Slides

People with fetal alcohol syndrome (FAS), the most severe end of the FASD spectrum, often have abnormal facial features, and/or growth and central nervous system problems. A characteristic pattern of facial anomalies associated with FAS include, small eye openings, a thin upper lip or flattened ridges between the base of the nose and the upper lip (a flattened philtrum). A child must have all three characteristics to receive an FAS diagnosis.
Fetal Acohol Spectrum Disorders

Alcohol use among women of childbearing age (18 to 44 years) is a leading, preventable cause of birth defects and developmental disabilities in the U.S., known as fetal alcohol spectrum disorders (FASDs). The CDC estimates that approximately 0.2 to 1.5 cases occur for every 1,000 live births in certain areas of the United States.FASDs are…

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UTI symptoms vary by age, gender and whether a catheter is present, but the infections are eight times more common in women than men. Initial symptoms typically include a frequent and intense urge to urinate and a painful, burning feeling in the bladder or urethra during urination. Urine may look cloudy, dark or bloody, or have a foul smell.
Diagnosing and treating urinary tract infections

A urinary tract infection (UTI) is one of the most common diagnoses in family medicine — accounting for approximately 8.1 million primary care visits annually. View the slideshow to learn about UTI treatment.

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This image shows a healthy liver (left), a fatty liver (center), and a liver with cirrhosis (right), a common and severe hepatitis complication characterized by the replacement of normal tissue with fibrous tissue, and the loss of functional liver cells.
Identifying Hepatitis Infection

Hepatitis is swelling and inflammation of the liver caused by viral infection with hepatitis A, B or C; bacteria or parasites; autoimmune disorders; or from drug overdose or alcohol abuse.The severity of hepatitis depends on many factors, including the cause of the liver damage and the presence of comorbid conditions. Hepatitis A is usually short-term…

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Oral hairy leukoplakia appears as white corrugated lesions on the tongue & is common among severely immunosupressed patients. Secondary infection with Epstein Barr Virus causes OHL. Lesions are usually asymptomatic but may cause altered taste or discomfort, and are sometimes confused with candidiasis. Specific treatment is generally not necessary, as lesions typically resolve with antiretroviral therapy. If the lesions are ulcerated or unusual, clinicians should biopsy to distinguish from cancer
HIV/AIDS-Related Skin Conditions

More than 33.3 million people live with HIV/AIDS worldwide, as of 2009, with 2.6 million people newly infected in that year alone. Although the majority of people affected by HIV/AIDS live in developing nations, more than one million live in the United States and about 21% of those with HIV are unaware of their infection.…

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New Drug Products of 2011

A sampling of the new drug products featured on eMPR.com in 2011. For a recapitulation of all the new drug products in 2011 click here.

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Necrobiosis lipoidica dibeticorum (NLD) is a collagen degeneration disease that results in a granulomatous response, thickening of blood vessel walls & fat deposition. Lesions present as asymptomatic, shiny, red-brown patches that increase in size over months to years, becoming more yellow & atrophic. Most lesions have a fairly well defined border, occur on the lower extremities & can ulcerate if subjected to trauma. Only about 25% of patients experience pain, because many have nerve damage.
Diabetes: Cutaneous Manifestations

Nearly one-third of patients with diabetes have some type of dermatologic manifestation and, with time, the skin of all patients with diabetes will be affected in some form or another. Cutaneous manifestations of diabetes can be extremely valuable to the clinician. Some, such as diabetic bullae and necrobiosis lipoidica diabeticorum, can alert clinicians to the…

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This primary care provider could not feel these patients during a normal pelvic exam ovaries and ordered an abdominal ultrasound, which revealed a tumor on the right kidney. The tumor was initially diagnosed as an angiomyolipoma.
Renal Cell Carcinoma

This 64-year-old female patient, was referred to our clinic with an enlarging right renal tumor. The tumor was incidentally detected on ultrasound, which her primary-care provider (PCP) ordered in response to her nonpalpable ovaries. 



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FDA Cigarette Warnings

Beginning September 2012, FDA will require larger, more prominent cigarette health warnings on all cigarette packaging and advertisements in the United States. These warnings mark the first change in cigarette warnings in more than 25 years and are a significant advancement in communicating the dangers of smoking.

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Indication(s): Moderately-to severely-active rheumatoid arthritis in patients who have had an inadequate response to ≥1 TNF blocker. May be used with methotrexate or DMARDs.
New Drug Products of 2010

A sampling of the new drug products featured on eMPR.com in 2010. For a recapitulation of all the new drug products in 2010 click here.

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