September 23rd 2024
One in 9 primary care encounters involved a mental health condition, according to an analysis of over 350 million primary care visits.
July 16th 2024
Your daily dose of the clinical news you may have missed.
January 23rd 2024
The Boxed Warning reflects FDA research into severe adverse events including hospitalization and death in persons with CKD treated with denosumab.
January 19th 2024
January 12th 2024
Less than a quarter of persons with cirrhosis who are diagnosed with osteoporosis are started on treatment, reported researchers.
Gout Found More Prevalent among Black Adults in Nationally-representative Population
Racial disparities in gout prevalence could be explained by diet, social determinants of health, kidney disease, and other factors that suggest interventions.
Obesity and the Musculoskeletal System: Age and Impact
Excess weight diminishes the development and function of the musculoskeletal system at any point in the lifespan. An obesity specialist highlights the dangers.
Seen in the ED: Heroin OD
A man of about 40-years-old is seen in the ED for a possible drug overdose. He complains of low back pain and asks for medication. What's your diagnosis?
Seen in the ED: Wrist Injury Imaging
A skateboarding accident brings a man in his 30s to the ED complaining of wrist pain. Can you make the diagnosis based on the x-ray?
Platelet-rich Plasma Injections for Osteoarthritis: How Effective Are They?
Platelet-rich plasma, in theory, seems like a logical and potentially beneficial treatment for osteoarthritis. Our pain expert reviews 2 recent studies that are telling.
Common Elective Orthopedic Procedures: Does Research Support Their Use?
What does the evidence show for the clinical effectiveness of 10 of the most common elective orthopedic procedures? A recent umbrella review sheds light.
Seen in the ED: Name this Elbow Injury
A 20-something young man is in the ED after a fall off a scooter while doing tricks. What do you see on the x-ray? What type of injury is it?
Seen in the ED: Ankle Injury
A 32-year-old woman is seen in the ED with pain from an ankle injury sustained about 24 hours earlier. What does the x-ray show? How would you proceed?
Whose Acute Low Back Pain will Become Chronic?
A new study on conversion of acute to chronic low back pain identifies clinician behavior as well as patient characteristics that increase that risk.
Guideline-directed Osteoporosis Treatment Found in Decline
ENDO 2021: Fewer than 1-in-10 older adults with a hip fracture had been prescribed bone-directed treatment in the 6 months prior to the incident, according to research on trends in treatment.
Anosmia, Other Neurologic Symptoms Seen in Half of COVID-19 Patients at ED Presentation
Study: Anosmia, myalgias, and headache were the most common extrapulmonary symptoms seen in COVID-19 patients at first presentation, say investigators.
Pain Management in Acute Gout: NSAIDs or COX-2 Inhibitors?
A recent meta-analysis assessed comparative clinical efficacy of NSAIDs and COX-2 inhibitors. Try these 7 questions on the findings - does your clinical experience match?
COVID-19 & Pain: Acute and Postinfection Manifestations
Pain is a common complication of COVID-19 infection, during the illness and afterwards. Click through this summary of new data on acute pain and risk for persistent pain from COVID-19.
Pain Management for Osteoarthritis: Guideline Toplines
Get a topline review of OA pain management recommendations from the Osteoarthritis Research Society International and the American College of Rheumatology/Arthritis Foundation.
Seen in the ED: Progressive Isolated Finger Pain
A man in his fifties presents with pain in a fingertip that has been getting increasingly worse. Notable on exam are a small scab on that finger and nail-bitten fingernails. Your Dx?
Alternative Therapies for Pain: What’s the Latest Evidence?
Acupuncture, massage, meditation—what does the latest research say about these and other popular alternative therapies for pain management?
7 New Drugs for Primary Care: Q2 2019
The end of another quarter means a new list of FDA-approved drugs for primary care. Which ones should you know about? Click through to find out.
5 Questions on Tramadol and Mortality in Osteoarthritis Patients
Tramadol is often prescribed for osteoarthritis pain based on a perception that it is a “safer opioid.” But is that true? Take our quick quiz to find out.
Fibromyalgia Quiz: 5 Questions for Primary Care
Get updated on the newest fibromyalgia research from the 2018 ACP Internal Medicine Meeting, the basis of this 5-question quiz.
Mastering Rheumatoid Arthritis: 5 Key Challenges for Primary Care Practice
RA can be managed in primary care but comes with unique challenges. Here, strategies outlined at the ACP Internal Medicine Meeting 2018.
Osteoporosis Update
Here: a quick overview of updates to the diagnosis and treatment of osteoporosis.
11 New Medications for Primary Care
Here: a quick look at newly approved agents for primary care that will soon be coming your way.
NSAIDs for Chronic Low Back Pain: True or False?
More effective vs placebo? Less effective than opioids? Equally as potent as APAP? What’s true and what false about NSAIDs?
7 New Hip Osteoarthritis Recommendations
A new evidence-based clinical practice guideline addresses adverse events, surgical risks, and patient education
RA and Primary Care: 8 Looks to the Future
Special Report recap: the current and future state of RA patient care and what PCPs will need to know to do their part.
RA Comanagement and the Future
Comanaging RA and its comorbidities is just one of many directions primary care is likely to take. Part 4 of a Special Report.
Changing the RA Referral Paradigm
With a growing shortfall of rheumatologists, primary care may play a greater role in the initiation of long-term therapy. Part 3 of a Special Report.
8 New Rheumatoid Arthritis Findings
RA symptoms invisible but harmful, mortality increases with RA, plus 6 more highlights from recent RA studies of interest to primary care.
Early Diagnosis of Rheumatoid Arthritis in Primary Care
Primary care physicians may contribute to improved outcomes by recognizing the signs and symptoms early on. Part 2 of a Special Report.
Rheumatoid Arthritis in Primary Care
This Special Report details the expanding role PCPs can play in serving an increasingly underserved population.