Most often caused by use of nonsteroidal anti-inflammatory drugs or bacterial infection, peptic ulcer disease usually presents as epigastric pain.
There is a direct correlation between testosterone and metabolic syndrome, mental function, libido, erectile dysfunction, bone density, and overall energy.
To reduce the mortality and incidence of this disease, clinicians must be aware of the most recent vaccination and screening guidelines.
To ensure that therapeutic interventions begin in time, providers must be able to recognize the clinical presentation of an acute ischemic stroke.
To slow the progression to end-stage renal disease, primary-care clinicians must be able to identify, screen, treat, and educate at-risk individuals.
This chronic autoimmune disorder is caused by antibodies that block muscle cells from receiving neurotransmitters from the nerve cell.
Improved pulse-oximetry standards translate into more sensitive critical congenital heart disease screening.
Early diagnosis is essential to providing treatment in infants with critical congenital heart disease.
A lump, enlarging scrotum or pain can conjure up images of testicular cancer, but other conditions involving the scrotal content are possible.
An approach involving primary-care clinicians, and specialists — including allergists, gastroenterologists, nutritionists and counselors — is crucial.
Oral manifestations are often an early signal of systemic disease, so recognizing them can point the way to a prompt diagnosis.
Patients infected with HIV are living longer, which means they have more age-related comorbidities that require other medications as well.
Ongoing research and new developments hold promise for altering osteoarthritis and go beyond simply treating the symptoms.
When choosing among the available treatment options, consideration must be given to local prevalence and antibiotic resistance.
With obesity on the rise, more patients are at risk for metabolic syndrome, a diagnosis given to a set of simultaneous disorders.
Thanks to new prevention strategies and safer treatments, patients are surviving almost as long as their counterparts without lupus.
Despite what clinicians and patients think, accurate evaluation and targeted interventions can relieve symptoms and improve quality of life.
When developing a plan of care for individuals in diabetic ketoacidosis — an acute complication of diabetes — search for the inciting stressor.
There are guidelines for the management of each as a separate condition, but how do you evaluate and treat them when they appear together?
Assessment of functional impairments in an aging population is one of the most daunting challenges facing primary-care clinicians.
Resistance has compromised the effectiveness of all ophthalmic antibiotics, but new topical treatment options are available.
As obesity rates continue to rise, primary-care clinicians remain integral in assessing, diagnosing, and treating this worldwide epidemic.
The most common dementia in the elderly, Alzheimer disease places tremendous physical and emotional strain on patient and caregiver alike.
Insomnia affects the mind as well as the body. Treatment should combine psychological intervention, behavioral change, and possibly drug therapy.
This painful disease greatly impacts the daily lives of those who suffer from it. Diagnosis, treatment, and lifestyle modification can ease long-term effects
As this condition becomes more prevalent in primary care, clinicians need to emphasize the importance of lifelong adherence to a gluten-free diet.
Seen primarily in individuals older than age 50 years, this inflammatory disorder is characterized by headache, jaw pain, and vision difficulties.
Two patients present with similar hyperpigmented spots on the skin — one with a series of macules on the cheek, and the other with lesions on his back.
A 42-year-old man presented with abnormally thick skin of the palms.
A woman aged 34 years was referred for treatment of a recurrent, painful, nonhealing ulcer of six months' duration on her left hand.
Commonly found in the oral cavity, HPV lesions may persist or relapse spontaneously and occasionally require surgical excision.
Trial results poured cold water on claims that omega-3s prevent heart attacks. What does the future hold for these popular supplements?
Two patients present with scaly papules. One presented to the dermatology clinic with an eight-month history of an asymptomatic progressive rash on his arms and legs, and the other patient had a history of multiple nonmelanoma skin cancers with asymptomatic scaly lesions on his hands, arms and head.
A 10-year-old boy referred by his pediatrician presented with a six-week history of a scaly scalp lesion.
A 28-year-old woman presents with a burning rash on her palms and arms. The rash appeared abruptly two days earlier along with numerous flat, pinkish-red lesions.
A Hispanic man age 23 years presented with a nine-month history of a nonhealing ulcer of his cheek. The erosion began as a small, painless erosion and had gradually enlarged.
A 35-year-old white woman presented with grouped vesicles and superficial crusting on both lips and grouped erosions on the gingiva and hard palate.
Two patients present with insect bites — one after walking in brush while vacationing and another after doing yard work. Can you differentiate between the two?
Painful menstrual cramps are a quality-of-life issue for many. Clinicians should know what nonpharmacologic treatment options are available.
New management strategies include the use of Web-based tools, an emphasis on lifestyle approaches, and early pharmaceutical intervention.
Asymptomatic erythematous papules on the arms, trunk, and neck are first thought to be insect bites in a man with weight loss, fatigue, and dyspnea.
A man taking an alternative medical treatment for periodontal disease presents with a history of skin discoloration.
Two patients present with dystrophies of the nail—one with a several-year history of yellowed toenails and the other with grooved thumbnails.
Assessment of functional impairments in an aging population is one of the most daunting challenges facing primary-care clinicians.
Two women present with similar red lesions on the extremities—one thought she had ringworm, and the other became severely ill after getting several vaccinations.
To combat cold temperatures at work, a woman kept a small heater under her desk. This led to netlike erythema on both lower legs.
A man presents with a six-month history of oral lesions that led to blistering and ulceration following intense sun exposure.
Developing effective treatment regimens requires an understanding of how tissue changes are affected by estrogen or alternative therapies.
Two patients present with similar cutaneous growths—one a series of ulcerative lesions on the lower leg, and the other a painless forearm lesion.
One month after starting a new chemotherapeutic drug, the patient sought treatment for painful peeling and redness on her hands and feet.
A woman presents with a painful rash that developed immediately after exposure to water or sweating and disappeared an hour after drying.
Each of the three primary modalities—plain films, diagnostic ultrasound, and CT scan—must be weighed against their strengths and weaknesses.
Two boys with similar patches of hair loss—one developed six months ago, and the other had been present since birth.
A restaurant employee's intensely itching and burning hand lesions worsened after he was assigned to work in the kitchen.
For two years, a woman had lived with an itchy rash on her axillae and neck that became more symptomatic during the summer.
Caring for a patient with Alzheimer's disease involves more than assessment and treatment. Education and legal issues must also be considered.
Left untreated, these childhood conditions could have lasting effects. Our experts explain three of the most common hip disorders you'll see.
Two patients with enlarging lesions—one in a man with no history of skin cancer, and the other in a man with significant actinic damage
After four days with a high fever, cough, and conjunctivitis, a child is brought to the hospital with an extensive, maculopapular rash.
Five months of treatment with corticosteroids and antibiotics did not relieve the scaly rash on a man's scalp, cheeks, trunk, genitals, and legs.
A thorough understanding of the therapies available to patients with dementia or Parkinson's disease is essential to improving outcomes.
Two patients present with leg rashes. One rash developed after a woman started taking cefazolin, and the other featured the deposition of hemosiderin.
A woman with no history of sexually transmitted diseases suffers intense vulvar itching. Hypopigmentation was noted with no erosions or papules.
A middle-aged woman with Graves' disease presented with asymptomatic, firm, nonpitting, flesh-colored nodules and plaques on her legs and feet.
Two young girls with hypopigmented patches—one on the right buttock, the other on the knees, fingers, and ankles.
Six weeks after it appeared, the small red bump on this man's right forearm had become an erythematous crater-shaped nodule
A woman with a history of type 2 diabetes presented with asymptomatic, shiny, waxy, round patches on her shins that turned from red to yellow.
Become familiar with the cause, characteristics, and appropriate treatment of the most frequently seen conditions of the mouth, tongue, and gums.
Plaques develop on the face, trunk, and hands of a man with hepatitis C.
A 62-year-old man with a painful erythematous rash on the shins
Two patients with purple lesions and no other abnormal skin findings.
Once known primarily for maintaining bone strength, vitamin D is now thought to contribute to prevention of colon, prostate, and breast cancers.
Two patients with erythematous trunk plaques—the first developed eight months earlier, and the other 15 years ago.
A man presents with complaints of itchy and uncomfortable red bumps on his skin at sites of pressure. The lesions typically dissipated after one hour.
A woman develops severe itching and burning two days after application of topical bacitracin and a compression bandage to a venous stasis ulcer.
Instead of attempting to treat the broad categories, primary-care clinicians should focus on symptoms or features that identify a specific subtype.
Two patients present with similar vesiculobullous eruptions. One was preceded by painful mouth sores, the other had no oral involvement.
Use the first visit to get as much information as possible about the patient's condition, functional status, and social situation.
After moving to Colorado, a woman notices painful blue discoloration of her fingers on exposure to the cold.
Fearing a bacterial infection, a teenager seeks treatment for white facial patches.
Target Audience: Nurse practitioners with an interest in contraception.This monograph focuses on intrauterine contraception, featuring a case-based look at identifying appropriate contraceptive choices that factor in an individual woman's medical needs,reproductive goals, age, and lifestyle.
