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American Family Physician March 15, 2001 Gary D. Grossfeld	Asymptomatic Microscopic Hematuria in Adults: Summary of the AUA Best Practice Policy Recommendations Blood in the urine (hematuria) can originate from any site along the urinary tract and, whether gross or microscopic, may be a sign of serious underlying disease...
American Family Physician May 1, 2005 Susan Klein	Evaluation of Palpable Breast Masses Palpable breast masses are common and usually benign, but efficient evaluation and prompt diagnosis are necessary to rule out malignancy.
American Family Physician May 15, 2006 McDonald, Swagerty & Wetzel	Assessment of Microscopic Hematuria in Adults Microscopic hematuria, a common finding on routine urinalysis of adults, is clinically significant when three to five red blood cells per high-power field are visible.
American Family Physician September 1, 2002 Schwetschenau & Kelley	The Adult Neck Mass Family physicians frequently encounter neck masses in adult patients. A careful medical history should be obtained, and a thorough physical examination should be performed.
American Family Physician September 1, 2000	Cushing's Disease: Clinical Manifestations and Diagnostic Evaluation The most common endogenous cause of Cushing's syndrome is Cushing's disease. Frequent clinical findings include weight gain, truncal obesity, striae, hypertension, glucose intolerance and infections...
Nurse Practitioner April 2011 Joanne L. Thanavaro	Diagnosis and Management of Primary Aldosteronism When considering primary aldosteronism, three crucial diagnostic steps include case detection, case confirmation, and subtype classification.
American Family Physician April 1, 2001 Andrew J. Portis	Diagnosis and Initial Management of Kidney Stones The diagnosis and initial management of urolithiasis have undergone considerable evolution in recent years...
Nurse Practitioner November 2010 Dreadin & Mancuso	Diagnostic breast evaluation: When to refer and what the results really mean Diagnostic breast imaging is an important tool in evaluating abnormal physical examination findings and assessing incomplete screening mammographic results.
American Family Physician June 1, 2002 S. Craig Humphreys	Neuroimaging in Low Back Pain Patients commonly present to family physicians with low back pain. Because the majority of patients fully or partially recover within six weeks, imaging studies are generally not recommended in the first month of acute low back pain.
American Family Physician January 1, 2003 Edward Onusko	Diagnosing Secondary Hypertension Secondary hypertension is elevated blood pressure that results from an underlying, identifiable, often correctable cause. Only about 5 to 10 percent of hypertension cases are thought to result from secondary causes. The ABCDE mnemonic can be used to help determine a secondary cause of hypertension.
American Family Physician April 15, 2002 Amy R. Sparks	Imaging of Abdominal Aortic Aneurysms Given the high rate of morbidity and mortality associated with abdominal aortic aneurysms, accurate diagnosis and preoperative evaluation are essential for improved patient outcomes...
American Family Physician October 1, 2000 Rochelle Scheib, M.D.	Photo Quiz Diagnose this illness: Facial Masses
American Family Physician September 1, 2002 Milad Chrieki	Echinococcosis -- An Emerging Parasite in the Immigrant Population Echinococcus tapeworms are parasites that infect dog species worldwide and occasionally are transmitted to humans. Most of the new human cases that are diagnosed in the United States each year occur in members of well-defined risk groups.
American Family Physician April 1, 2002 Thomas J. Zuber	Minimal Excision Technique for Epidermoid (Sebaceous) Cysts Epidermoid cysts are asymptomatic, dome-shaped lesions that often arise from a ruptured pilosebaceous follicle. The minimal excision technique for epidermoid cyst removal is less invasive than complete surgical excision and does not require suture closure...
American Family Physician June 15, 2002 George J. Bitar	Basal Cell Nevus Syndrome: Guidelines for Early Detection Basal cell nevus syndrome is an autosomal dominant condition with complete penetrance and variable expressivity. It is characterized by five major components.
American Family Physician February 15, 2003	Common Benign Skin Tumors Procedures for identifying and treating benign skin tumors.
American Family Physician July 15, 2000 Anthony F. Jerant	Early Detection and Treatment of Skin Cancer The incidence of skin cancer is increasing by epidemic proportions...
American Family Physician December 1, 2003 Roth & Basello	Approach to the Adult Patient with Fever of Unknown Origin A thorough history, physical examination, and standard laboratory testing remain the basis of the initial evaluation of the patient with FUO.
American Family Physician October 1, 2000 Ronald Schneeweiss, M.B., Ch.B.	Curbside Consultation What is the role of a consultant in the referral process? What constitutes a "good" referral?
American Family Physician May 1, 2006 Luma & Spiotta	Hypertension in Children and Adolescents The prevalence and rate of diagnosis of hypertension in children and adolescents appear to be increasing. Most childhood hypertension, particularly in preadolescents, is secondary to an underlying disorder.
American Family Physician January 1, 2005	Kidney Cysts A patient hand-out on what the kidneys do, how cysts affect function and possible treatments of the problem.
American Family Physician January 15, 2001	Kidney Cysts What are kidney cysts?... How common are kidney cysts?... How are kidney cysts found?... If I have a kidney cyst, what will my doctor want to do?... Will I need surgery to remove a kidney cyst?... etc.
American Family Physician June 15, 2003 Kodner & Kudrimoti	Diagnosis and Management of Acute Interstitial Nephritis Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes.
American Family Physician March 15, 2005 Simerville, Maxted & Pahira	Urinalysis: A Comprehensive Review Although urinalysis is not recommended as a routine screening tool, physicians should know how to interpret urinalysis results correctly. This article reviews the correct method for performing urinalysis and the differential diagnosis for several abnormal results.
American Family Physician July 1, 2003 Omole et al.	Management of Bartholin's Duct Cyst and Gland Abscess Bartholin's duct cysts and gland abscesses are common problems in women of reproductive age. The goal of management is to preserve the gland and its function if possible.
American Family Physician November 1, 2005 Eddie Needham	Management of Acute Renal Failure Acute renal failure is an acute loss of kidney function that occurs over days to weeks and results in an inability to appropriately excrete nitrogenous wastes and creatinine. In spite of this rapid decline in kidney function, patients with acute renal failure often have few symptoms.
American Family Physician December 15, 2005 Alper & Curry	Urinary Tract Infection in Children Until recently, the management of urinary tract infection (UTI) in children has been controversial and based mainly on opinion, but new evidence regarding imaging studies and treatment prompted this review.
Nursing May 2010 Debra Castner	Understanding the stages of chronic kidney disease This article will help you to recognize CKD and understand its stages so you can help your patient to modify risk factors, prevent further kidney damage, and manage complications. First, consider the scope of the problem.
American Family Physician November 15, 2004 Peter A. Calabresi	Diagnosis and Management of Multiple Sclerosis The diagnosis of multiple sclerosis should be made by a physician with experience in identifying the disease. Five disease-modifying treatments for multiple sclerosis have been approved by the U.S. Food and Drug Administration.
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
American Family Physician October 1, 2002 Hainer & Usatine	Electrosurgery for the Skin The purposes of electrosurgery are to destroy benign and malignant lesions, control bleeding, and cut or excise tissue. The major modalities in electrosurgery are electrodesiccation, fulguration, electrocoagulation, and electrosection.
American Family Physician March 1, 2007 Majeroni & Patel	Autoimmune Polyglandular Syndrome, Type II Autoimmune polyglandular syndrome, type II (APS II) is not a common disease, but it has life-threatening consequences when the diagnosis is overlooked.
American Family Physician May 15, 2004 Mark D. Andrews	Cryosurgery for Common Skin Conditions Cryosurgery is a highly effective treatment for a broad range of benign skin problems. With appropriate instruction and supervised experience, family physicians can master the technique quickly.
American Family Physician December 15, 2001 Thomas J. Zuber	Office Management of Digital Mucous Cysts Digital mucous cysts are solitary, clear, or flesh-colored nodules that develop on the dorsal digits between the distal interphalangeal joint and the proximal nail fold...
Nursing March 2010 Peg Gray-Vickrey	Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.
Nursing January 2011 Carl A. Kirton	HIV: The Changing Epidemic Since its emergence in the early 1980s, HIV infection in the United States has evolved from an acute debilitating condition to a chronic, treatable illness.
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
American Family Physician February 15, 2007 Gonsalves et al.	Common Oral Lesions: Part II. Masses and Neoplasia Physicians regularly encounter oral health issues in practice. Part I of this two-part series discusses superficial mucosal lesions such as candidiasis and herpes labialis. This article reviews common oral lesions that may appear as masses or represent neoplastic change.
American Family Physician October 15, 2002 Mahesh Krishnan	Preoperative Care of Patients with Kidney Disease Preoperative attention to common medical problems that occur in patients with impaired renal function can lower some surgical risks.
American Family Physician March 1, 2002 John M. Sauret	Rhabdomyolysis Rhabdomyolysis is a potentially life-threatening syndrome resulting from the breakdown of skeletal muscle fibers with leakage of muscle contents into the circulation. The most common causes are crush injury, overexertion, alcohol abuse and certain medicines and toxic substances...
Nursing February 2010 Daniel A. Hussar	New Drugs 2010, PART 1 In this article, you'll learn about 16 new drugs.
American Journal of Nursing September 2007 Kohtz & Thompson	Preventing Contrast Medium--Induced Nephropathy As understanding about contrast medium-induced nephropathy and its management evolves, nurses' awareness of research and guidelines for prevention and care is vital.
American Family Physician September 1, 2000	Cushing's Syndrome and Cushing's Disease What is Cushing's syndrome?... What causes Cushing's syndrome?... What is Cushing's disease?... What are the signs and symptoms of Cushing's syndrome and disease?... How does my doctor find out if I have Cushing's syndrome or disease?... How are Cushing's disease and syndrome treated?...
AskMen.com James Fell	Glenn Beck's 'Adrenal Fatigue' I'm not sure what's wrong with him, but he's not going to find out by taking advice from an alternative medicine practitioner pushing pseudoscience.
American Family Physician January 15, 2006 Hollander-Rodriguez & Calvert	Hyperkalemia Hyperkalemia is a potentially life-threatening metabolic problem caused by inability of the kidneys to excrete potassium, impairment of the mechanisms that move potassium from the circulation into the cells, or a combination of these factors.
HHMI Bulletin May 2011 Elise Lamar	Sequencing Adrenal Tumors A global team of researchers showed that potassium channel mutations promote tumor formation and hypertension.