Well-child visits provide the opportunity for comprehensive assessment and the ability to determine whether further evaluation of the child is necessary. These visits involve a complete history, head-to-toe examination, a review of immunizations, and screening for postpartum...
James Phillips, Adam C. Henderson
Hemolytic anemia is defined as the premature destruction of red blood cells before the normal 120-day life span. It ranges from chronic to life-threatening, and should be considered in patients with unexplained normocytic or macrocytic anemia. Patients with chronic hemolysis...
Patrick Jackson, Mariana Vigiola Cruz
Acute intestinal obstruction occurs when the forward flow of intestinal contents is interrupted or impaired by a mechanical cause. It is most commonly caused by intra-abdominal adhesions, malignancy, and herniation. Laboratory evaluation should include a complete blood count,...
Katie L. Westerfield, Kristen Koenig, Robert Oh
Exclusive breastfeeding is recommended for the first six months of life, and should be continued for at least 12 to 24 months. Postdischarge primary care support for breastfeeding mothers and infants can increase breastfeeding rates and duration. Physicians can support...
Study Shows Antibiotic Prescribing Lowest in Medical Offices | Obesity Linked to Influenza Transmission Risk | Rise of ‘JUULing’ Among Youth Sparks Sharp Response | AAFP, Other Groups Demand HHS Stop Stalling on Regulations
EBM is the integration of the best available evidence with clinical expertise and the individual patient's values, preferences, and unique circumstances. Despite the success of this approach, misconceptions and barriers remain.
Howard Tracer, Yuri T. Jadotte
A 55-year-old man presents for an annual visit. He has no history of hypertension, cardiovascular disease (CVD), or diabetes mellitus; has never smoked; and has no family history of CVD. His lipid panel results from one year ago were normal, and he has no current symptoms of CVD.
Michael A. Santos, Galen Foulke
A man with no recent trauma presented with a pigmented lesion on his thumbnail.
Gregory Castelli, Monica Schaffer
Crisaborole has been shown to be effective in about one-third of patients who use it, but it is much more expensive than other available products. Although crisaborole is a safe option for patients in whom topical corticosteroids are considered risky (e.g., children at least...
Bonnie Huang Hall
n July 2017, Dr. Todd Graham was fatally shot by his patient's husband when Dr. Graham denied his patient's request for opioids. This case highlights that, according to the Bureau of Labor Statistics, health care professions are one of the most dangerous industries of...
When compared with standard therapy (inhaled corticosteroids with or without LABAs and SABAs as relief therapy), SMART is associated with a reduced risk of acute asthma exacerbations in patients 12 years or older.
In women who had received the HPV vaccine, screening for HPV every five years, with cytology and colposcopy follow-up as needed, resulted in higher rates of identification of high-grade pre-cancerous disease than standard liquid-based cytology every 2.5 years with HPV follow...
Mark H. Ebell
For patients with gout who require treatment to lower their uric acid level, allopurinol is a safer option than febuxostat.
As part of the Deprescribing Guidelines in the Elderly Project, a Canadian team consisting of two family physicians, one geriatric psychiatrist, two geriatricians, and four pharmacists has provided recommendations to guide physicians in deprescribing antipsychotics for...
The USPSTF recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in asymptomatic adults at low risk of CVD events.
Unless your baby needs immediate medical attention, you should have skin-to-skin contact with your baby right away after giving birth. You should breastfeed within the first hour, even if it means breastfeeding before your baby is weighed or bathed.
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