H. Russell Searight
Health risk behavior counseling and education takes substantial time during primary care office visits. For patients who respond to direct physician advice, the five A’s (ask, advise, assess, assist, arrange) and FRAMES (feedback, responsibility, advice, menu, empathy, self...
Joel J. Heidelbaugh
The goal of the adult well male examination is to promote optimal health and well-being, prevent premature morbidity and mortality from chronic diseases, and provide appropriate cancer screening and immunizations. The medical history should focus on tobacco and alcohol use,...
Claudia W. Allen, Sharon Diamond-Myrsten, Lisa K. Rollins
Frequent school absenteeism has immediate and long-term negative effects on academic performance, social functioning, high school and college graduation rates, adult income, health, and life expectancy. Chronic absenteeism appears to be driven by overlapping medical,...
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Mark H. Ebell, Allen F. Shaughnessy, David C. Slawson
Physicians must accept that change is uncomfortable, recognizing the pain of giving up an old idea or practice as medical knowledge evolves around us. We need to remain flexible in our thinking if we are to meet our goal of doing our best when caring for every patient.
Brittany P. Smirnov, Alexandra A. Bowles
A pregnant woman presented with a severely pruritic rash that began on her abdomen and spread to other areas including her chest, back, and bilateral arms, legs, hands, and feet.
Mark H. Ebell
In patients with nonvalvular atrial fibrillation (NVAF), what is the best way to determine if the benefits of stroke reduction exceed the harms of bleeding from anticoagulants?
Justin Mills, Martha Duffy
Case study: A 65-year-old man presents to your office for a pre-employment physical examination. He has no concerning symptoms; his medical history reveals type 2 diabetes mellitus, which he controls through diet. He works in an office and rides his bicycle to work. He is...
Key Points for Practice
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for peripheral artery disease (PAD) and cardiovascular disease (CVD) risk with the ankle-brachial index (ABI) in asymptomatic adults.
Some children miss school for medical reasons. But children who miss a lot of school often don’t have health problems. Some reasons include:
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