HEIDI L. GADDEY, KATHRYN HOLDER
In persons older than 65 years, unintentional weight loss can be caused by malignant or benign disease, dental problems, or social or psychiatric issues. The initial evaluation includes history, physical examination, laboratory tests, and possibly imaging. Treatment should...
PAUL CRAWFORD, JUSTIN A. CROP
Scrotal masses can be caused by a range of conditions. Some of these conditions require rapid diagnosis and treatment to avoid complications, whereas others are self-limited. All painful masses require evaluation. A history and physical examination, with or without...
AMANDA S. DAVIS, ANTHONY J. VIERA, MONICA D. MEAD
The four most common subtypes of leukemia encountered in primary care are acute lymphoblastic, acute myelogenous, chronic lymphocytic, and chronic myelogenous. Risk factors include exposure to ionizing radiation, chemicals, and pesticides, as well as genetic predisposition....
Unclear information regarding the correct diagnosis. The Photo Quiz “Pruritic Skin Rash and Fever” (February 1, 2014, p. 213) contained unclear information in the answers (p. 213), discussion (p. 214), and summary table (p. 214). Although drug reaction with eosinophilia and...
CMS Reverses Decision on Changes to Medicare Part D Prescription Rules | Medical Groups Ask the HHS to Clarify Tobacco-Cessation Benefits Under the ACA | Family Medicine Residency Match Rate Increases for Fifth Consecutive Year | Free HHS Software Helps Physicians Maintain...
CHRISTOPHER S. KIM, CHARLES E. COFFEY, JR.
Caring for hospitalized patients and arranging their discharge plans have become increasingly complex. Primary care physicians should have a prominent role in the transition of their hospitalized patients.
COREY D. FOGLEMAN
Gabapentin does not decrease the frequency of migraine headaches and is not recommended for prophylactic therapy.
JOSEPH R. YANCEY, MEGHAN RALEIGH
There is little evidence that progestin-only contraceptives cause weight gain; in this review, mean weight gain was less than 2 kg (4.4 lb) for most studies up to 12 months.
GURURAJ J. KOLAR, JAMES H. TABIBIAN, THOMAS F. MANGAN
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
AARON SAGUIL, JOHN W. LAX
What are the comparative benefits and adverse effects of parenteral treatments for adults who present to the emergency department with migraine headaches?
SHAIDA TALEBREZA, ERIC WIDERA
Hospice is a program of care and support for persons facing life-limiting illnesses. Hospice care involves a team-oriented approach to medical care, pain management, and emotional and spiritual support expressly tailored to the patient's needs and wishes.
DAVID SLAWSON
Compared with minimal follow-up after surgery for colorectal cancer, intensive follow-up with regular computed tomography (CT), carcinoembryonic antigen (CEA) testing, or both results in more patients undergoing repeat surgery but no reduction in overall mortality or disease...
AMBER RANDEL
Guideline source: American Academy of Otolaryngology–Head and Neck Surgery Foundation
SEAN C. FINNEGAN, NEWTON CHENG, ANDREW W. BAZEMORE, JENNIFER L. RANKIN, STEPHEN M. PETTERSON
Health professional shortage area (HPSA) designations were created to highlight areas of primary care shortage and direct incentives to physicians willing to practice in these areas. We demonstrate the volatility of these geographies by examining the HPSA status of primary...
If your clothes are getting loose, it could be a sign you are losing weight. Any of the following could mean you aren't eating well:
The scrotum is the sac that holds the testicles. Normally, the testicles are smooth, and the cord holding them feels like a rope. This cord is called the spermatic cord. Any swelling or lump in or on the scrotum is called a scrotal mass (see drawing).
Leukemia (loo-KEE-me-uh) is cancer of the blood and bone marrow. People of any age can get it, and the cause is not clear. You may be at higher risk if you were exposed to radiation or certain chemicals and pesticides. If you have had blood or bone marrow cancer before, you...
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