Tinnitus: Diagnosis and Management

Sarah N. Dalrymple, Sarah H. Lewis, Samantha Philman

Tinnitus is the perception of sound in the absence of an objective internal or external source. Tinnitus is a symptom, not a disease, and although it is typically not associated with a dangerous condition, it can significantly affect an individual's quality of life....

Out-of-Hospital Birth

Gregory Lang, Edwin A. Farnell, IV, Jeffrey D. Quinlan

The rate of out-of-hospital births has increased in recent years. Out-of-hospital (or community) birth can be planned or unplanned. Of those that are planned, most occur at home and are assisted by midwives. Patients who choose a planned community birth do so for multiple...

Polycythemia Vera: Rapid Evidence Review

Steven Fox, Leslie Griffin, Dominique Robinson Harris

Polycythemia vera is one of three common myeloproliferative neoplasms and is characterized by erythrocytosis; it commonly has associated leukocytosis and thrombocytosis. It has a substantial negative impact on overall mortality and morbidity in the form of arterial and venous...

Promoting Safety in Community-Based Birth Settings

Lawrence Leeman, Jessica Taylor Goldstein

Births outside of the hospital setting are uncommon in the United States; however, since 2004, home birth rates have increased by 77%, and rates at community birth centers have doubled.1 Although controversy regarding the safety of giving birth outside of the hospital setting...

Oxytocin as First-line Uterotonic Therapy for Postpartum Hemorrhage

Brian Ford, Rebecca Allen

Study Population: Patients being actively managed in the third stage of labor who also have postpartum hemorrhage

Abdominal Aortic Aneurysm, Migraines in Children, Mucolytics for COPD, Paget Disease, ARDS

In what population is screening for abdominal aortic aneurysm appropriate based on USPSTF recommendations? | What are the first-line medications used to treat acute migraines in children? | Are oral mucolytics effective at reducing the number of acute exacerbations, days of...

Pessaries for Managing Pelvic Organ Prolapse in Women

Juan Qiu, Dongsheng Jiang

Are pessaries effective in treating pelvic organ prolapse in women?

Psychological Therapies for Women Who Experience Intimate Partner Violence

Madhavi Singh, Marina Jeffery

Are psychological therapies safe and effective for women who experience intimate partner violence (IPV)?

Flash Continuous Glucose Monitoring (FreeStyle Libre 14-Day System) for Self-Management of Diabetes Mellitus

Hiu Ying Joanna Choi

*—The fair price represents the reasonable out-of-pocket cost based on price comparisons. Actual cost will vary with insurance and by region. Information obtained at https://www.goodrx.com and https://provider.myfreestyle.com/ (accessed April 21, 2021; zip code: 66211).

Linear Hyperpigmentation

Clare L. Coda, John P. Woods

A 26-year-old patient presented to urgent care with a worsening rash on the left forearm that developed four days earlier. The rash started after the patient spent a weekend at the beach. The rash was initially mildly erythematous but became hyperpigmented over the two days...

Preoperative A1C Threshold in Patients with Diabetes

Bernadette Kiraly, Alyssa Migdalski, Dominik Ose

In patients with diabetes mellitus who are preparing for total joint replacement, what is the preoperative A1C goal to reduce postoperative periprosthetic joint infections?

Eating Eggs Is Not Associated with Cardiovascular Disease

Allen F. Shaughnessy

Lipid Lowering Is Beneficial for Secondary Prevention but Not Primary Prevention in Patients 75 Years and Older

Mark H. Ebell

Exercise Is the Only Intervention to Provide Long-Term Improvement in Patients with Chronic Low Back Pain

Henry C. Barry

Continuous Glucose Monitoring Adds Little Benefit, Especially in Adults

Allen F. Shaughnessy

Chronic Kidney Disease in Diabetes: Guidelines from KDIGO

Kamlesh Khunti, Ian H. de Boer, Peter Rossing

Key Points for Practice

Case Report: Thrombotic Thrombocytopenia after COVID-19 Janssen Vaccination

Allison Costello, Aakriti Pandita, Jessica Devitt

Using DaTscan to Diagnose Parkinson Disease

Tinnitus

Tinnitus (TIN-ih-tus) is a sound you may hear when there is not sound coming from a source outside your body. It is not usually a serious condition, but it can be annoying. Tell your doctor if you notice a sound you think might be tinnitus.

Having a Baby Outside of a Hospital: What You Need to Know

When you're having a baby, you can decide where to give birth. It is a personal choice, but you need good information to make the best choice. A hospital is the most common place, but there are other options. You should know the risks and benefits of each setting before you...