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Restless legs syndrome (RLS) is a condition characterized by discomfort at rest and urge to move focused on the legs. RLS may occur as an idiopathic, often hereditary condition (primary RLS), or in association with medical conditions (secondary RLS) including iron deficiency, uremia, and polyneuropathy. Current understanding of the pathophysio...
The U.S. Centers for Disease Control and Prevention announced that the recommended isolation time for people with COVID-19 is now reduced from 10 to 5 days for those who are asymptomatic. The agency said that people who test positive should isolate for 5 (five) days, and if they are asymptomatic, or their symptoms are resolving (without fe...
This clinical practice guideline for the evaluation and diagnosis of chest pain provides recommendations and algorithms for clinicians to assess and diagnose chest pain in adult patients.The “2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain” provides recommendations based on contemporary evidence on...
The Infectious Diseases Society of America (IDSA) and American Thoracic Society (ATS) issued updated clinical practice guidelines for community-acquired pneumonia (CAP).Community-acquired pneumonia (CAP), an infection of the lung parenchyma that occurs in persons outside of a hospital setting, is associated with high morbidity and mortality. Di...
Physical Examination Causes of chest pain are numerous; the initial evaluation should focus on those that are life-threatening, such as ACS, PE, aortic dissection, and esophageal rupture, to facilitate rapid implementation of appropriate treatment. Specific clues can be helpful. Chest tenderness on palpation or pain with inspiration markedly...
Diabetes, a silent killer, is a leading cause of neuropathy. Around 50% of diabetic patients develop peripheral neuropathy in 25 years. Painful diabetic neuropathy manifests as burning, excruciating, stabbing or intractable type of pain or presents with tingling or numbness. The pathophysiology of this condition is due to primarily metabolic a...
The American Academy of Pediatrics (AAP) and the American Academy of Family Practice (AAFP) published updated guidelines for the diagnosis and medical management of AOM.  Otitis media (OM) is any inflammation of the middle ear. Otitis media is among the most common issues faced by physicians caring for children. Approximately 80% of children w...
This is a summary of the American Academy of Neurology (AAN) and Child Neurology Society (CNS) evidence-based guideline reviewing all available evidence on the assessment of the child with status epilepticus (SE). Status epilepticus (SE) is a medical condition characterized by repeated epileptic seizures without complete recovery between seizu...
Insulin Initiation in Patients with Type 2 Diabetes Insulin initiation and titration is a challenge for many primary care providers (PCPs) involved in the treatment of patients with type 2 diabetes. What are ADA recommendations?The early introduction of insulin should be considered -·        if there is evidence of ongoing catabolism (weight...
This is a summary of the American Academy of Neurology (AAN) and American Epilepsy Society (AES).For an adult with a first seizure, the risk of a recurrence poses major concerns and raises the question of whether immediate Anti-epileptic Drug (AED) treatment is advisable.Risk of Seizure RecurrenceQ1: For the adult who presents with an unprovoked...
The 2020 Global Hypertension Practice Guidelines were developed by the International Society of Hypertension (ISH) Guidelines Committee based on evidence criteria to be used globally. RemoveAvailable BrandIn addition to BP control, the therapeutic strategy should include lifestyle changes, body weight control and the effective treatment of the othe...
Antibiotics treatment for bacterial pneumonia in adults in hospital  Antibiotic management of suspected or confirmed bacterial pneumonia in adults in hospital during the COVID-19 pandemic. This includes people presenting to hospital with moderate to severe community-acquired pneumonia and people who develop pneumonia while in hospital.COVID...