BARBARA S. APGAR, AMANDA J. KAUFMAN, CATHERINE BETTCHER, EBONY PARKER-FEATHERSTONE
To diagnose high-grade cervical intraepithelial neoplasia, two or more colposcopicdirected cervical biopsies should be performed. Sensitivity is best when the biopsy is taken from acetowhite epithelium. Treatment options include excision or ablation. Endometrial carcinoma can...
KIM EDWARD LeBLANC, LEANNE L. LeBLANC, KARL A. LeBLANC
Inguinal hernias are usually diagnosed through history and physical examination findings; however, imaging may be helpful in certain cases. Although most inguinal hernias are repaired, surgery may not be necessary for small, minimally symptomatic hernias.
ROOPAL V. KUNDU, STAVONNIE PATTERSON
Dermatologic conditions in skin of color have distinct presentations because of differences in cutaneous structure and function. Timely identification and diagnosis of basal and squamous cell carcinomas and melanoma can help reduce morbidity and mortality. Proper management...
ROOPAL V. KUNDU, STAVONNIE PATTERSON
Dermatosis papulosa nigra, pseudofolliculitis barbae, acne keloidalis nuchae, and keloids occur more commonly in skin of color. These conditions are benign, but may cause pruritus, pain, and cosmetic concerns. Oral, topical, intralesional, and surgical treatment options are...
Bipartisan Study Proposes Recommendations for Improving Health Care Payment and Delivery | ACGME Proposes Changes to Residency Requirements for Family Medicine | AAFP Issues Statement After Justice Department Appeals OTC Access to Plan B One-Step | Medical Associations Urge...
LEANNE ZAKRZEWSKI, DENISE SUR
Vaccinations are an important topic to address with pregnant women for maternal and neonatal health reasons, and pregnancy provides a unique time during which physicians have close, regular contact with the patient. Inactivated vaccines can be given before, during, and after...
AILEEN BUCKLER, TAMMY SERVIES
G.H., a 35-year-old woman, presents for a routine preventive visit. She has no chronic illnesses or significant family history of disease. She does not smoke, but admits she does not exercise regularly or eat a very healthy diet. She drinks a moderate amount of alcohol.
MARK A. GRABER, ROBERT DACHS, JILL ENDRES
MARGARET Y. PIO, AMIMI OSAYANDE
Spinosad (Natroba) is a prescription topical pediculicide labeled for the treatment of head lice in patients four years and older.1 In addition to its pediculicidal activity, spinosad has also been shown to have ovicidal activity.2 Unrelated to other insecticides, spinosad is...
ABHISHEK AGARWAL, RAJESH BANDERUDRAPPAGARI
A 32-year-old woman presented to the emergency department with headaches and fevers that had persisted for the previous six weeks. The headaches were generalized and associated with nausea and photophobia. She had no focal weakness, numbness, or seizure activity. Her medical...
CECILE ROBES, JANINE S. TILLETT
Are there any effective pharmacologic therapies for eustachian tube dysfunction?
Guideline source: American Academy of Pediatrics
Population: General adult population without a known diagnosis of hypertension, diabetes mellitus, hyperlipidemia, or cardiovascular disease (CVD).
A hernia occurs when part of the body bulges into an area where it normally shouldn't be. An inguinal hernia occurs in the groin. With an inguinal hernia, a small part of the intestine bulges through a weak spot in the lower wall of the stomach.
Dermatosis papulosa nigra (DUR-muh-TOE-sis PAP-yoo-LOW-suh NIE-gruh) is small, smooth, dark bumps on the skin. Usually, the bumps are not painful and do not itch. They are not harmful. They are mostly on the face, but also can be on the chest and back. Men and women can get...
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