KIM EDWARD LeBLANC, HERBERT L. MUNCIE, JR., LEANNE L. LeBLANC
Hip fractures are associated with significant morbidity and increased mortality. Family physicians can identify patients at increased risk, and can confirm the diagnosis with a history, physical examination, and plain radiography. Management is usually surgical, with open...
JOSHUA L. LATHAM, SEAN N. MARTIN
Infiltrative anesthesia is often administered in the office setting, usually using lidocaine or bupivacaine. The choice of agent and technique is based on the clinical situation and location of the area needing anesthesia.
HOWARD ERNEST HERRELL
Nausea and vomiting of pregnancy is typically a mild, self-limited condition that is controlled with conservative measures and has no adverse fetal sequelae. Initial treatment includes dietary changes, emotional support, and supplemental vitamin B6. Several safe and effective...
CDC Issues Guidance for Physicians As Latest MERS Case Is Reported | Family Physicians in Rural Areas Could Get Pay Hike Under New Medicare Rule | Diabetes Complications Decline Despite Increase in Disease Prevalence | Study: Concussion Rates in High School Athletes Doubled...
STEVEN L. SOLOMON, KRISTEN B. OLIVER
Preventing and controlling resistance requires the engagement of many different sectors of society. However, the physician's role in this effort is singularly important.
KAREN C. LEE, ANH PHAM
A 22-year-old man presents for a routine physical examination. While you are taking his history, he states that he “goes out drinking” every weekend with his friends.
H. DANIEL FAHRENHOLTZ, JACOB J. MILLER, BRYAN B. BUNN
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.
MARK H. EBELL
Sore throat was the chief symptom in 1.3% of all outpatient office visits in 2010, and is even more common in primary care practice. An Australian study found that among families with at least one child three to 12 years of age, the incidence of sore throat was 33 and 14...
LESLIE LINDEN, PAUL EMMANS, III, SAFRANEK SARAH
Topical silver should not be used for treatment of nonburn wounds because it does not hasten healing. Medical-grade topical honey can be used to reduce healing time for partial-thickness burns, but it produces no effect on lacerations, surgical wounds, chronic wounds, or...
JESSICA EARLY, HONOR MACNAUGHTON
Topical ivermectin is safe, effective, and easy to administer because it involves only a single application-rinse cycle and does not require nit combing. However, it is significantly more expensive than nonprescription treatments and its benefits may not be worth the cost for...
LISA HAUK
Abnormal uterine bleeding related to ovulatory dysfunction (i.e., oligo-ovulation and anovulation) is a range of disorders often associated with heavy, irregular bleeding. The American College of Obstetricians and Gynecologists (ACOG) treatment recommendations are based on...
The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen adults 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce alcohol misuse.
A hip fracture is a break in the top of your upper leg bone near the hip joint, just below the waist. The type of hip fracture depends on which part of the bone breaks. Most hip fractures are caused by a fall in people 65 years or older. People with weak bones, known as...
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