VICTORIA J. SHARP, KERRI T. BARNES, BRADLEY A. ERICKSON
Asymptomatic microscopic hematuria is often discovered incidentally in the primary care setting. Because malignancies are found in up to 5% of cases, microscopic examination of the urine is necessary. The diagnosis of microscopic hematuria requires identification of three or...
BRIAN Z. RAYALA, ANTHONY J. VIERA
Vasectomy is a safe and reliable method of male contraception. Alternatives to the traditional incisional technique include no-scalpel and no-needle vasectomy. Short-term complications include infection and bleeding; long-term complications include sperm granuloma and post...
DYANNE P. WESTERBERG, MICHAEL J. VOYACK
Diagnosis involves physical and microscopic examination and culture. Treatment is aimed at eradication of the causative organism and return to a normal appearance of the nail. Systemic antifungals are more effective than topical therapies. Several nonprescription treatments...
Electronic Health Records Contributing to Job Dissatisfaction Among Physicians | Data Analysis Shows Not Enough Physicians Are Entering Primary Care | Study: Access to Primary Care Physician Reduces Likelihood of Colorectal Cancer | Hydrocodone Combination Products May Be...
CAROLINE WELLBERY, REBECCA McATEER
Educating our patients, applying evidence judiciously, and avoiding undue influences will help us avoid the pitfalls of the ever-changing practice of medicine.
NITA SHRIKANT KULKARNI
Aspirin is as effective as dalteparin for extended thromboprophylaxis in patients who had total hip arthroplasty and had initially received 10 days of dalteparin prophylaxis postoperatively. Because of its relative safety, low cost, and easy administration, aspirin is an...
ALLEN F. SHAUGHNESSY
Vitamin D supplementation in patients with isolated systolic hypertension and low levels of vitamin D does not decrease systolic blood pressure after one year of treatment.
MARK H. EBELL, LAUREN S. HUGHES
Although finasteride prevents low-grade prostate tumors, it does not affect overall survival or survival after prostate cancer diagnosis. Although high-grade cancers were more common among men taking finasteride, up to 18 years of follow-up failed to show increased mortality...
A five-day course of systemic glucocorticoids is at least as effective as a 14-day course in the treatment of adults with acute exacerbations of COPD.
NITA SHRIKANT KULKARNI
This study suggests that a low-sodium and fluid-restricted diet, compared with a non-restricted diet, for patients hospitalized with acute decompensated heart failure does not expedite weight loss or decrease congestion. Patients placed on such diets are, as expected,...
WILLIAM E. CAYLEY, JR.
Cranberry products are not effective and should not be recommended for the prevention of UTIs.
DEAN A. SEEHUSEN, KELLY G. KOREN
Are research studies sponsored by industry more likely to have favorable results and conclusions than studies without industry sponsorship?
YU-TING LIN, PO-YU SHIH
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
The personal side of medicine told from the patient's perspective. The patient's story is followed by commentary from a physician and a list of resources.
Guideline source: American College of Obstetricians and Gynecologists
Onychomycosis (ON-i-ko-my-KO-sis) is an infection in your toenails or fingernails that is caused by a fungus.
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