Clinical Feature

Using information technology to tailor diabetes care

Using information technology to tailor diabetes care

A study of one tracking system's effect finds improvement in the management of diabetes.

Schizophrenia: a clinical overview

Schizophrenia: a clinical overview

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A better understanding of this complicated condition is key to helping patients reduce symptoms, maximize quality of life, and improve adaptive functioning skills.

Vulvar lichen sclerosus: breaking the silence

Vulvar lichen sclerosus: breaking the silence

Early diagnosis and treatment play a substantial role in a patient's prognosis and result in a decreased risk of malignancy and scarring.

Raynaud phenomenon: a cold-weather condition

Raynaud phenomenon: a cold-weather condition

A thorough work-up can differentiate between primary and secondary forms, mitigating progression of a more severe underlying disease.

Drone-delivered health care in rural Appalachia

Drone-delivered health care in rural Appalachia

Nurse practitioners make history with the first FAA-approved drone delivery of medications in the United States.

The role of biofilms in chronic infections

The role of biofilms in chronic infections

Bacteria in contact with living tissues form layers that resist penetration by the immune system or antibiotics, but promising treatments abound.

Interventions in childhood obesity

Interventions in childhood obesity

Effective use of research-based interventions and recommendations for overweight and obese children begin with initiating a conversation with the family.

Physical activity's effect on cancer mortality

Physical activity's effect on cancer mortality

Exercise may not only prevent cancer from developing, but it may also reduce the risk of death after cancer is diagnosed.

Managing concussion in primary care

Managing concussion in primary care

The incidence of concussion is increasing in children and adults, as is the demand for clinicians who can diagnose and treat both patient groups.

Healthcare issues of the LGBT community: What the primary care clinician should know

Healthcare issues of the LGBT community: What the primary care clinician should know

A greater understanding of the healthcare issues specific to the lesbian, gay, bisexual, and transgender community may improve the quality of care.

Skin cancer detection: every clinician's responsibility

Skin cancer detection: every clinician's responsibility

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More cases of skin cancer are diagnosed each year than of breast, prostate, lung, and colon cancers combined, and early detection is critical.

Adherence and hypertension in the geriatric patient

Adherence and hypertension in the geriatric patient

Addressing factors that lead to lack of adherence to antihypertensive 
therapy in elderly patients is crucial to improving outcomes.

Steps for improving health literacy

Steps for improving health literacy

Communicating well with your patients will lead to better provider/patient relationships, better health outcomes, and reduced healthcare disparities.

Pesticides and 
Parkinson's disease

Pesticides and 
Parkinson's disease

Increasing evidence has shown a link between pesticide exposure and the risk for Parkinson's disease. How real is this link on the golf course?

Osteoarthritis: conservative treatment options

Osteoarthritis: conservative treatment options

Osteoarthritis is one of the most common problems encountered in primary care, and conservative treatment can improve patients' quality of life.

Medical nutrition
 therapy in diabetes

Medical nutrition
 therapy in diabetes

Developing personalized nutrition goals with a registered dietitian
can be effective in managing non-insulin-dependent diabetes.

Current and emerging medications for psoriasis

Current and emerging medications for psoriasis

A number of therapeutic options exist for patients with psoriasis, including phototherapy and systemic and biologic agents.

Cryptogenic organizing pneumonia

Cryptogenic organizing pneumonia

Patients with COP generally have positive outcomes following a definitive diagnosis and the initiation of appropriate treatment.

Signs and symptoms of hepatitis C virus infection

Signs and symptoms of hepatitis C virus infection

Education of high risk populations and regular testing are crucial steps clinicians can take to stem the spread of hepatitis C infection.

Primary care clinician risk assessment for hereditary breast cancer

Primary care clinician risk assessment for hereditary breast cancer

Primary care clinicians should be proficient at assessing the potential for hereditary breast cancer risk in their patients.

A clinician's guide for managing patient perceptions of the flu vaccine

A clinician's guide for managing patient perceptions of the flu vaccine

By presenting research on the safety and efficacy of the flu vaccine, clinicians can successfully promote vaccination to patients in their care.

Achieving sustained remission in major depressive disorder

Achieving sustained remission in major depressive disorder

Residual MDD symptoms are associated with poor overall outcomes. Several strategies can be used to enhance treatment effectiveness.

Glycemic control in type 2 
diabetes—how low should you go?

Glycemic control in type 2 
diabetes—how low should you go?

Treatment of the whole patient is key and should include management
of dyslipidemia, weight, and hypertension, as well as blood sugar.

Diagnosing anxiety 
disorders in primary care

Diagnosing anxiety 
disorders in primary care

The challenge associated with assessing for anxiety disorders is that the clinical features of one disorder can closely resemble those of another.

Eosinophilic esophagitis: A chronic inflammatory disorder

Eosinophilic esophagitis: A chronic inflammatory disorder

Primary care providers need to be able to recognize the symptoms
 of eosinophilic esophagitis early in the disease process.

Obtaining a sexual
 history in MSM

Obtaining a sexual
 history in MSM

Understanding the nontraditional terminology used by men who have sex with men will help form a successful patient-provider relationship.

Exploring treatment options for migraine headache

Exploring treatment options for migraine headache

A wide range of pharmacologic, nonpharmacologic, traditional,
 and nontraditional treatments are available for patients with migraine.

Treating hypertension—Losing sight of the forest for the trees?

Treating hypertension—Losing sight of the forest for the trees?

Clinicians need to be aware of the current guidelines and focus on diagnosing and treating the large number of people with uncontrolled blood pressure.

Beach medicine pearls (and seashell lacerations)

Beach medicine pearls (and seashell lacerations)

Fun at the beach exposes children and adults to a number of hazards—some avoidable, such as sunburn, and some less so.

Assessing and treating
 pediatric obesity

Assessing and treating
 pediatric obesity

NPs and PAs are at the forefront of efforts to reverse the increasing 
incidence of childhood obesity during the past three decades.

What mobile apps are useful for your clinical practice?

What mobile apps are useful for your clinical practice?

Mobile apps have great potential for use in patient-centered care,
 follow-up, and improving health outcomes.

Preventing and screening for communicable diseases

Preventing and screening for communicable diseases

Greater attention to managing infectious diseases by primary care providers will help ensure that the U.S. is ready for outbreaks such as measles or Ebola.

Dietary fiber: The prebiotic connection

Dietary fiber: The prebiotic connection

Adequate fiber intake is critical for maintaining good health, but only 5% of Americans consume the recommended daily amount.

Assessing weight-related health risks in a 38-year-old obese woman

Assessing weight-related health risks in a 38-year-old obese woman

A 38-year-old women with severe obesity can be recommended a variety of health interventions based on her health risks.

January 2015 CME/CE feature

January 2015 CME/CE feature

Obstructive sleep apnea: 
an overview of treatments

Obstructive sleep apnea: 
an overview of treatments

With obstructive sleep apnea rates rising in tandem with obesity, 
primary-care providers should know about available therapeutic options.

Taking action against acute 
kidney injury in primary care

Taking action against acute 
kidney injury in primary care

With acute kidney injury often encountered in the outpatient setting, 
primary-care providers should know the basics of diagnosis and treatment.

Pharmacologic interventions for weight-related health risks


Pharmacologic interventions for weight-related health risks


Evidence-based guidelines for obesity support the use of pharmacologic therapy in collaboration with lifestyle interventions.

Adolescent risk-taking: salt and ice challenge

Adolescent risk-taking: salt and ice challenge

Young people might not understand the health consequences of participating in stunts that help them feel like part of the crowd.

Lifestyle interventions for obesity 
and weight-related complications


Lifestyle interventions for obesity 
and weight-related complications


Behavioral strategies for sustainable weight loss can significantly improve clinical outcomes in obese patients.

Meeting the nutritional needs of toddlers

Meeting the nutritional needs of toddlers

Optimal nutrition in early childhood supports growth and development and can encourage lifelong healthy eating habits.

The two most common forms of skin cancer

The two most common forms of skin cancer

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The start of the "sun-worshipping season" is a good time to review the primary-care basics of basal cell and squamous cell carcinomas.

What to know about home genetic-test kits

What to know about home genetic-test kits

Consumers becoming more involved in do-it-yourself genetic testing need primary-care clinicians to put the results into context for them.

A child's cough: common presentations and causes

A child's cough: common presentations and causes

Clinicians who recognize various types of pediatric coughs will be better able to identify serious underlying conditions in the young patient.

The safe use of opioids in the treatment of pain

The safe use of opioids in the treatment of pain

To minimize the risk of abuse and addiction, evidence-based prescribing practices must be used when treating acute and chronic pain with opioids.

Solving the mystery 
of rheumatic disease

Solving the mystery 
of rheumatic disease

Selecting appropriate lab tests when evaluating persons with symptoms suggesting a rheumatic condition often requires a bit of detective work.

Managing food allergies 
in primary care

Managing food allergies 
in primary care

As gatekeepers, primary-care clinicians are able to provide education on the recognition and treatment of potentially fatal complications.

Diagnosing diseases
 of the vulva

Diagnosing diseases
 of the vulva

Vulvar biopsy is a helpful tool that should be utilized to diagnose 
and to guide the management of vulvar abnormalities.

The challenges of identifying 
Prader-Willi syndrome

The challenges of identifying 
Prader-Willi syndrome

Children with this condition develop an insatiable appetite that leads to obesity, diabetes, hypertension, and behavioral problems when not treated.

A better understanding of barefoot running

A better understanding of barefoot running

Research on the relationship between footwear and injury rates is limited. A switch to a minimalist shoe or barefoot running should be done gradually.

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