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Thumbing through your inbox charts, you see your next patient is a 19-year-old who began use of oral contraceptives (OCs) about six months ago. When you talk with her in the examination room, however, you find that she has discontinued use of the Pill after she began to gain weight.
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While adolescents are at risk for HIV, many forego testing. This lack of testing is a major public health concern, as more than 50% of HIV-infected adolescents do not know their infection status.
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Understanding sexual pain remains limited. With multiple etiologies and lack of evidence-based outcomes research, future investigations should focus on evaluating the intimacy of the couple, the partner relationship, and biomedical sources of pain such as the pelvic floor muscles.
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The authors performed a descriptive analysis of all cases of desquamative inflammatory vaginitis (DIV), defined as symptomatic vaginitis (discharge, dyspareunia, pruritus, burning, or irritation) associated with vaginal inflammation (such as focal or linear erosions), a vaginal pH higher than 4.5, and saline microscopy showing an increase in parabasal and inflammatory cells in the absence of an infectious etiology (such as trichomonas, candida, or bacterial vaginosis).
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In this issue: FDA issues multiple drug safety alerts; ARBs and cancer risk; and FDA actions.
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Fracture Risk Stratification in Diabetics; Amantadine for Dysphagia in the Elderly; Is Homocysteine a Culprit in Aging Skin?; Hepatitis C Treatment by Primary Care Clinicians; COPD Exacerbations: The EXACT Tool; Are Diabetes Prevention Treatments Truly Disease Modifying?
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Cerebrovascular events (CVE), including stroke and transient ischemic attack (TIA), are recognized complications of percutaneous coronary intervention (PCI).
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Hypertension is usually asymptomatic, so adherence to drug therapy is an issue, especially if the drugs used cause symptoms.
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Frontal lobe dysfunction may predispose people to have psychogenic nonepileptic seizures; this dysfunction can be measured by analyzing a brief period of the awake EEG.
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This observational study noted that critically ill patients provided with clinical psychological support during their ICU stay had less anxiety, depression, and post-traumatic stress disorder at one year post-discharge compared to historical controls.
