KAREN E. MUCHOWSKI
Decreased gestational age and exclusive breastfeeding are the strongest risk factors for neonatal hyperbilirubinemia. Infants who appear jaundiced should be evaluated by risk score or by measurement of total serum or transcutaneous bilirubin. Phototherapy is an effective...
KEVIN F. WILSON, JEREMY D. MEIER, P. DANIEL WARD
Salivary gland disorders include inflammatory, bacterial, viral, and neoplastic etiologies. Treatment is aimed at relieving the cause of the obstruction. Salivary gland tumors are relatively rare and typically require surgery.
HOLLY HARTMAN-ADAMS, KAREN CLARK, GREGORY JUCKETT
Persons with latent tuberculosis infection have a 5% to 10% lifetime risk of progressing to active disease. Targeted screening is recommended only for individuals and groups at increased risk of infection. Tuberculin skin testing has several limitations, including the need...
Updated USPSTF and CDC recommendations, and incorrect Cochrane review data. Based on new and additional recommendations, we are updating the article “Update on Prenatal Care” (February 1, 2014, p. 199). The U.S. Preventive Services Task Force (USPSTF) updated their...
RILEY J. BURKE
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.
Study: One-Third of Prescriptions Go Unfilled | Survey Finds High Physician Salaries Are Not Linked to Job Satisfaction | AAFP Analysis Can Help Physicians Navigate Medicare Payment Data | Immunization Information Added to App
J. RILEY McCARTEN, SOO BORSON
Dementia in older adults is a common,1 costly,2 and rapidly growing3 health care problem. It is almost invariably the result of chronic, progressive, and ultimately terminal brain disease, most often Alzheimer disease.4 Little can be done to alter the course of the underlying...
DAVID G. LE COUTEUR, CAROL BRAYNE
The evidence base and principles that underpin the introduction of population screening for any condition are accepted internationally.1,2 Dementia screening should not be exempt from the requirement that it first be shown to improve outcomes before being implemented in...
COREY D. FOGLEMAN
Continuous prophylactic antibiotic therapy significantly decreases COPD exacerbations for up to three years. However, it does not decrease mortality, and it puts the patient at risk of antibiotic-resistant colonization and infection.
A range of prevention strategies can reduce the risk of postpartum depression, but more study is needed to determine which interventions are most effective.
JOSEPH NICHOLS, ANDREW BAZEMORE
Tobacco use and obesity are linked to most deaths and significant disability in the United States, and family physicians are uniquely positioned to address these issues. This highlights a need for transforming primary care practices and teams to systematize the recognition...
ROBERT McNELLIS, KIRSTEN R. BARNES
A 55-year-old woman presents to your office for a refill of her blood pressure medication. She is otherwise healthy and does not take other medications. She states that her older sister has been taking vitamin D and calcium supplements for several years “to keep her bones...
NEHAL PATEL, RAOUF SEIFELDIN, WILLIAM HILL
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
MARK H. EBELL
Filling a prescription for testosterone therapy is associated with an increased likelihood of experiencing an MI, especially in older men and those with a history of cardiovascular disease.
ALLEN F. SHAUGHNESSY
A single HPV test provides the same degree of protection over five years as a Papanicolaou (Pap) smear does for three years. We may soon see a recommendation for HPV testing as a stand-alone screen, with cytology reserved for women who have an HPV-positive result. We may also...
Combination therapy with varenicline and sustained-release bupropion was associated with a significantly higher prolonged abstinence rate compared with varenicline monotherapy at 12 weeks and 26 weeks in adult smokers attempting to quit. By 52 weeks, however, the difference...
MARK H. EBELL
Clobetasol propionate, 0.05%, applied in a thin layer for six weeks on, six weeks off, is a highly effective and safe treatment for alopecia areata in children; hydrocortisone, 1%, is not.
This clinical guideline from the American Academy of Orthopaedic Surgeons (AAOS) updates the one previously published in 2008 and addresses treatment of symptomatic knee osteoarthritis in adults 19 years and older.
The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of the benefits and harms of combined vitamin D and calcium supplementation for the primary prevention of fractures in premenopausal women or in men ...
Tuberculosis (too-BERK-yoo-LOW-sis), also called TB for short, is a lung disease caused by a germ. Latent TB means a person is infected with the germ, but they are not sick. Some people with latent TB can get sick later in life. This is called active TB.
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