HERBERT L. MUNCIE, SUSAN M. SIRMANS, ERNEST JAMES
The differential diagnosis of dizziness is broad, and symptoms are typically vague. Episodic vertigo triggered by head motion may be caused by benign paroxysmal positional vertigo. Vertigo with unilateral hearing loss suggests Meniere disease. Episodic vertigo not associated...
MATTHEW V. FARGO, SCOTT P. GROGAN, AARON SAGUIL
Acute jaundice is caused by elevated serum bilirubin levels in the unconjugated or conjugated form. Jaundice often indicates underlying disease, and the history, physical examination, laboratory evaluation, and imaging tests can help determine the diagnosis. Unconjugated...
CRAIG BARSTOW, MATTHEW RICE, JONATHAN D. McDIVITT
The diagnosis of myocardial infarction, a subset of acute coronary syndrome, may not be possible based on initial presentation alone. Although chest pain is common with myocardial infarction, there are many noncardiac causes of chest pain. The initial assessment includes...
AAFP Blasts Decision Granting APRNs Full Practice Authority in VA Facilities | National Governors Association Looks to Ease Health Information Interoperability | AAFP to UnitedHealthcare: Coordinate Patient Care with Physicians | CMS to Waive PQRS Penalties Related to ICD-10...
CAROLINE WELLBERY, MONA SARFATY
Air pollution has many deleterious health effects. Physicians can encourage their patients to recognize the health cobenefits of actions to support the environment.
CHRISTOPHER W. BUNT, ANDREW J. HOGAN
Statins given in later life to patients at risk of vascular disease do not prevent dementia or cognitive decline compared with placebo. Adverse effects are similar between groups.
DONNA COHEN, ASHLEY MORRISON
Structured exercise programs and home safety interventions reduce both the rate and the risk of falling among community-dwelling adults 65 years and older, whereas multifactorial assessment and intervention programs reduce the rate of falls but not the risk of falling....
COREY A. MAYER, ALEKSANDRA MURAWSKA, JAMIE BISHOP, JOHN WAITS, LACY SMITH
PVD can be effectively treated with supervised exercise therapy, cilostazol, lipid-lowering therapy, and antiplatelet therapy. All of these treatments increase pain-free walking distance. Antiplatelet therapy also decreases the need for surgical revascularization. The best...
BROOKE CAUFIELD, JOHN CHIN, CHRIS DAVIS
A man presents with progressive hair loss. Physical examination reveals no hair anywhere on his body, and his fingernail plates are rough with longitudinal ridging.
In rural communities, physicians and their patients are uniquely bonded. These relationships can be a source of encouragement and healing.
This study found that sertraline is more effective than placebo (number needed to treat = 6) in preventing the onset of a major depressive disorder in adults following a TBI. This study included patients with mild, moderate, and severe TBI.
ALLEN F. SHAUGHNESSY
Calculating the BMI of children and adolescents in primary care practices and counseling those who are overweight is ineffective to reduce BMI in children over several years of follow-up.
MARK H. EBELL
This landmark study compared active surveillance with radical prostatectomy or radiation therapy for patients with T1c or T2 prostate cancer. The benefits of active surveillance include avoiding radical therapy in one-half of the patients, with no effect on disease-specific...
In 2008, the American Academy of Neurology (AAN) published guidelines on the use of botulinum neurotoxin. This summary highlights updates on four indications: blepharospasm, cervical dystonia, spasticity in adults, and headache.
MARIBETH PORTER, LISA CHACKO
The decision to start an antiepileptic drug after a first unprovoked seizure has long been a clinically challenging one.
P. HUNTER SPOTTS
Dizziness is one of the most common reasons people visit their doctors. It may make you feel off-balance, wobbly, lightheaded, or like you might faint. Vertigo is a type of dizziness that makes you feel like things are moving or spinning around you when you are not moving....
Jaundice (JAWN-dis) is when the skin turns yellow. It is caused by having too much of a chemical called bilirubin (bil-ih-RU-bin) in the body. Bilirubin comes from the normal breakdown of red blood cells. It is changed in the liver to a form that can leave the body in your...
Incorrect wording. The Medicine by the Numbers “Controlled Cord Traction During the Third Stage of Labor” (March 1, 2016, [online only]) incorrectly stated that the Advanced Life Support in Obstetrics (ALSO) program did not support the use of controlled cord traction in the...
Misspelled author name. The STEPS department “Vilazodone (Viibryd) for the Treatment of Depression” (August 15, 2013, p. 263) misspelled the first name of the third author. Her name should have been listed as Katharine DeGeorge rather than Katherine DeGeorge. The online...
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