Andrew Smith, Chelsea Harris
Patients with type 1 diabetes mellitus who maintain tight glycemic control have a lower risk of microvascular and macrovascular complications. Most patients should aim for an A1C level less than 7%, although this should be personalized based on age and comorbidities. More...
Patients with a suspected connective tissue disorder should undergo serologic testing to confirm the diagnosis and, in some cases, to monitor disease activity and predict flares. Patients with suspected systemic lupus erythematosus should be tested for antinuclear antibodies,...
Denise K.C. Sur, Monica L. Plesa
Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes without allergic or infectious etiologies. Although diagnostic testing is not available, characteristics such as no evidence of allergy or defined triggers help define clinical subtypes. Treatment is based...
Study Finds Disturbing Trends in Vaccination Exemptions | Obesity Higher in Rural vs. Urban Counties | AMA House Backs AAFP's Call for Accurate 2020 Census | AAFP Voices Support for Tobacco Regulation
Shivajirao Prakash Patil, Kay Craven, Kathryn Kolasa
Physicians can improve the health of patients who experience food insecurity by following the SEARCH (screen, educate, adjust, recognize, connect, help) mnemonic and by using the resources outlined in this article.
Caitlin Crowley, Michelle Proser, Andrew Bazemore
Expansion of the Health Centers Program has been associated with persistent workforce challenges for this critical component of the primary care safety net. In a national survey, 69% of health centers had a family physician (FP) vacancy. Those with FP vacancies reported...
Eric M. Weil, Eric M. Weil
The primary care physician's role in cancer treatment.
Interventions that include combinations of diet, physical activity, and behavior changes may reduce weight, body mass index (BMI), and BMI z-score (equivalent to BMI-for-age percentile) in overweight and obese children six to 11 years of age.
There is moderate-quality evidence that PPIs are more effective than placebo at relieving overall symptoms in patients with functional dyspepsia (number needed to treat [NNT] = 11). Low-quality evidence suggests a small benefit of PPI therapy compared with prokinetics, and...
Adam C. Lake, Jeffrey T. Kirchner
A man with a history of HIV, chlamydia, and genital herpes presented with a painful lip ulcer.
Because the evidence regarding medical care for persons with diabetes mellitus continues to evolve, the American Diabetes Association (ADA) annually updates its standards. In addition, starting in 2018, the ADA will also periodically update its guidance online if warranted.
Matthew K. Hawks, Jedda P. Rupert, Jennifer E. Svarverud
Preliminary evidence indicates that combining terbinafine with an azole appears to be superior to terbinafine alone. Further study is necessary to compare combined treatment with terbinafine plus an azole vs. terbinafine alone.
Carla Graichen, Christina Tanner
The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of...
The etonogestrel subdermal implant is approved by the U.S. Food and Drug Administration for contraception for up to three years, but it seems to be effective for up to five years.
Type 1 diabetes is sometimes called juvenile diabetes or insulin-dependent diabetes. It means that your body can't make insulin. We need insulin to live. Insulin helps your body use the sugar it makes from the food you eat. Your body uses this sugar for energy. Without...
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