Pain
1-Minute Consult
What can we do about musculoskeletal pain from bisphosphonates?
The authors recommend acetaminophen before infusions, and acetaminophen or NSAIDs if an acute-phase reaction occurs.
1-Minute Consult
What inpatient treatments do we have for acute intractable migraine?
Options: volume repletion, antiemetics, antiepileptics, NSAIDs, corticosteroids, and magnesium sulfate. Avoid opioids.
Medical Grand Rounds
What you can do for your fibromyalgia patient
Fibromyalgia is a defined syndrome of neuronal dysregulation and can be diagnosed and managed in a primary care setting.
IM Board Review
A 67-year-old woman with bilateral hand numbness
Her history includes type 2 diabetes mellitus, dyslipidemia, hypertension, diastolic heart failure, and thyroid surgery.
Reviews
Primary care management of chronic pelvic pain in women
While referral may eventually be indicated, primary care doctors can take steps to diagnose and manage the condition.
The Clinical Picture
Erythema ab igne
The patient had been using a heating pad daily, often for several hours at a time, to relieve his back pain.
The Clinical Picture
Pseudo-Wellens syndrome after heavy marijuana use
Acute marijuana intoxication is associated with reversible changes in the P and T waves and ST segments.
Reviews
Use and misuse of opioid agonists in opioid addiction
Methadone and buprenorphine can reduce craving and opioid use but remain misunderstood and underused.
Editorial
A rational approach to opioid use disorder in primary care
Treating addiction is quickly becoming part of primary care. Clinicians can no longer turn a blind eye toward this problem.
Reviews
Chronic constipation: Update on management
If conservative treatments fail, clinicians can choose from a growing list of new ones.