Although endocrine therapy following surgery is recommended for HR-positive/HER2-negative, axillary node-negative breast cancers, the value of adjuvant chemotherapy in the setting of moderate risk is unclear.
Although exclusive breastfeeding for the first 6 months of life is recommended by several health organizations, there may be a delay before abundant maternal milk production is established.
The SYGMA trials assessed the use of an as-needed combined corticosteroid/beta-agonist inhaler in patients with mild asthma.
An elderly man presents to the emergency department with elbow and biceps pain after falling on the stairs.
Raising Awareness of Pseudobulbar Affect: Knowing the Signs, Symptoms, and Treatment for Patients With Uncontrollable Laughing or Crying
Pseudobulbar affect is a significant national health issue in the United States, with approximately 2 million individuals affected.
The early diagnosis and management of prediabetes will have a significant impact on patient outcomes and healthcare spending.
A HIPAA violation harms the successful career of a healthcare provider and causes problems for her former and current employers.
The demand for PAs, along with the escalating number of PA applicants, has helped fuel the growth.
Cleft lip and palate is defined as congenital malformation of the upper lip and/or oral cavity disrupting normal facial structure and oromotor function.
An elderly woman with a history of hypertension and metastatic bladder cancer presents to the ED with bilateral finger pain and cyanosis associated with a 15-lb weight loss.
Changes in the NP profession over the past 20 years include the growth of the profession, methods of practice, and the types of patients and conditions treated.
A clinician quits her job but afterward sues for wrongful termination.
Divergent recommendations in guidelines from the USPSTF and the ATA/AACE contribute to the controversy surrounding whether to test and treat for subclinical hypothyroidism.
The United States has the seventh highest prevalence of Chagas infection in the Western hemisphere, with most cases seen among immigrants from Latin America.
DBS has been known to generate other movement-related disorders such as dyskinesias, blepharospasm, and hypokinesia.
Discussions involving Internet challenges with children and adolescents should be as sensitive as those about sexuality and drug or alcohol use.
Chronic low back pain (LBP) defined as persistent or fluctuating musculoskeletal pain of lower back and lumbar spine lasting >3 months.
Current oral contraceptive products contain lower doses of estrogen than those used in the past, prompting reconsideration of risks and benefits.
With the advent of platform manufacturing technology, vaccines can be developed quickly to stop the spread of outbreaks.
Poor control of asthma and obstructive sleep apnea can feed off one another, according to Michelle Zeidler, MD, pulmonologist at the University of California, Los Angeles, and director of the UCLA Sleep Fellowship Program.
Although all of the guidelines acknowledge that there are emergent situations in which providing care for a family member or friend is not only permissible but also essential, other situations are frowned upon.
A clinician fails to follow up after ordering diagnostic tests for a patient.
A 90-year-old woman with a history of coronary disease and gallstones presents to the emergency department with generalized abdominal pain that started suddenly about 7 hours prior.
To shed further light on the study's implications, MPR interviewed lead author Anupam B. Jena, MD, PhD, Ruth L. Newhouse Associate Professor, Harvard Medical School, Boston, MA.
Primary care providers should screen for depression and other health-related risks associated with the use of social media by adolescents.
In 2003, the Human Genome Project became the culmination of the history of genetics research, allowing us to understand the role of genetics in human health and disease. As part of The Clinical Advisor's 20th Anniversary, this article explores the influence of race and genetics in clinical practice.
Migraine is highly prevalent in children and adolescents, affecting almost 10% of children between 5 and 15 years old and 30% of adolescents between 15 and 19 years old.
A patient dies after a clinician fails to act on signs of a potential case of deep vein thrombosis.
Patients with ALS require multidisciplinary care and rehabilitative interventions; maximizing independent function and quality of life are the goals.
A 55-year-old man with chronic obstructive pulmonary disease reports having some mild chest pain.
Some include mechanical complications, central vascular access complications, and compatibility issues.
Advances in new reversal agents will be key for managing patients treated with DOACs to prevent major bleeding events.
Medical records of 48 children examined by Asperger show that he specifically called for 12 of the children to be transferred to the Am Spiegelgrund facility, the 'euthanasia' institution founded in 1940.
Testosterone therapy is recommended in men with hypogonadism to correct symptoms of testosterone deficiency. Men who are otherwise healthy do not need to be screened for hypogonadism.
A 44-year-old woman presents to her local emergency department after 5 days of persistent fever, productive cough, and worsening dyspnea on exertion.
A clinician attempts to void a restrictive noncompete clause that she had signed before beginning her current job as an NP.
A 68-year-old patient with type 2 diabetes presents to a urologist to evaluate funguria, and a CT scan showed right hydroureteronephrosis.
Deep vein thrombosis is a significant source of morbidity and mortality, so it is imperative that clinicians understand how to recognize and treat patients with the disorder.
A 25-year-old woman presents to the emergency department with a chief complaint of headache, back pain, and fever, while also experiencing some vaginal itching and discharge.
Described as death within an hour of onset of any symptom
A 32-year-old woman, diagnosed several months earlier with pulmonary arterial hypertension, presented to the emergency department with dyspnea and near syncopal episodes.
A clinician shares a patient's incorrect diagnosis with another government agency.
A 64-year-old woman who was recently diagnosed with colorectal cancer is brought to the emergency department with substernal chest pain and shortness of breath.
The first step for managing a patient with diarrhea is to determine the severity of dehydration according to the estimated volume loss and the symptoms and signs noted on physical examination.
Intimate partner violence was reported in over 30% of female psychiatric patients.
A 52-year-old man presents to the emergency department with dizziness and fatigue after a syncopal episode on a camping trip.
Intravenous, patch lidocaine might be effective in treating, preventing chronic pain.
A 33-year-old man presents to the emergency department for 6 small spots on his chest, arms, and legs that gradually grew in diameter after using a topical cream and cephalexin.
Dr Windel Stracener, a family practitioner for 22 years, discusses substance abuse, sexual activity, and other sensitive topics many clinicians do not ask their patients.
A nurse in a VA facility files a complaint against a clinician, which ends with a criminal conviction.
Primary prevention efforts such as exercise, weight control, cessation of smoking, and alcohol intake can greatly affect the development of CAD.
UTIs present clinically as dysuria, with symptoms of frequent and urgent urination secondary to irritation of the urethral and bladder mucosa.
A 42-year-old man presents to the emergency department with vertigo that is worse with head motion as well as vomiting, but has no headache or abdominal pain.
NIH's National Institute of Allergy and Infectious Diseases is researching ways to develop a universal influenza vaccine against multiple strains.
In 1918, between 50 and 100 million people are thought to have died from the great influenza pandemic, representing as much as 5% of the world's population.
A 55-year-old obese woman with hypertension, diabetes, and scleroderma is referred for follow-up after a recent admission for new-onset heart failure.
A clinician makes a dosage change for a patient during a telephone call, which leads to a lawsuit.
Because of the high number of unintended pregnancies and the effectiveness of LARCs, they should be a first-line contraceptive option for most women.
A middle-aged patient with morbid obesesity and COPD complains about having shortness of breath at rest and dyspnea on exertion.
The FIT and the MT-sDNA are evidence-based tests that should be considered for CRC screening when a colonoscopy cannot be performed.
Ranging definitions of anxiety associated with depression have caused variations in findings.
A 64-year-old woman presents to an urgent care clinic with 24 hours of left foot pain. She states that she tweaked it while jogging. The pain is localized to the lateral portion of her foot.
Two NPs in practice together end up in court after one loses her license.
Relatively modest changes in population levels of exercise may have important public mental health beneﬁts and prevent a substantial number of new cases of depression.
The importance of male vaccination cannot be overemphasized, because the risk of male-to-female HPV transmission is significant.
A 60-year-old man with a history of gastroesophageal reflux disease presents to the emergency department with 2 to 3 days of fever, non-bloody diarrhea, and a worsening non-pruritic rash.
A 32-year-old woman presents to an urgent care clinic with a sore throat, subjective fever, and abnormal bruising.
A nurse practitioner is sued by her patient's children after their mother is murdered.
An evaluation begins with a focused history and physical examination, CBC count with platelet trend, and examination of the peripheral smear.
Common psychiatric comorbidities such as depression, suicidal ideation, and body dysmorphic disorder are found in up to 30% of dermatologic patients.
Oral copper supplements are not recommended unless extensive metabolic testing shows a true copper deficiency.
Greater awareness and enhancing communication between patients and primary care providers can help lower the risk of suicide among US veterans.
A 69-year-old man with no prior medical history presents over the course of several months with new-onset nonspecific joint pain and swelling without evidence of erosions.
A nurse notifies other clinicians that a patient is positive for hepatitis C.
Approximately 6 to 12 million head lice cases are diagnosed in the United States per year, primarily affecting elementary school children.
Consensus regarding mammography screening varies, and conflicting guidelines from medical organizations can cause confusion for patients and providers.
The ACP proposes that efforts should focus on improving end-of-life care, as through palliative and hospice care.
Hypertrophic cardiomyopathy, myocarditis, valvular heart disease, and dilated cardiomyopathy are among the most common causes.
Clinicians prescribing antidepressants may need to consider augmenting monotherapy with another agent.
Commercially prepared kefir is considered to be safe, mainly as a result of the pasteurization process that is required for dairy products.
A 55-year-old man with a history of hypertension and migraines is sent by his primary care provider to the emergency department for a spinal tap to rule out meningitis.
A 65-year-old Hispanic man presents to the emergency department via EMS after an unwitnessed fall from a presumed standing height.
Taking good notes is one of the most important steps a clinician can take to reduce the risk of a lawsuit.
A 64-year-old man presents to the emergency department with abdominal pain and distention, as well as constipation of 8 days' duration.
Co-prescribing naloxone and opioids in primary care is recommended for patients who have a high risk for opioid overdose.
Cod liver oil is rich in omega-3 fatty acids as well as eicosapentaenoic acid and docosahexaenoic acid and has high concentrations of vitamins A and D.
Clinicians must rely on the combination of clinical examination, signs and symptoms, microbiologic testing, and radiographic findings to diagnose hospital-acquired pneumonia.
A patient presents with chest pain 6 weeks after beginning use of a contraceptive device.
A 39-year-old man presents to the emergency department with 3 days of progressive bilateral leg pain, nausea, and malaise.
The disease may often go undiagnosed in adults because clinicians may be relatively inexperienced in identifying childhood illnesses in adults.
A 30-year-old woman presents with an increased heart rate, shortness of breath, and tingling in her right arm.
Boron is found in small amounts in the earth's surface and is thought to be produced by the collection of particulate matter of meteorites.
ACOs have potential for success in improving the quality of and access to care, and these models promise to provide sustainable reform of healthcare costs for the future.
An 8-week-old infant, presents to primary care with bilateral "shaky, jerky eyes."
A clinician files a lawsuit against her employer after being fired for refusing Tdap immunization.
Primary care providers can help significantly reduce heart failure exacerbations and improve their patients' overall quality of life.
The most common causes of minor superficial burns are sunburns and minor thermal injuries.
Clinicians in all settings are in a position to identify patients with potential myopathic processes and complete an initial diagnostic work-up.
After a nurse is fired for falling asleep at her job at a hospital, she claims that it was in retaliation for taking time off under the FMLA.
A 66-year-old woman with a history of sarcoidosis and hypertension presents to the emergency department for 4 days with right-sided abdominal pain, vomiting, fever, and mild diarrhea without blood.