topic
- 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.
- New CCJM faces and features
Hospitalist James Pile, MD, and nephrologist George Thomas, MD, join the Journal staff as deputy editors.
- Gingival overgrowth in acute monocytic leukemia
A 55-year-old man presented to the emergency department with a 2-month history of progressive gingival swelling and oral pain.
- Providing comfort: Caring for patients who wish to die in their home country
The authors offer a framework for providing equitable care to terminally ill patients who seek the comfort of dying at home.
- Perspectives on travel and healthcare
Further guidelines are needed to address the challenges faced by patients traveling to receive medical care away from their home country or returning to their home country to die.
- Should I refer my patient for a parathyroidectomy?
In patients with primary hyperparathyroidism, this decision should be individualized and not based solely on whether guideline criteria are met.
- Does every patient with lactational mastitis require antibiotic treatment?
Not all do. Depending on the duration and severity of symptoms, some patients can be managed conservatively.
- Do I always need a central venous catheter to administer vasopressors?
Although generally preferred, central venous catheters carry risks such as procedural complications, infection, and thrombosis. Clinicians must assess, case by case, whether a peripheral intravenous catheter can be used.
- Reducing the risks when using benzodiazepines to treat insomnia: A public health approach
The authors review measures for preventing harm before benzodiazepines are prescribed, decreasing harm within 4 weeks after they are prescribed, and limiting harmful effects of long-term prescribing.