT M. GREENBERG
Natural family planning (NFP) methods are not highly effective contraceptive options. The most important consequence of contraceptive failure is unintended pregnancy, which is costly to the individual and to society. Although there are some persons who for cultural and...
The U.S. Preventive Services Task Force (USPSTF) recommends screening all adults for obesity. Clinicians should offer or refer patients with a body mass index (BMI) of 30 kg per m2 or higher to intensive, multicomponent behavioral interventions.
SHELDON KNIGHT, RICHARD SAMS, SUSAN FOSTER-HARPER
There is no preferred method for establishing the infectious etiology of acute otitis media (AOM). Bacterial or viral pathogens are found in most cases. Bacterial pathogens are more common than viruses in middle ear fluid samples collected from children with AOM and intact...
Natural family planning (NFP) is a way for couples to tell which days of the month the woman is most likely to get pregnant. They can then choose to have sex on those days if they want to have a child.
Gonorrhea (gon-oh-REE-uh) is a sexually transmitted disease, or STD, that can affect the penis, vagina, throat, or rectal area. If it is not treated, it can spread to the blood and joints. Women who have gonorrhea may not be able to have children if the disease is not treated.
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