Should COPD or bronchitis be treated with antibiotics? Procalcitonin-guided antibiotic therapy has passed muster in a large international trial in real clinical settings, not planned randomized protocols. More »
Among the information of interest to primary care: Asymptomatic smokers may show signs of COPD, and what to do about it. How to treat obstructive sleep apnea as effectively as a sleep center. And things you may not know about inhalers. More »
Despite widespread concern about the use of these drugs for patients with asthma and allergies, a review of the evidence shows that (used as recommended) there is very little risk from introducing a steroid into the upper respiratory system on a fairly regular basis, even for a child. More »
As one of 17 medical organizations collaborating in the nationwide "Choosing Wisely" campaign to help doctors and patients work together to reduce unwarranted testing, the American Academy of Allergy and Immunology has made five suggested topics for discussion. Your patients with asthma and... More »
A 47-year-old man with a 45-pack-year tobacco history presented to his primary care physician with a 50-lb unintentional weight loss over 3 months, a cough productive of white phlegm, and mouth ulcers. His vital signs were remarkable for the absence of both fever and tachypnea. Physical examination findings were significant for mild cachexia and oral aphthous ulcers.
A 74-year-old woman with a history of breast cancer and cutaneous sarcoidosis was admitted after a fall from bed that resulted in a left hip fracture. In addition to left hip pain, she complained of chronic dyspnea on exertion, right-sided chest pain, and a recent onset of subjective fevers and cough productive of whitish sputum.
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.