Shoulder Dystocia: Managing an Obstetric Emergency

D. Ashley Hill, Jorge Lense, Fay Roepcke

Shoulder dystocia is an obstetric emergency where normal traction on the fetal head does not lead to delivery of the shoulders. It can cause neonatal brachial plexus injuries, hypoxia, and maternal trauma. Most cases occur without warning, but prior shoulder dystocia and...

Syphilis: Far from Ancient History

Jason Ricco, Andrea Westby

Rates of primary, secondary, and congenital syphilis are increasing in the United States, and reversing this trend requires renewed vigilance on the part of family physicians. Prompt diagnosis can be challenging because not all infected patients have common manifestations....

Asymptomatic Bacteriuria

Richard Colgan, Gregory A. Jaffe, Lindsay E. Nicolle

Asymptomatic bacteriuria, defined as the presence of bacteria in the urine in the absence of urinary symptoms, is a common clinical finding that often warrants a decision about whether to initiate antimicrobial therapy. Treatment is not beneficial for most patients, and...

Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis

Kenneth W. Lin

Unrecognized or inadequately treated syphilis infection during pregnancy leads to congenital syphilis, whose diverse clinical manifestations include stillbirth, skin rashes, cataracts, hepatomegaly, bone abnormalities, and seizures.1 The review of syphilis in this issue of...

Venous Ulcers, Dementia Care, SARS-CoV-2 Swabs, Telehealth

How should venous ulcers be treated? | How should patient care be modified after diagnosis of dementia? | Are self-collected swabs accurate in detecting SARS-CoV-2? | Does the use of telehealth for outpatient subspecialty consultations improve clinical outcomes?

Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: Recommendation Statement

The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery (Table 1). D recommendation.

Inflamed, Purulent Axillary Nodules

Afsaneh Alavi, Monica Shah, Na-Young Cindy Kang

A 21-year-old man presented with several years of recurrent painful cysts and scarring, accompanied by severe pruritus and malodorous purulent discharge in several areas, including the axillae, buttocks, and gluteal cleft. The symptoms caused physical discomfort and...

Acetaminophen for Pain Relief in Osteoarthritis

David M. Siebert, Marie Cadwell Meyer, Eric Jensen

Is acetaminophen effective for relief of hip or knee pain due to osteoarthritis?

Dapagliflozin (Farxiga) for Preventing Hospitalization for Heart Failure

Jeffrey Tingen, John D. Gazewood

Dapagliflozin (Farxiga) is a selective sodium-glucose cotransporter 2 inhibitor that promotes glycosuria. It is labeled for the treatment of type 2 diabetes mellitus in adults as an adjunct to diet and exercise to improve glycemic control. Recently the labeling has been...

Mailing gFOBT or FIT Directly to Patients Increases Uptake of Colorectal Cancer Screening

Mark H. Ebell

Increasing the d-Dimer Threshold for Patients with Low Clinical Pretest Probability Effectively Rules Out PE

Nita Shrikant Kulkarni

No Cow's Milk Formula for the First Three Days of Life Prevents Food Allergies

Henry C. Barry

Mind-Body Treatments Enhance Opioid Treatment of Patients with Acute or Chronic Pain

Allen F. Shaughnessy

Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA

Carrie Armstrong

Key Points for Practice

Differential Diagnosis of Muscle Weakness in Adults

Skin Disorders in Patients with Skin of Color

Case Report: Flavored Vaping–Associated Hypokalemia

Sateesh Sakhamuri, Sanjeeva Goli, Surujpal Teelucksingh

Importance of Appropriate Diagnosis Before Prescribing Corticosteroids