Jeffrey M. Weinfeld, Kathryn M. Hart, Jose D. Vargas
Home blood pressure monitoring can confirm the diagnosis of hypertension after an elevated in-office blood pressure measurement. Although ambulatory blood pressure monitoring is the diagnostic standard for measurement, home blood pressure monitoring is more practical and...
John B. Darby, Jennifer M. Jackson
Kawasaki disease and multisystem inflammatory syndrome in children are inflammatory conditions that present with overlapping features; however, they are two distinct conditions. Kawasaki disease predominantly affects children younger than five years, whereas multisystem...
Samuel M. Tiglao, Erica S. Meisenheimer, Robert C. Oh
Approximately one-half of patients with alcohol use disorder who abruptly stop or reduce their alcohol use will develop signs or symptoms of alcohol withdrawal syndrome. Alcohol withdrawal syndrome can lead to tremors, insomnia, nausea and vomiting, hallucinations, anxiety,...
Shawn F. Kane, Caroline Roberts, Ryan Paulus
Hereditary hemochromatosis results in systemic iron overload, leading to tissue damage and organ failure. There is no typical presentation or pathognomonic signs and symptoms, although a common initial presentation is an asymptomatic patient with mildly elevated liver enzymes...
Sommer Aldulaimi, Ana M. Mendez
The most common causes of splenomegaly in the United States are liver disease, malignancy, and infection. Patient habits, travel, and medical conditions can increase the risk of splenomegaly, and symptoms can suggest infectious, malignant, hepatic, or hematologic causes.
Paul T. Cantey, Susan P. Montgomery, Anne Straily
Neglected parasitic infections affect millions of people in the United States. Family physicians should understand the basic principles of clinical presentation, diagnosis, and treatment of diseases such as Chagas disease, cysticercosis, and toxoplasmosis.
Roschanak Mossabeb, Kevin Sowti
Neonatal abstinence syndrome (NAS) is a constellation of symptoms observed in newborns exposed to opioids during pregnancy.1 Between 50% and 80% of infants exposed to opioids in utero will develop NAS.2 In October 2017, the U.S. Department of Health and Human Services...
The article on neglected parasitic infections in this issue of American Family Physician reviews infections of increasing relevance to family physicians in the United States because of demographic changes and increased ability for or access to international travel.1 Although...
In chronic musculoskeletal pain, what nonpharmacologic and noninvasive treatments are effective? | What diagnostic tools are appropriate for patients with NAFLD? | How should patients presenting with suspected peripheral neuropathy be evaluated? | Is administering beta...
Does pelvic floor muscle training (PFMT) help prevent or treat urinary or fecal incontinence during pregnancy or after delivery?
Drew Baird, Vanessa Rivera
Does reducing saturated fat intake decrease morbidity and mortality related to cardiovascular disease (CVD)?
Mara Gordon, Isha Marina Di Bartolo
A 58-year-old man, J.D., with a history of hypertension and tobacco use comes to my office to discuss his laboratory results. J.D. had a lipid panel drawn before the visit and wants to know whether he has high cholesterol. I use the American College of Cardiology/American...
Tina Fan, Ruth Stefanos
A 47-year-old patient presents for a routine physical examination. The patient does not have a history of colorectal cancer, inflammatory bowel disease, or adenomatous polyps or a family history of colorectal cancer. The patient's body mass index is 29 kg per m2, and the A1C...
Jon O. Neher, Anna Goebel, Diana K.N. Louden
How safe and effective are melatonin receptor agonists for treating insomnia in older adults?
Jay Haynes, Corley Pruneda, Amanda Hernandez
A 53-year-old patient presented with a painless lesion on the left third digit that had been slowly growing for about 20 years. The lesion arose after the patient removed an ingrown nail from the lateral nail bed. The cosmetic appearance of the nodule was bothersome to the...
Jacob Tuttle, Shea Giaquinto
A 55-year-old patient presented with a one-month history of a painless, nonpruritic rash involving the palms, soles, and tongue. Apart from intermittent tingling of the hands and dry skin, the rash was not bothersome and was improving with the application of petroleum jelly....
Carl Bryce, Merima Bucaj
Calprotectin is a protein expressed by neutrophils. The presence of fecal calprotectin is a sensitive indicator of gastrointestinal inflammation, with higher levels representing more inflammation. The U.S. Food and Drug Administration has approved the use of fecal...
Andy Lazris, Alan R. Roth, Helen Haskell, John James
A 78-year-old patient in good health has hypertension that is well controlled with medication. One fall afternoon, the patient was raking leaves when they suddenly passed out. The patient had no dizziness or other symptoms before or after the event. Their partner saw them...
Lia Pierson Bruner
How can a clinician best determine whether a patient with lower leg erythema has cellulitis?
Shyam Odeti, Venkata K. Yellepeddi
Remdesivir (Veklury) is an antiviral drug that inhibits the replication of pathogenic human coronaviruses, including SARS-CoV-2 and SARS-CoV-1.1 Remdesivir is approved by the U.S. Food and Drug Administration for the treatment of COVID-19 in adults, and it can be given to...
Priscilla Auguste, MD
Key Points for Practice
Brian Ford, Michael Dore, Ethan Harris
Key Points for Practice
Brit Long, Michael Gottlieb
Study Population: 68 randomized controlled trials (RCTs) comprising 22,975 patients with Helicobacter pylori infection
Mark H. Ebell
Allen F. Shaughnessy
Henry C. Barry
Allen F. Shaughnessy
Checking your blood pressure at home is more accurate than checking it at the doctor's office. If your blood pressure is high, treating it can lower the risk of problems with your heart, kidneys, and eyes.
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