Sexual Health Care for Transgender and Gender Diverse People
The proportion of people who identify as transgender and gender diverse (TGD) is increasing. Health care for TGD people, including sexual health care, must affirm and respect patients ’ gender identities and expressions. Here, the authors outline strategies to make health care settings more welcoming to and inclusive of TGD people and describe concrete steps to improve sexual health care for TGD populations. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - October 28, 2023 Category: Primary Care Authors: Kevin L. Ard, Andrew MacDonald-Ly, A.C Demidont Source Type: research
Update on Mpox
Mpox is a viral infection, which primarily caused sporadic outbreaks in West and Central Africa until causing a global epidemic in 2022. The disease has disproportionately affected people with human immunodeficiency virus and men who have sex with men. Transmission is through close physical contact, including sexual contact. Infection presents with a characteristic rash, with frequent anogenital involvement —polymerase chain reaction of skin lesions is diagnostic. Vaccination is available for primary prevention and postexposure prophylaxis. Treatment consists of supportive care, with antiviral medications available via c...
Source: Medical Clinics of North America - October 20, 2023 Category: Primary Care Authors: Jacob McLean, Shauna Gunaratne, Jason Zucker Source Type: research
CME Accreditation Page
(Source: Medical Clinics of North America)
Source: Medical Clinics of North America - October 7, 2023 Category: Primary Care Source Type: research
Current Challenges and New Directions in Preventive Medicine
MEDICAL CLINICS OF NORTH AMERICA (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - October 7, 2023 Category: Primary Care Authors: Marie Krousel-Wood Source Type: research
Copyright
ELSEVIER (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - October 7, 2023 Category: Primary Care Source Type: research
Forthcoming Issues
Adolescent Undiagnosed and Rare Diseases (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - October 7, 2023 Category: Primary Care Source Type: research
Contributors
JACK ENDE, MD, MACP (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - October 7, 2023 Category: Primary Care Source Type: research
Contents
Jack Ende (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - October 7, 2023 Category: Primary Care Source Type: research
Herpes Simplex Virus
Genital herpes is a chronic, lifelong sexually transmitted viral infection, which can cause recurrent, self-limited genital ulcers. It is caused by herpes simplex virus (HSV) type 1 and type 2 viruses. Genital HSV infection is a very prevalent STI, which causes self-limited, recurrent genital ulcers. Treatment decreases duration of symptoms and signs and can be provided as episodic or suppressive therapy. Genital herpes can have a substantial impact during pregnancy and on sexual health in general. Counseling on natural history, transmission, treatment, and management of sexual partners is an integral part of management of...
Source: Medical Clinics of North America - October 7, 2023 Category: Primary Care Authors: Teresa A. Batteiger, Cornelis A. Rietmeijer Source Type: research
Of Horses, Zebras, and the Diagnostic Process
For this special issue of Medical Clinics of North America, our guest editors, Drs Toth, Kliegman, and Bordini, provide a fascinating collection of curated cases and diagnostic dilemmas that remind us that, yes, zebras are less common than horses, but they ’re out there. And part of the challenge all clinicians face is to identify then, or at least appreciate, when something is not typical. Quite a challenge for the busy clinician, eh? But as our guest editors state, “none of us is as smart as all of us,” suggesting that we should have a low thr eshold to discuss unusual cases with colleagues, or to refer them to spe...
Source: Medical Clinics of North America - September 19, 2023 Category: Primary Care Authors: Jack Ende Tags: Foreword Source Type: research
Mycoplasma genitalium
(MG) is an emerging sexually transmitted infection, which appears to be a cause of urethritis and cervicitis and has been associated with pelvic inflammatory disease (PID), epididymitis, proctitis, infertility, complications during pregnancy, and human immunodeficiency virus (HIV) transmission. Three Food and Drug Administration (FDA) approved tests are available. Testing should be focused to avoid inappropriate antibiotic use. The Center of Disease Control and Prevention (CDC) guidelines recommend testing for persistent male urethritis, cervicitis, and proctitis and state that testing should be considered in cases of PID...
Source: Medical Clinics of North America - September 13, 2023 Category: Primary Care Authors: Oluyomi A. Obafemi, Sarah E. Rowan, Masayo Nishiyama, Karen A. Wendel Source Type: research
A Practical Approach to Sexually Transmitted Infection Screening for the Primary Care Clinician
Sexually transmitted infections (STIs) are commonly encountered in primary care. The Centers for Disease Control and Prevention and the US Preventive Services Task Force have both issued guidelines about screening for chlamydia, gonorrhea, syphilis, and HIV. By eliciting a sexual history, understanding their patients ’ anatomy, and considering factors which may increase the likelihood of STIs and their sequelae, clinicians can implement a practical, evidence-based approach to STI screening. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - September 13, 2023 Category: Primary Care Authors: Kevin L. Ard, Kenneth H. Mayer Source Type: research
The Management of Gonorrhea in the Era of Emerging Antimicrobial Resistance
Gonorrhea rates continue to rise in the United States and Neisseria gonorrhoeae ’s propensity to develop resistance to all therapies used for treatment has complicated the management of gonorrhea. Ceftriaxone is the only remaining highly effective recommended regimen for gonococcal treatment and few new anti-gonococcal antimicrobials are being developed. The 2021 CDC STI Trea tment Guidelines increased the dose of ceftriaxone to 500 mg (1 g if ≥ 150 kg) for uncomplicated infections. It is recommended that all clinicians should be aware of antimicrobial resistant gonorrhea and be able to appropriately manage any su...
Source: Medical Clinics of North America - September 13, 2023 Category: Primary Care Authors: Laura A.S. Quilter, Sancta B. St. Cyr, Lindley A. Barbee Source Type: research
Recurrent Infectious Vaginitis
Recurrent infectious vaginitis can lead to significant morbidity, patient frustration, and health care costs. The most common causes are bacterial vaginosis (BV) and vulvovaginal candidiasis (VVC); however, other infectious and noninfectious etiologies should be considered in patients with recurrent symptoms. A detailed history and physical examination with appropriate testing at the time of symptoms is critical to establishing a correct diagnosis. Management options for recurrent BV and VVC are limited. Complex cases including those with atypical symptoms, negative testing for common causes, refractory symptoms despite ap...
Source: Medical Clinics of North America - September 13, 2023 Category: Primary Care Authors: Golsa M. Yazdy, Caroline Mitchell, Jack D. Sobel, Susan Tuddenham Source Type: research
Syphilis Serologies
This article reviews the staging of syphilis and the principles of syphilis serology testing, the algorithms used in diagnosis, and guidance for their use in monitoring the response to treatment. The authors illustrate these principles through a series of clinical scenarios and describe the rationale behind the management approaches. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - September 7, 2023 Category: Primary Care Authors: Elizabeth A. Gilliams, Zachary Lorenz, Matthew M. Hamill Source Type: research
