Apophysitis and Osteochondrosis: Common Causes of Pain in Growing Bones

Suraj Achar, Jarrod Yamanaka

Apophysitis is responsible for a large percentage of visits by school-aged children to a health care professional each year for a sports injury. The age of onset can vary, but these disorders are notable during episodes of growth when bone lengthening outpaces lengthening of...

Depression and Anxiety Disorders: Benefits of Exercise, Yoga, and Meditation

Sy Atezaz Saeed, Karlene Cunningham, Richard M. Bloch

Many people with depression or anxiety turn to nonpharmacologic and nonconventional interventions, including exercise, yoga, meditation, tai chi, or qi gong. As an adjunctive treatment, exercise seems most helpful for treatment-resistant depression, unipolar depression, and...

Lice and Scabies: Treatment Update

Karen Gunning, Bernadette Kiraly, Karly Pippitt

Pruritus is the most common presenting symptom of lice and scabies. Diagnosis of a lice infestation requires the visualization of at least one live louse. The presence of nits does not necessarily signify an active infestation. Treatments include insecticides and...

What Evidence Do We Need Before Recommending Routine Screening for Social Determinants of Health?

Alex H. Krist, Karina W. Davidson, Quyen Ngo-Metzger

Social and economic factors have a greater influence on health than clinical care.1 Sadly, having a social need is common. In 2017, 12.3% of Americans experienced poverty, half a million people were homeless, 10% of households had food insecurity, and 8% had no health...

Postoperative Pain, Acute Stroke, Hormone Therapy, Diet to Improve Cardiovascular Risk, Ovarian Cancer

Which is the better oral pain reliever for children with postoperative pain: ibuprofen or morphine? | Does routine low-dose oxygen therapy following an acute stroke improve functional outcomes? | Is hormone therapy with combined estrogen and progestin recommended to reduce...

Glycopyrrolate (Lonhala Magnair) for Treatment of Chronic Obstructive Pulmonary Disease

Montgomery Douglas

Glycopyrrolate nebulizer solution (Lonhala Magnair) is labeled for long-term maintenance therapy of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It is available with a portable nebulizer for self-administration by patients.

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults

Amanda E. Borsky, Eunice Zhang

A.F., a 32-year-old woman, presents for a health maintenance visit. It has been more than a year since she was last seen. She has no significant medical history and has never used tobacco, alcohol, or any other substances. She works as a senior project manager for a large...

Unpleasant Foot Odor and Skin Changes

William F. Keenan, Jr.

A 24-year-old woman presented with several months of increasingly problematic foot odor. She noted that there were accompanying skin changes on the soles of her feet but no itching, redness, or discharge. She had no improvement with use of various deodorants, frequent washing...

Chronic Cough After Acute Viral Bronchiolitis: Suggestions from the ACCP

Carrie Armstrong

Key Points for Practice

Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Recommendation Statement

The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services (Table 1). B recommendation.

Limited Data: Deprescribing Is Safe, But at the Risk of Symptom Recurrence

Henry C. Barry

Simple Clinical Prediction Rule Determines Risk of Heart Failure with Preserved Ejection Fraction

Mark H. Ebell

Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI Cotherapy

David C. Slawson

FIT Has Similar Yield as Colonoscopy for Colorectal Cancer and Advanced Adenoma Over 10 Years

Mark H. Ebell

Lice and Scabies

Lice are small parasites (bugs) that live on hair-covered skin. They are often connected to the base of the hair on the scalp or in the pubic area. When you have lice, it is called pediculosis (say: puh-DIK-yuh-LOW-sis).