TED EPPERLY, MEGAN A. DUNAY, JACK L. BOICE
Cholinesterase inhibitors, memantine, and a combination of a cholinesterase inhibitor and memantine have produced small, statistically significant but clinically small delays in cognitive and functional decline in select patients with Alzheimer disease. Vitamin E may delay...
DAVID M. PECK, LISA M. VOSS, TYLER T. VOSS
Slipped capital femoral epiphysis usually occurs in children eight to 15 years of age and is one of the most commonly missed diagnoses in this population. It is classified as stable or unstable based on the ability to bear weight. The condition is associated with obesity,...
JEANNE P. SPENCER, RUTH H. TRONDSEN PAWLOWSKI, STEPHANIE THOMAS
Because most vaccine-preventable illnesses are now uncommon in the United States, parents are increasingly questioning the necessity of immunizing their children. Family physicians should be aware of the risks and benefits of recommended immunizations. Thimerosal is currently...
HEI SUNG KIM, SO MIN KIM, JEONG DEUK LEE
A 24-year-old woman presented with multiple asymptomatic erythematous, flat-topped papules on the extensor surfaces of both hands.
Physician Groups Warn Congress on AHCA | Despite Interest, Family Physicians Cite Barriers to Use of Telehealth | Drop in Teaching Health Center Funding Affected Family Medicine Residencies | <i>M<sc>ed</sc> W<sc>atch</sc></i>: Newer Diabetes Drug Linked to Increased...
TYLER BARRETO, LARS E. PETERSON, STEPHEN PETTERSON, ANDREW W. BAZEMORE
Previous research has shown a decline in the percentage of family physicians practicing low- or medium-volume obstetrics. Using 13 years of data through 2016, we found continued declines in low- and medium-volume obstetrics, in addition to a new 50% decrease in family...
BARRY D. WEISS, MINDY J. FAIN
Rather than focusing on medications to achieve a small temporary difference in cognition, patients and families might be better served if we focused more on nonpharmacologic treatments, and on more important issues, such as advance directives, driving, living arrangements,...
CHUNHUA LAI, HONGZHONG QIU
Patients with this relatively uncommon form of insomnia have a marked propensity to underestimate sleep duration and overestimate wakefulness relative to polysomnographic measures.
AMIMI S. OSAYANDE, NEELIMA KALE
NAFLD is defined as hepatic steatosis on imaging or histology in the absence of other etiologies for secondary fat accumulation. It is usually identified during the evaluation of elevated transaminase levels in a patient without heavy alcohol intake, or found incidentally on...
JENNIE B. JARRETT, RENEE PETZEL GIMBAR
Idarucizumab is the only anticoagulant reversal agent for dabigatran. Because of its high cost and limited data regarding clinical benefit, therapy should be reserved for patients taking dabigatran who have life-threatening bleeding or are in need of emergency surgery.
DAVID MEYERS, JOSHUA DUNCAN
C.D. is a 23-year-old woman who presents to your office for her first prenatal visit. She is in the eighth week of her first pregnancy. She tested negative for sexually transmitted infections (STIs) two years ago, and she has not had a new sex partner since that time....
MARK H. EBELL
Bariatric surgery using Roux-en-Y gastric bypass or sleeve gastrectomy was more effective than intensive medical therapy at improving quality of life and helping patients lose weight and reduce the need for medications. Anemia was more common with sleeve gastrectomy, and...
The American Academy of Pediatrics (AAP) updated its recommendations to reduce the risk of SIDS and suffocation, asphyxia, and entrapment associated with sleep, focusing on SUIDs that transpire during sleep in infants one year or younger.
The USPSTF recommends against routine serologic screening for genital herpes simplex virus (HSV) infection in asymptomatic adolescents and adults, including those who are pregnant.
AMY J. DiPLACIDO, LORA COX-VANCE
MARK K. HUNTINGTON, JAY ALLISON, DILIP NAIR
Before vaccines were available, many children died from the 15 diseases we can now prevent. Chickenpox, whooping cough, the flu, measles, and meningitis are very dangerous and can still infect unvaccinated children.
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