Table of Contents
From the Editor
- Pursuing the diagnosis of low back pain
The recommended conservative approach eschewing initial imaging in patients with acute or subacute low back pain is unlikely to miss a significant clinical problem in those with no “red flags,” though the evaluation should be tempered in patients with chronic low back pain.
The Clinical Picture
- Low back pain: Spondylitis?
A 37-year-old woman was referred to a rheumatology clinic due to symptoms concerning for spondylitis after noting intermittent back pain with right-sided groin pain.
1-Minute Consult
- Should an NPO order be placed for my patient with acute pancreatitis?
Resting the pancreas with extended periods of nothing by mouth status or total parenteral nutrition is no longer considered the standard of care.
Symptoms to Diagnosis
- A hidden cause of hypokalemia
A 21-year-old man presented with increasing fatigue and psychosis symptoms. Laboratory testing results were consistent with a metabolic disorder.
Review
- Diabetes technology: A primer for clinicians
This review of the basics of various diabetes management devices is intended to enhance clinicians’ comfort level in helping patients use these technologies.
- Preexposure prophylaxis for preventing HIV infection: Routine practice in primary care
Knowing how to conduct a thorough sexual history and prescribe PrEP medications can contribute to reducing the incidence of new HIV infection.
- Gastroparesis for the nongastroenterologist
The authors explore how primary care clinicians can use current recommendations to manage patients with mild to moderate gastroparesis.