Primary Care Reports
RSSArticles
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Meningitis Update
MONOGRAPH: Meningitis is inflammation of the meninges lining the brain that if allowed to progress ultimately leads to increased intracranial pressure.
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Treatment of Acute Ischemic Stroke
MONOGRAPH: The faster definitive stroke treatment is administered, the better the outcomes. Unfortunately, most patients arrive too late.
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Strategies for Prescribing Opioids Appropriately
Prescription opiate abuse and misuse has become a growing epidemic recently, and the problem seems to be propagating without an immediate end in sight. It is known that prescription opiate abuse has clear links to heroin abuse (which also has become increasingly more prevalent), and, in some instances, primary care physicians may be adding fuel to the proverbial fire.
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Electronic Cigarette and Nicotine Toxicity
MONOGRAPH: Their health effects, potential toxicity with inappropriate consumption, role as a portal to other drugs, and the lack of adequate regulation.
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Evaluation of Syncope
MONOGRAPH: Here's how to determine the appropriate treatment and disposition outcomes in the most time- and cost-effective manner.
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Collaboration with Community Pharmacies in the Patient Centered Medical Home
The sometimes rocky road toward comprehensive reform makes it tough to remember the goal: improve the quality of care while reducing costs system-wide.
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Chronic Obstructive Pulmonary Disease: Update
Over the past decade, this definition of COPD has changed dramatically, as has the characterization and treatment of individuals with COPD. Multiple new therapies alter the course of this disease, reduce exacerbations, improve quality of life, and increase survival; previous nihilistic approaches to the management of COPD have been replaced by directed and effective pharmacologic and nonpharmacologic therapies. This update will review current approaches to the diagnosis and management of COPD and present the most recent evidence for the classification of COPD phenotypes and the implications of these categories for COPD treatment and prognosis.
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Fibromyalgia and Other Soft Tissue Pain Syndromes
MONOGRAPH: Sometimes it's helpful to ask the patient, “Do you have anywhere on your body that doesn’t hurt?”
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Diverticulitis: Evaluation and Management
Diverticulitis is a result of acute inflammation of colonic diverticulum. Acute diverticulitis is placing an increasing burden on health care resources as the incidence, prevalence, and hospital admission rate is rapidly increasing. Its timely diagnosis and treatment are essential to help improve outcomes for patients. The ability to recognize complicated versus uncomplicated diverticulitis can aid in expedited care and resource allocation to prevent repeat radiation exposure through radiological imaging of these patients who present with uncomplicated diverticulitis.
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Diabetic Ketoacidosis
Diabetic ketoacidosis is an acute metabolic disorder characterized by markedly increased circulating ketone bodies leading to ketoacidosis in the presence of prolonged hyperglycemia due to an absence of insulin. Diabetic ketoacidosis may present in subjects with Type 1 diabetes mellitus with an absolute or relative insulin deficiency or in patients with Type 2 diabetes mellitus due to relative insulin deficiency. Diabetic ketoacidosis commonly occurs at the onset of Type 1 diabetes mellitus but also may occur from withdrawal or omission of insulin therapy due to psychiatric, social, or economic reasons or due to increased insulin requirements during an acute illness.