Hip pain usually localizes anteriorly, laterally, or posteriorly. A focused history and physical examination can help differentiate the causes of hip pain, which is important for prescribing effective therapy. The history should include personal history of hip problems,...
Nicholas M. LeFevre, Ellisa Krumm, William Jacob Cobb
Dystocia accounts for 25% to 55% of primary cesarean deliveries. Avoiding admission to labor and delivery in the latent phase is recommended, assuming maternal/fetal status is reassuring. An arrested active phase is more than four hours without cervical change despite...
John M. Wilkinson, Don Chamil Codipilly, Robert P. Wilfahrt
Dysphagia is common but may be underreported. Oropharyngeal dysphagia manifests as coughing, choking, aspiration, or difficulty initiating swallowing, and is most often caused by chronic neurologic conditions. Patients with esophageal dysphagia may report a sensation of food...
Sarah Coles, Alexis Vosooney
Substance use disorders (SUDs) are highly prevalent and dangerous. The 2018 National Survey on Drug Use and Health found that 20.3 million people 12 years and older had an SUD and that 10.3 million individuals older than 12 years misused opioids within the previous year.1 In...
Does dexamethasone reduce mortality in patients with COVID-19 who are oxygen dependent? | How should a patient with concerns for scoliosis be evaluated? | What diagnostic workup should be performed in patients with muscle weakness? | Are omega-3 fatty acids safe and effective...
The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred (Table 1). (Screening...
Micah Pippin, Lois Buller
A 33-year-old patient presented with a rash that developed two days earlier and was preceded by fever, headache, nausea, and arthralgias. The rash was worse on the limbs. The medical history was unremarkable, but the patient had recently traveled to the Philippines.
Susie Wenstrup, Divesh Goel, Beenish Viqar
Does antepartum perineal massage reduce intrapartum lacerations?
Leena Myran, Thanh-Nga Nguyen
Icosapent ethyl (Vascepa) is a purified ethyl ester of eicosapentaenoic acid (EPA).1 It can be used as an adjunct to maximally tolerated statin therapy to reduce the risk of myocardial infarction, stroke, coronary revascularization, and unstable angina requiring...
Andrew Buelt, Dusty Marie Narducci
Key Points for Practice
David C. Slawson
Mark H. Ebell
Allen F. Shaughnessy
David C. Slawson, Christina M. Garcia
Hip pain is common and can happen at any age.
Updated recommendation. The article “Upper Gastrointestinal Bleeding in Adults: Evaluation and Management,” (March 1, 2020, p. 294) referenced a recommendation from 2010 regarding blood transfusions for patients with upper gastrointestinal (GI) bleeding when hemoglobin is...
Inaccurate disease description. In the Practice Guidelines “Community-Acquired Pneumonia: Updated Recommendations from the ATS and IDSA” (July 15, 2020, p. 121), in the title of Table 2 (page 122) and the first sentence in the second paragraph of the Antibiotic Therapy...
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