KEVIN SHERIN, BENJAMIN G. KLEKAMP, JEFFREY BEAL, NICOLLE MARTIN
Human immunodeficiency virus prevention and treatment updates include screening recommendations, fourth-generation testing, preexposure prophylaxis, and a paradigm shift; treatment is prevention. Fourth-generation testing is replacing Western blot and can identify those with...
LEO A. CARNEY, JEFF D. QUINLAN, JANET M. WEST
Untreated thyroid disorders during pregnancy are associated with an increased risk of miscarriage, placental abruption, hypertensive disorders, and growth restriction. Women at high risk should be screened. Levothyroxine is the preferred treatment for hypothyroidism....
KERI L. DENAY, MICHAEL JOHANSEN
Pacemakers are indicated in patients with certain symptomatic bradyarrhythmias caused by sinus node dysfunction, and in those with frequent, prolonged sinus pauses. Patients with third-degree atrioventricular block benefit from pacemakers, as do those with type II second...
DEBORAH R. ERLICH, DAVID C. SLAWSON, ALLEN F. SHAUGHNESSY
A new approach to the care of adults with type 2 diabetes emphasizes proven interventions that improve duration and quality of life.
Choosing Wisely: <i>AFP</i> Helps Physicians Put Recommendations into Practice | Patients Value Communication and Access to Physicians Offered in PCMH Model | Health Care for Children Varies by Location | Patients with Chronic Diseases Seek Primary Care Physicians Over...
KEN S. OTA, MOHAMAD LAZKANI
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
RAMA NARLA, SHANNON B. PECK, KEFENG (MAYLENE) QIU
Supplementation with omega-3 fatty acids decreases triglyceride and very low-density lipoprotein cholesterol levels. However, it can also increase low-density lipoprotein (LDL) cholesterol levels. Treatment with omega-3 fatty acids does not decrease total mortality,...
TINA FAN, DARLENE P. SMALLMAN
A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary...
ORALIA V. BAZALDUA, DEWAYNE A. DAVIDSON, FRANKLYN C. BABB
Roflumilast therapy has a limited role in patients with severe COPD, and no role in patients with mild to moderate COPD. It will not decrease the number of hospitalizations.
Guideline source: Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices
The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to assess the balance of benefits and harms of routine screening for chronic kidney disease (CKD) in asymptomatic adults.
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