Adult Medicine

Care gaps identified in adolescents as they enter adulthood

Care gaps identified in adolescents as they enter adulthood

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The systematic literature review identified risk factors and protective factors that affect adolescents with chronic conditions.

Asthma in adulthood: different and complex

Childhood asthma tends to be allergic, whereas adult forms comprise airway disorders. Our experts tell how to classify, treat, and manage the condition.

Multifaceted approach helps smokers quit

Multifaceted approach helps smokers quit

Treating smoking aggressively as a chronic, relapsing disease, can raise the odds for success.

Heart failure strikes young blacks hardest

Young African Americans are developing heart failure (HF) before age 50 years at a rate 20 times higher than whites.

Once-daily hyperuricemia management

Uloric helps prevent uric acid production in patients with gout.

Kidney function affects warfarin action in patients with CKD

Patients with kidney impairment seem to require lower doses of warfarin and may need closer monitoring to avoid serious bleeding complications.

More vitamin C may mean less gout

A large, long-term study links higher vitamin C intake with a lower risk of gout

Aspirin guidelines push stroke prevention

New recommendations call for at-risk men aged 45-79 years to take aspirin daily to prevent a primary heart attack. Similarly, at-risk women aged 55-79 years should take aspirin to prevent a primary ischemic stroke.

What are the 14 "must know" procedures for new clinicians?

Teaching physicians and new doctors have different ideas of which procedures are necessary to learn before graduation from medical school—particularly when it comes to the minimally invasive activities.

Chronic dysfunction of the eustachian tube

Chronic dysfunction of the eustachian tube

Presenting complaints include hearing loss, persistent pain, or "clicking" in the ear. Patients must allow time for treatment (if required) to take effect.

Trio of findings challenge Framingham tool

Trio of findings challenge Framingham tool

Three recent studies indicate that the Framingham risk score goes only so far as a predictor of cardiovascular problems.

Early recognition of atypical celiac disease

Early recognition of atypical celiac disease

Celiac disease doesn't look the way you might expect. A new position statement and technical review from the American Gastroenterological Association provide updated guidelines.

Waist size beats BMI in predicting stroke and TIA

Waist-to-hip ratio and other measures of abdominal obesity are better indicators of cerebrovascular risk than BMI.

Disinfecting fungus-contaminated shoes

Is spraying with diluted bleach solution or placing the shoes in moth balls effective?

Weekly goal of 2.5 active hours recommended

Weekly goal of 2.5 active hours recommended

Adults gain substantial health benefits from at least 150 minutes per week of moderate-intensity physical activity and can accrue additional benefits as the intensity, frequency, and duration increase.

Fatty liver treatment

Popular drugs lower PSA levels

Popular drugs lower PSA levels

Two of the most commonly used classes of medication—statins and nonsteroidal anti-inflammatory drugs (NSAIDs)—may compromise already controversial cancer screenings by lowering serum levels of prostate-specific antigen (PSA).

Assessing excessive menstrual bleeding

Assessing excessive menstrual bleeding

Menorrhagia is not a diagnosis but a symptom. Because of the number of treatment options available, patient preference is a primary consideration.

In-office diagnosis of common type of vertigo

Two simple head-movement techniques can be used to identify patients with benign paroxysmal positional vertigo.

PCPs show gender bias in CHD diagnoses

Women are less likely than men to be diagnosed with coronary heart disease if they mention a stressful event

Arthroscopic surgery may not be beneficial for moderate-to-severe knee osteoarthritis

Arthroscopic surgery may not be beneficial for moderate-to-severe knee osteoarthritis

For moderate-to-severe secondary or idiopathic knee osteoarthritis, the addition of arthroscopic surgery appears no more effective than optimized physical and medical therapy alone.

Snoring deemed risk factor for atherosclerosis

Researchers have isolated heavy snoring as an independent risk factor for carotid atherosclerosis

Smoking propels aneurysm risk in women

Smoking propels aneurysm risk in women

Smoking raises the risk of abdominal aortic aneurysm events nearly ninefold in postmenopausal women and negatively affects cognition in middle-aged adults

Low-protein diets questioned

Low-protein diets do not appear to significantly improve renal function in people with type 1 or type 2 diabetic nephropathy.

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