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
TEMPORARY REMOVAL: The Current State of Alcohol Screening and Management in Virginia Primary Care Practices
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated.The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/policies/article-withdrawal. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 23, 2023 Category: Primary Care Authors: Alison N. Huffstetler, Gabriela Villalobos, E. Marshall Brooks, Adam Funk, Alicia Richards, Roy T. Sabo, Michelle S. Rockwell, John W. Epling, Ben Webel, Alex H. Krist Source Type: research
The Current State of Alcohol Screening and Management in Virginia Primary Care Practices
Guidelines recommend screening, counseling, and treatment for unhealthy alcohol use (UAU). The authors sought to identify how well this preventive service is delivered in routine primary care by evaluating electronic health record (EHR) documentation and surveying patients about their office visit. Sixty patients from sixty-three practices were included. Based on EHR documentation, only 10.8% of patients were screened using the recommended instrument and 9.6% were identified as having risky drinking. However, on the survey, 24% of patients reported risky drinking. Few patients were referred for behavioral counseling or rec...
Source: Medical Clinics of North America - August 23, 2023 Category: Primary Care Authors: Alison N. Huffstetler, Gabriela Villalobos, E. Marshall Brooks, Adam Funk, Alicia Richards, Roy T. Sabo, Michelle S. Rockwell, John W. Epling, Ben Webel, Alex H. Krist Source Type: research
Providing Preventive Services: Challenges We Can and Must Meet
For the busy clinician, providing patients with appropriate preventive services is not without its challenges. Here I identify three: knowledge, systems, and will. Each is important, but perhaps “will” challenges us most. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 12, 2023 Category: Primary Care Authors: Jack Ende Tags: Foreword Source Type: research
Adolescent Onset of Muscle Weakness
Pediatric adolescent muscle weakness can be from a variety of causes. Methodical diagnostic evaluation can lead to the category of diseases whereby phenotypic overlap requires either specialized care or broad testing patterns. However, having the ultimate diagnosis is important for prognostication. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 11, 2023 Category: Primary Care Authors: Meghan K. Konda, Matthew Harmelink Source Type: research
Adolescent Onset of Acute Heart Failure
Heart failure in adolescents can manifest due to a multitude of causes. Presentation is often quite variable ranging from asymptomatic to decompensated heart failure or sudden cardiac death. Because of the diverse nature of this disease, a thoughtful and extensive evaluation is critical to establishing the diagnosis and treatment plan. Identifying and addressing reversible pathologies often leads to functional cardiac recovery. Some disease states are irreversible and progressive, requiring chronic heart failure management and potentially advanced therapies such as transplantation. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 7, 2023 Category: Primary Care Authors: Tracey Thompson, Ashley Phimister, Alexander Raskin Source Type: research
Treatment Updates for Pain Management and Opioid Use Disorder
This article aims to highlight pertinent updates and clinical care pearls as they relate to primary care management of chronic pain and opioid use disorder. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 7, 2023 Category: Primary Care Authors: Thomas Locke, Elizabeth Salisbury-Afshar, David Tyler Coyle Source Type: research
Preventing Disease and Promoting Health: An Update for Clinicians
Prevention is a powerful tool for building health resilience! Prior to the discovery of efficacious medications, medical devices, and procedures, primary prevention of disease defined medical care in North America and beyond. Advances in modern medicine and preventive services delivery have greatly expanded medical care and, more importantly, life expectancy over time. The Accreditation Council for Graduate Medical Education –accredited specialty of preventive medicine was established in 1946, training physicians across the prevention spectrum (primary to tertiary prevention) to practice at the intersection of clinical m...
Source: Medical Clinics of North America - August 7, 2023 Category: Primary Care Authors: M. Krousel-Wood Tags: Preface Source Type: research
Brief Action Planning in Health and Health Care
Achieving maximal health outcomes via health promotion and disease prevention requires the adoption of healthy behaviors. Brief action planning (BAP) is a method for patient self-management, health behavior change, and health coaching with potentially broad implications for and clinical applications in health and health care contexts. This scoping review presents 5 major findings about the literature on BAP: the principal geographic locations and the clinical contexts of its application, the types of research evaluations that it has undergone to date, the theoretic frameworks in which it is grounded, and the fidelity of it...
Source: Medical Clinics of North America - August 5, 2023 Category: Primary Care Authors: Yuri Jadotte, Benjamin Buchholz, William Carroll, Deirdra Frum-Vassallo, Janelle MacPherson, Steven Cole Source Type: research
Approach to the Patient with Non-cardiac Leg Swelling
One of the most common reasons for patient visits in the outpatient practice is lower extremity swelling. Non-cardiac etiologies are the most frequent reason for these encounters. The approach to this patient population will focus on the 7 key questions to initiate the gathering of historical information on the etiology of leg swelling. Figures and tables will complement the text for diagnosing lower extremity swelling. In this article, the common non-cardiac etiologies will be reviewed which include medications, chronic venous insufficiency, lymphatic disease, lipedema, venous thrombosis, and musculoskeletal etiologies. (...
Source: Medical Clinics of North America - August 3, 2023 Category: Primary Care Authors: Geno J. Merli, Heather Yenser, Dina Orapallo Source Type: research
Vascular Medicine for Internists, Family Physicians, and Advanced Practice Providers
Internal Medicine, Family Medicine, and Advanced Practice Providers frequently encounter patients who present with vascular disorders of the venous, arterial, and lymphatic circulations. These disorders manifest in a variety of symptoms and signs, which are important to recognize, assess, and treat. This issue of Medical Clinics of North America is devoted to the common vascular disorders experienced in practice. (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 3, 2023 Category: Primary Care Authors: Geno J. Merli, Raghu Kolluri Tags: Preface Source Type: research
CME Accreditation Page
(Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 3, 2023 Category: Primary Care Source Type: research
Vascular Medicine
MEDICAL CLINICS OF NORTH AMERICA (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 3, 2023 Category: Primary Care Authors: Geno J. Merli, Raghu Kolluri Source Type: research
Copyright
ELSEVIER (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 3, 2023 Category: Primary Care Source Type: research
Forthcoming Issues
Current Challenges and New Directions in Preventive Medicine (Source: Medical Clinics of North America)
Source: Medical Clinics of North America - August 3, 2023 Category: Primary Care Source Type: research
