Clinical Features

Leg pain, nausea, and malaise

Case Study: A 39-year-old man presents to the emergency department with 3 days of progressive bilateral leg pain, nausea, and malaise.

Hand-foot-and-mouth disease

The disease may often go undiagnosed in adults because clinicians may be relatively inexperienced in identifying childhood illnesses in adults.

Is it a heart attack?

A 30-year-old woman presents with an increased heart rate, shortness of breath, and tingling in her right arm.

Fired for refusing vaccination

A clinician files a lawsuit against her employer after being fired for refusing Tdap immunization.

Shaky, jerky eyes in an infant

An 8-week-old infant, presents to primary care with bilateral "shaky, jerky eyes."

Managing systolic heart failure

Primary care providers can help significantly reduce heart failure exacerbations and improve their patients' overall quality of life.

Necrotizing myopathy: muscle weakness

AANP 2017 Live Coverage

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Opinion

The Waiting Room The role of prescription habits in the opioid epidemic

The role of prescription habits in the opioid epidemic

Current surgical and prescribing practices may have a hand in exacerbating the nation's burgeoning opioid epidemic.

The Waiting Room What do my dreams mean?

What do my dreams mean?

We are still not sure why we dream, but many patients are still curious about their significance.

Advisor Forum

Your Comments Epilepsy and the ketogenic diet

Epilepsy and the ketogenic diet

The ketogenic diet increases the conversion of glutamate into glutamine into GABA, reducing neuronal excitability.

Most Memorable Patient Fulfilling a dying patient's request: A trip to the Renaissance Festival

Fulfilling a dying patient's request: A trip to the Renaissance Festival

A dying man's wish to attend a Renaissance Festival taught a valuable lesson to a palliative care nurse practitioner.

Clinical Pearls A tip for removing a ring from a swollen finger

A tip for removing a ring from a swollen finger

A household cleaner such as Windex can be used to remove a ring from a swollen finger.

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