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
To address the growing problem of unhealthy drug use, the U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations on screening for unhealthy drug use in adults and adolescents. For the first time, the USPSTF recommends screening adults 18 years and...
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
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.
Micah Pippin, Lois Buller
A patient presented with fever, headache, nausea, arthralgia, and a rash, soon after travel to the Philippines.
Susie Wenstrup, Divesh Goel, Beenish Viqar
Digital antepartum and intrapartum perineal massage did not decrease perineal lacerations compared with a control group.
Leena Myran, Thanh-Nga Nguyen
Icosapent ethyl is safe, well tolerated and effective in preventing ischemic events including stroke and heart attack.
Andrew Buelt, Dusty Marie Narducci
The 2019 American College of Rheumatology/Arthritis Foundation guidelines reviewed the effectiveness of pharmacologic and nonpharmacologic treatments for OA in the knee, hip, and hand.
David C. Slawson
Mark H. Ebell
Triple inhaled therapy, with budesonide (Pulmicort) in a dose of either 160 mcg or 320 mcg daily plus a long-acting muscarinic antagonist (LAMA) and a long-acting beta2 agonist (LABA), reduces moderate exacerbations (a need for an antibiotic or steroid for three or more days)...
Allen F. Shaughnessy
Over three weeks, patients with long-term low back pain who knowingly took placebo twice a day reported less pain and disability than those continuing with treatment as usual.
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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