Three months before elective hip arthroplasty, a 65-yearold man with osteoarthritis presents to his family physician to discuss his alcohol consumption. His surgeon had expressed concern and advised him to speak to his family physician about decreasing his drinking before surgery. He reports...
Recent Resources
More than 50 long‑term effects of COVID‑19: a systematic review and meta‑analysis
COVID-19 can involve persistence, sequelae, and other medical complications that last weeks to
months after initial recovery. This systematic review and meta-analysis aims to identify studies
assessing the long-term efects of COVID-19. LitCOVID and Embase were searched to identify...
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Screening for Gestational Diabetes: US Preventive Services Task Force Recommendation Statement
Importance: Gestational diabetes is diabetes that develops during pregnancy. Prevalence of gestational diabetes in the US has been estimated at 5.8% to 9.2%, based on traditional diagnostic criteria, although it may be higher if more inclusive criteria are used. Pregnant persons with gestational...
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Midodrine for the Prevention of Vasovagal Syncope : A Randomized Clinical Trial
Background: Recurrent vasovagal syncope is common, responds poorly to treatment, and causes physical trauma and poor quality of life. Midodrine prevents hypotension and syncope during tilt tests in patients with vasovagal syncope.
Objective: To determine whether midodrine can prevent...
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Evaluation of a Chronic Pain Screening Program Implemented in Primary Care
Importance: Although pain is among the most common symptoms reported by patients, primary care practitioners (PCPs) face substantial challenges identifying and assessing pain.
Objective: To evaluate a 2-step process for chronic pain screening and follow-up in primary care.
Design,...
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Integrating Physical Therapists Into Primary Care Within A Large Health Care System
Background: Bellin Health in Wisconsin has pioneered the colocation and integration of physical therapists into primary care pods.
Methods: This is an observational study based on one in-person visit and several interviews.
Results: For patients with musculoskeletal complaints,...
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Mortality and concurrent use of opioids and hypnotics in older patients: A retrospective cohort study
Background: Benzodiazepine hypnotics and the related nonbenzodiazepine hypnotics (z-drugs) are among the most frequently prescribed medications for older adults. Both can depress respiration, which could have fatal cardiorespiratory effects, particularly among patients with concurrent opioid use...
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Sexually Transmitted Infections Treatment Guidelines, 2021
The term “sexually transmitted infection” (STI) refers to a pathogen that causes infection through sexual contact, whereas the term “sexually transmitted disease” (STD) refers to a recognizable disease state that has developed from an infection. Physicians and other health care providers have a...
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Treatment-induced neuropathy of diabetes related to abrupt glycemic control
KEY POINTS
Rapid correction of glycemic control (i.e., > 2 percentage points of hemoglobin A1c) over 3 months may lead to treatment-induced neuropathy of diabetes.
Symptoms include painful neuropathy, autonomic dysfunction, gastroparesis, early worsening of retinopathy and...
Stress Incontinence in Women
This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations.
A 43-year-old woman...