Browse Primary Care/Hospitalist

Showing 1 to 20 of 1331 Articles

Filter Results

By Date: Past 10 years; Past 20 years; Past 50 years; Past 100 years; Complete archive (1812-present); Specific date range

Show Only Articles with CME

Sort By:

Original Article
Aspirin for Preventing the Recurrence of Venous Thromboembolism
The risk of recurrence of venous thromboembolism persists for many years after anticoagulant treatment is withdrawn. This risk is particularly high among patients with unprovoked venous thromboembolism, about 20% of whom have a recurrence within 2 years after treatment with vitamin K antagonists…
- May 24, 2012
- Becattini C., Agnelli G., Schenone A., et al.
- N Engl J Med 2012; 366:1959-1967
- CME
About 20% of patients with venous thrombosis or embolism but no defined risk factors have a recurrence within the first 2 years after stopping anticoagulation therapy. These authors report that 100 mg of aspirin a day nearly halved the risk of recurrence, with no increase in bleeding.
- PDF
- Save
Editorial
Aspirin and the Prevention of Venous Thromboembolism
Venous thromboembolism, including deep-vein thrombosis and pulmonary embolism, is a common condition, with an annual incidence of 2 to 3 cases per 1000 in the general population. Although the risk of recurrence is only about 1% per year in patients with a transient risk factor (provoked venous…
- May 24, 2012
- Becker R.C.
- N Engl J Med 2012; 366:2028-2030
Venous thromboembolism, including deep-vein thrombosis and pulmonary embolism, is a common condition, with an annual incidence of 2 to 3 cases per 1000 in the general population.¹ Although the risk of recurrence is only about 1% per year in patients with ...
- PDF
- Save
Perspective
Sharing the Care to Improve Access to Primary Care
Gaining prompt access to primary care is a growing concern for all American adults. In Massachusetts, average wait times for new patients to obtain an internal-medicine appointment rose by 82% in the 2 years after health insurance coverage was expanded; current wait times average 36 days for family…
- May 24, 2012
- Ghorob A. and Bodenheimer T.
- N Engl J Med 2012; 366:1955-1957
- Free Full Text
Gaining prompt access to primary care is a growing concern for all American adults. In Massachusetts, average wait times for new patients to obtain an internal-medicine appointment rose by 82% in the 2 years after health insurance coverage was expanded; ...
- PDF
- Save
Images in Clinical Medicine
Meconium-like Ileus in Cystic Fibrosis
Figure 1.
- May 24, 2012
- Lin L.-Y. and Wong J.-U.
- N Engl J Med 2012; 366:2017
- Free Full Text
A 19-year-old woman with type 1 diabetes mellitus and suspected cystic fibrosis presented with a 1-day history of acute abdominal pain. Plain radiography revealed a typical mechanical obstruction.
- PDF
- Save
Images in Clinical Medicine
Aquagenic Wrinkling of Palms in Cystic Fibrosis
Figure 1.
- May 24, 2012
- Weibel L. and Spinas R.
- N Engl J Med 2012; 366:e32
- Free Full Text
A 17-year-old girl presented with a 10-year history of transient excessive wrinkling of her palms after brief exposure to water and sweating. She reported some uncomfortable tightness of the skin during these epi¬sodes.
- PDF
- Save
Case Records of the Massachusetts General Hospital
Case 16-2012 — A 32-Year-Old Woman with HER2-Positive Breast Cancer
Presentation of Case. Dr. Steven Jay Isakoff (Hematology–Oncology): A 32-year-old woman was seen in the outpatient cancer center at this hospital because of infiltrating ductal carcinoma of the right breast. The patient had been well until 2 months before admission, when she became aware of a…
- May 24, 2012
- Baselga J., Smith B.L., Rafferty E.A., Bombonati A.
- N Engl J Med 2012; 366:2018-2026
- CME
A 32-year-old woman noted a crease in her right breast. Imaging studies showed a suspicious mass, and a biopsy specimen revealed infiltrating ductal carcinoma, positive for HER2. Staging showed liver lesions consistent with metastases. Management decisions were made.
- PDF
- Save
Perspective
Primary Care Update — Light at the End of the Tunnel?
Primary care physicians, long in the doldrums over their incomes and challenging work–life balance, may be heartened by recent steps taken by policymakers and payers signaling the increased recognition of the foundational role they could play in a restructured health care delivery system. Hopeful…
- May 23, 2012
- Iglehart J.K.
- 10.1056/NEJMp1205537
- Free Full Text
Primary care physicians, long in the doldrums over their incomes and challenging work–life balance, may be heartened by recent steps taken by policymakers and payers signaling the increased recognition of the foundational role they could play in a ...
- PDF
- Save
Original Article
Colorectal-Cancer Incidence and Mortality with Screening Flexible Sigmoidoscopy
Colorectal cancer is the second leading cause of cancer-related deaths in the United States. Colorectal-cancer mortality– and incidence, are reduced with screening by means of fecal occult-blood testing. Endoscopic screening with flexible sigmoidoscopy or colonoscopy is more sensitive than fecal…
- May 21, 2012
- Schoen R.E., Pinsky P.F., Weissfeld J.L., et al.
- 10.1056/NEJMoa1114635
- Free Full Text
Colorectal cancer is the second leading cause of cancer-related deaths in the United States.¹ Colorectal-cancer mortality²–⁴ and incidence⁵,⁶ are reduced with screening by means of fecal occult-blood testing. Endoscopic screening with flexible ...
- PDF
- Save
Editorial
Why You Should Care about Screening Flexible Sigmoidoscopy
The clinical outcomes of colorectal-cancer screening in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial, now presented by Schoen et al. in the Journal, show that the programmatic use of flexible sigmoidoscopy reduced colorectal-cancer incidence by 21%, with a benefit…
- May 21, 2012
- Inadomi J.M.
- 10.1056/NEJMe1204099
- Free Full Text
The clinical outcomes of colorectal-cancer screening in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial, now presented by Schoen et al. in the Journal,¹ show that the programmatic use of flexible sigmoidoscopy reduced colorectal-...
- PDF
- Save
Clinical Practice
Secondary Prevention after Ischemic Stroke or Transient Ischemic Attack
Foreword. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations. Stage. A 62-year-old…
- May 17, 2012
- Davis S.M. and Donnan G.A.
- N Engl J Med 2012; 366:1914-1922
- CME
- Full Text Audio
This article reviews recommended strategies to reduce the risk of a subsequent stroke in patients with a history of transient ischemic attack (TIA) or stroke.
- PDF
- Save
Original Article
Association of Coffee Drinking with Total and Cause-Specific Mortality
Coffee is one of the most widely consumed beverages, both in the United States and worldwide. Since coffee contains caffeine, a stimulant, coffee drinking is not generally considered to be part of a healthy lifestyle. However, coffee is a rich source of antioxidants and other bioactive compounds,…
- May 17, 2012
- Freedman N.D., Park Y., Abnet C.C., Hollenbeck A.R., Sinha R.
- N Engl J Med 2012; 366:1891-1904
In this study involving long-term follow-up of more than 400,000 adults, coffee consumption was inversely associated with total mortality and mortality due to heart disease, respiratory disease, stroke, injuries and accidents, diabetes, and infections, but not cancer.
- PDF
- Save
Images in Clinical Medicine
“Half-Half” Blisters
Figure 1.
- May 17, 2012
- O'Connell M. and Goulden V.
- N Engl J Med 2012; 366:e31
- Free Full Text
A 66-year-old man presented with an acute pustular eruption. On examination, an annular rash with multiple blisters was seen on the patient's trunk; the blisters contained both clear and yellow fluid. He had no associated cutaneous or systemic symptoms, ...
- PDF
- Save
Perspective
200th Anniversary Article: The Evolving Primary Care Physician
The primary care doctor is a rapidly evolving species — and in the future could become an endangered one. As the United States grapples with the dual challenges of making health care more widely available and reducing the national price tag, it's hard to say how primary care physicians will fit…
- May 17, 2012
- Okie S.
- N Engl J Med 2012; 366:1849-1853
- Free Full Text
- Audio
The primary care doctor is a rapidly evolving species — and could become an endangered one. As we grapple with making health care more widely available and reducing its cost, it's hard to say how primary care physicians will fit into emerging delivery models.
- PDF
- Save
Images in Clinical Medicine
Nevus Sebaceous
Figure 1.
- May 17, 2012
- Cifuentes L. and Ziai M.
- N Engl J Med 2012; 366:1923
- Free Full Text
A 6-year-old girl who was born with a plaque on her forehead presented to the clinic. The plaque was smooth, elevated, and arranged in a linear pattern on the forehead.
- PDF
- Save
Images in Clinical Medicine
An Electrocardiographic Sine Wave in Hyperkalemia
Figure 1.
- May 10, 2012
- Petrov D.B.
- N Engl J Med 2012; 366:1824
- Free Full Text
A 62-year-old man with chronic renal insufficiency reported having reduced exercise tolerance for the previous week. The physical examination was unremarkable, but oxygen saturation was diminished.
- PDF
- Save
Case Records of the Massachusetts General Hospital
Case 14-2012 — A 43-Year-Old Woman with Fever and a Generalized Rash
Presentation of Case. Dr. Sarah Gee (Dermatology): A 43-year-old woman was admitted to the hospital because of fever and a generalized rash. The patient had a history of atopic dermatitis and had been in her usual health until approximately 1 week before admission, when a painful, pruritic rash…
- May 10, 2012
- Mackool B.T., Goverman J., Nazarian R.M.
- N Engl J Med 2012; 366:1825-1834
- CME
A 43-year-old woman with a history of atopic dermatitis was admitted to the hospital because of fever and a generalized painful, pruritic rash involving the entire body. Examination revealed vesicles, pustules, and erosions with scalloped borders. A diagnostic test result was received.
- PDF
- Save
Images in Clinical Medicine
Vertebra Plana with Spontaneous Healing
Figure 1.
- May 10, 2012
- Tsai P.-Y. and Tzeng W.-S.
- N Engl J Med 2012; 366:e30
- Free Full Text
A 3-year-old girl presented with a 3-week history of low back pain. Physical examination revealed mild tenderness over the upper lumbar spine.
- PDF
- Save
Clinical Problem-Solving
Whistling in the Dark
Foreword. In this Journal feature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows. Stage. A 38-year-old woman living in…
- May 3, 2012
- Solomon D.A., Fanta C.H., Levy B.D., Loscalzo J.
- N Engl J Med 2012; 366:1725-1730
- CME
Shortness of breath, fever, and cough productive of yellow sputum developed in a 38-year-old woman soon after the birth of her third child. Although her symptoms initially resolved with antibiotics, an intermittent nonproductive cough, wheezing, and shortness of breath soon followed.
- PDF
- Save
Images in Clinical Medicine
Eschar Formation from Testosterone Patch
Figure 1.
- May 3, 2012
- Orme C. and Imaeda S.
- N Engl J Med 2012; 366:e28
- Free Full Text
A 78-year-old man presented for his yearly skin exam and was noted to have an oval-shaped, green-black eschar on his midback. A pink, atrophic scar was located nearby, in addition to a medicated patch of similar size.
- PDF
- Save
Perspective
Becoming a Physician: Freedom from the Tyranny of Choice — Teaching the End-of-Life Conversation
Thirty years ago, an intern had a conversation with a patient that he regrets to this day. The patient, a young man with widely metastatic lymphoma, unresponsive to chemotherapy, now had progressive dyspnea. The intern knew that even with intubation, his patient would soon die. Although the norm at…
- May 3, 2012
- Lamas D. and Rosenbaum L.
- N Engl J Med 2012; 366:1655-1657
Paternalism in discussing resuscitation status has given way to an approach in which patients may be asked to choose from a bewildering array of medical options, but physicians-in-training are rarely taught how to lead such conversations confidently and effectively.
- PDF
- Save

Page

Medical Meetings Pediatrics Conferences and Meetings

2012 Certifying Examinations of the American Board of Pediatrics

The general pediatrics examination will be held in various cities, Oct. 16-18. Registration for first-time applicants is ongoing through May 3. Registration for re-registrants is ongoing through May 24. The following subspecialty examinations will be held in various cities: "Hospice and Palliative Medicine" (Oct. 4); "Pediatric Transplant Hepatology" (Oct. 11); "Pediatric Cardiology" (Nov. 7); "Pediatric Pulmonology" (Nov. 8); "Medical Toxicology" (Nov. 12); and "Pediatric Critical Care Medicine" (Nov. 14). Registration for first-time applicants is ongoing through April 30. Registration for re-registrants is ongoing through June 15.

Contact the American Board of Pediatrics, 111 Silver Cedar Court, Chapel Hill, NC 27514-1513; or call (919) 929-0461; or fax (919) 918-7114 or (919) 929-9255; or see http://www.abp.org .

More Medical Meetings

Trends: Most Viewed (Last Week)

More Trends