Clinical Features

Unusual Cause of Chest, Abdominal Pain in Teen Following ACL Repair

A 17-year-old Black adolescent presents with a 1-day history of acute-onset abdominal pain, palpitations, and anemia. Can you make the diagnosis?

Anxiety in Children and Adults Ballooned in US at Start of COVID-19 Pandemic

The authors discuss identifying and treating anxiety disorders in children and adults in primary care during COVID-19.

Vaccination Strategies to Keep Children With Special Needs Healthy

Children with physical disabilities, neurologic and neurodevelopmental disorders, and autism are at higher risk for vaccine-preventable illnesses.

Anxiety and Depression: Understanding the Risk for Preeclampsia

Rates of anxiety and depression have increased during the pandemic and are linked to preeclampsia risk, making screening for mental health conditions at prenatal visits essential.

Sudden, Bizarre Behavior Leads to Diagnosis of COVID-19 Psychosis

A woman with a history of COVID-19 infection is evaluated for psychosis after attempting to make her children drink bleach to “clean the parasites out of their bodies.”

Pizza Is Not Enough: NPs, PAs Want to Be Heard, Protected, and Supported

The vast majority of NPs and PAs report symptoms of moral injury such as anxiety, PTSD, and suicidality in The Clinical Advisor’s online survey.

Diagnosis and Staging of COPD by PCPs

Using the GOLD standards for COPD staging will identify high-risk patients, improve delivery of care, and reduce health care costs.

Community-Acquired Clostridioides difficile Cases in Children on the Rise

An increase in pediatric cases of C difficile is linked to use of broad-spectrum antibiotics, recurrent infections, and a growth in highly virulent strains.

Shift Work Disorder: When and How to Shift Workers’ Gears

Approximately 5% to 10% of shift workers, including many health care professionals, have shift work disorder, a circadian sleep-wake cycle disorder defined by poor quality sleep.

Atypical Celiac Disease: Diagnosing Nonintestinal Cases in Primary Care

Atypical celiac disease may present as dermatitis herpetiformis, anemia, elevated transaminases, short stature, and osteopenia/osteoporosis.