Depression

An obese woman in her thirties with a history of fibromyalgia syndrome, depression, polycystic ovarian syndrome, and diabetes mellitus presents to her local emergency department with 1 week of gradually worsening midline back pain.

Adult sleepwalking can lead to violent behaviors, daytime sleepiness, fatigue and impaired health-related quality of life.

Diabetes progress; folic acid and autism; acupuncture and allergic rhinitis; depression and shingles vaccine; HMP virus alert.

Patients with documented atrial fibrillation given intensive yoga instruction had a reduction in symptomatic and asymptomatic AF episodes.

Stroke survival and thoughts of suicide; PCP shortage; pediatric headache treatments; antidepressants and prolonged QT interval; calcium supplements, men, and CVD.

Suicidal ideation among stroke survivors (7.8%) was higher than among those with a history of MI (6.2%), diabetes (5.2%), and cancer (4.1%).

Primary care physicians can take the lead in helping address these additional comorbidities in their patients with asthma.

Test your skills with this 5-question quiz: Drug-induced Hypersensitivity; Rhinosinusitis and Depression; Blue Nevus; Leg Injury

The relationship between sleep and exercise is the theme of this year’s National Sleep Foundation Sleep in America poll, an annual checkup on Americans’ sleep health practices.

Oral plaques; Post-MI depression; Weakness; Polycystic kidney disease

Greater awareness of mental health issues such as these, along with screening for diseases and providing appropriate treatment, may improve symptom control.

Primary care physicians need to be aware of the relationship, especially because the incidence in older women is high.

Researchers concluded that psychological factors might contribute to the development of this disorder but not ulcerative colitis.

After a cardiac event, many patients experience psychiatric symptoms, including depression, but more recent studies have paid attention to anxiety.

This is the true story of how the Battle of Britain was won, how penicillin was discovered, how the largest pharmaceutical company in the world got its start-and how democracy was saved.

Sleep-disordered breathing and behavioral sleep disturbance in young children may lead to learning disabilities.

Patients who are experiencing pseudoexacerbations or confirmed exacerbations of disease should be assessed and monitored for depressive and anxiety symptoms.

In the opinion of this psychiatrist and former chair of the chair of the DSM-IV Task Force, the changes in the newly approved DSM-5 will loosen diagnosis and threaten to turn our current diagnostic inflation into diagnostic hyperinflation. There are direct implications for primary care physicians and pediatricians.

If physicians know how well their patients tolerate uncertainty about health before providing feedback during a consultation, they can improve their patients' care dramatically.

First-line agents include selective serotonin reuptake inhibitors and venlafaxine.

Many patients clearly would benefit from help from clinicians, but two-thirds of patients have never sought medical care for this disorder.

Skills Quiz: Celiac Disease; Dysplastic Nevus; MS and Smoking; Giannotti-Crosti; Minocycline discoloration

Patients with ulcerative colitis and Crohn’s disease typically don’t receive preventive services at the same rate as general medical patients. Vaccination is a key area of confusion.

Several classes of drugs seem to have positive effects for patients with GI disorders--including NSAIDs, anticonvulsants, alpha-adrenergic agents, neuromuscular agents, and antidepressants. Details here.

Here: an update on the challenges of detection, diagnosis, and management of celiac disease and non–celiac disease and the importance of gluten sensitivity.

October 11th is National Depression Screening Day. But how do you screen, diagnose, and treat effectively given the time constraints of busy office practice?

Benzodiazepines are overprescribed and abused; are increasingly responsible for emergency room visits; and are contraindicated for patients with chronic pain.

For many patients with diabetic peripheral neuropathy, severe pain can be controlled to a degree sufficient to improve their quality of life. Here: effective management strategies, including topical agents, oral medications, and nonpharmacological therapies (eg, acupuncture and transcutaneous nerve stimulation).

The key diagnostic considerations hypokalemia, periodic paralysis, and ischemia should lead the assessment of a patient with acute generalized weakness.

Chronic pain management in the elderly is complex. Safe and effective use of analgesic medications in geriatric patients requires risk-benefit analysis.