Common complaints of abdominal pain, fever, shortness of breath, or rash can signal more serious disease that should be referred to specialty care or might be related to benign conditions. Combine the vague nature of many patients’ descriptions and the pressure of short visits, and clinicians have a recipe for all manner of diagnostic error....
Tag: <span>Primary care</span>
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Primary Care: Re Carpe Your Diem
Medscape Medical News > Features Primary Care: Re Carpe Your DiemAnn Thomas, MD, MPH August 19, 2024 William Fox, MD, a self-described “dinosaur,” works in an independent internal medicine practice with two other physicians in Charlottesville, Virginia. He is rarely able to accept new patients, and when he does see one, they often have to...
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Most Americans don’t know that primary care physicians can prescribe addiction treatmentat
NEWS RELEASE 28-JUN-2024Most Americans don’t know that primary care physicians can prescribe addiction treatmentNIH-supported study reveals crucial need to increase public awareness that medications for opioid use disorder can be prescribed in primary care settings Peer-Reviewed PublicationNIH/NATIONAL INSTITUTE ON DRUG ABUSE Results from a national survey indicate that many Americans, 61%, are unaware that primary...
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Nonvisible Hematuria: Management Guidance in Primary Care
COMMENTARY Kevin Fernando, MBChB DISCLOSURES June 06, 2024 This transcript has been edited for clarity. Linda, a 50-year-old hedge fund manager, consults you in clinic after her recent annual company health screen detected 2+ blood on her urine dipstick test. She is asymptomatic. She has no past medical history of note and takes no prescribed...
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Closing the referral loop: Perspectives and experiences of primary care and specialist physicians
by Regenstrief Institute Credit: Pixabay/CC0 Public DomainEvery year, millions of referrals are made by primary care physicians in the U.S. for patients needing consultations with specialists. The intention is for patients to be seen by specialists and then to return to their primary care providers, completing a process known as a referral loop. However, between a...
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Clinician decision support can reduce unspecified testing in primary care, study suggests
by Elana Gotkine For older primary care patients, clinician decision support can reduce unspecified testing compared with traditional case-based education alone, according to a study published online Feb. 6 in the Annals of Internal Medicine. Stephen D. Persell, M.D., M.P.H., from the Northwestern University Feinberg School of Medicine in Chicago, and colleagues examined the effect...
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HFpEF: New Guidelines Are Pertinent for Primary Care
Neil Skolnik, MD I’m Dr Neil Skolnik. Today we are going to talk about the 2023 American College of Cardiology Expert Consensus Decision Pathway on Management of Heart Failure With Preserved Ejection Fraction (HFpEF). The incidence of HFpEF is increasing, yet it’s underrecognized. Now that there are evidence-based treatment approaches that improve outcomes, we’ve started...
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What Is the Best Way to Manage Axial Spondyloarthritis in Primary Care?
Sara Freeman When axial spondyloarthritis (SpA) is suspected, a “prompt referral to a rheumatologist” is in order. But with the referral possibly taking several weeks, if not months in some parts of the world, how can primary care practitioners manage patients with this type of chronic back pain in the meantime? And what is the...
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Meet the Newest Acronym in Primary Care: CKM
Primary care clinicians play a central role in maintaining the cardiovascular-kidney-metabolic (CKM) health of patients, according to a new advisory from the American Heart Association. The advisory, published recently in Circulation, introduces the concept of CKM health and reevaluates the relationships between obesity, diabetes, kidney disease, and cardiovascular disease (CVD). “This approach not only raises...
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Renal Cell Carcinoma: 5 Things to Know for Primary Care
Karl J. D’Silva, MDDISCLOSURES Renal cell carcinoma (RCC) represents up to 85% of kidney cancers. It is considered the deadliest urologic cancer in the United States, with a 5-year survival rate of 76% overall, going down to only 12% for patients with late-stage disease. Here are five things that primary care clinicians should know about...