John Scott Earwood, Tyler Sherrod Rogers, Nicholas Alan Rathjen
Diagnosing ear pain requires distinguishing between primary and secondary otalgia. Pain originating within the ear (i.e., primary otalgia) is usually diagnosed with the history and physical examination. Common causes of primary otalgia include otitis externa or media,...
Amanda Howard-Thompson, Muneeza Khan, Morgan Jones, Christa M. George
In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy. Insulin regimens should be adjusted every three or four days until self-monitoring of blood glucose targets are reached. Goals...
Jose M. Villalon-Gomez
Pityriasis rosea is a common self-limiting rash that usually starts with a herald patch on the trunk and progresses along the Langer lines to a generalized rash over the trunk and limbs. The diagnosis is based on clinical and physical examination findings. Patients can...
AAFP Renews Fight for Coverage of Preventive Health Services for Women | New Online Tool Lets Physicians View Status of CMS Quality Measures | Survey: Family Physicians Continue Move to New Payment Models | Free Physician Well-Being CME Videos
Moira K. Ray, Valerie King
Providing immediate postpartum LARC to women who want it is an evidence-based, patient-centered, and safe practice.
Arianna Becker, Matthew Rensberry
Moisturizers decrease the rate of eczema flare-ups by 3.7 times vs. no treatment (number needed to treat [NNT] = 4), as well as the amount of topical corticosteroids used per eczema flare-up (9.3 g less). Adverse effects are minimal.
Probiotics relieve pain in children with recurrent abdominal pain in the short term (number needed to treat [NNT] = 8). There is no convincing evidence that fiber supplements improve pain in children with recurrent abdominal pain.
A fever without an obvious source in an infant younger than three months is highly concerning. Although some infants have a potentially life-threatening invasive bacterial infection, such as meningitis, bacteremia, or sepsis, most have less serious conditions, such as a viral...
Thomas M. Skinner, Casey V. Glew
A woman presented with lesions on her tongue, as well as bare patches with raised erythematous borders.
Ranit Mishori, Nicole Warren, Rebecca Reingold
FGM/C involves partial or total removal of the external genitalia or other injury to the female genital organs for nonmedical reasons. It is considered a human rights violation. It has no known health benefits, but many reported harmful consequences.
Allen F. Shaughnessy
Delayed antibiotic treatment (that is, giving a prescription with a suggestion to fill it only if symptoms are still present after three days) was associated with decreased revisits by adults with new-onset cough deemed to be infective.
Henry C. Barry
In this cohort study, older women at a high risk of fractures who used oral bisphosphonates for 10 to 13 years had a higher risk of fractures than women who used bisphosphonates for only two years.
Allen F. Shaughnessy
In this post-hoc analysis of the previously published SPRINT trial, lowering the systolic blood pressure of patients who are at increased risk of cardiovascular events (average age = 66 years) will decrease their risk of cardiovascular disease but increase their likelihood of...
This study found no clinically significant benefit of steroids for the treatment of acute LRTI in adults without asthma, including those presenting with wheezing or shortness of breath.
Persons with Mycobacterium tuberculosis infection may have no clinical evidence of disease and present asymptomatically, known as latent tuberculosis infection (LTBI) or symptomatically, known as tuberculosis (TB). The American Thoracic Society (ATS), Infectious Diseases...
Andrew Apps, Aseem Malhotra
Most published trials fail to show a benefit from coronary stenting in patients with stable obstructive coronary artery disease. However, stent technology has evolved significantly in recent years, and it is possible that newer-generation drug-eluting stents may offer...
Pityriasis rosea (pit-ih-RYE-uh-sis ROW-zee-uh) is a scaly, reddish-pink skin rash that's common in children and young adults. If you get it, you might feel like you have a cold at first. Then a scaly red spot might appear on your back or stomach. Smaller spots will develop...
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