Advance care planning is a billable, face-to-face service between a physician (or other provider) and a patient and/or surrogate to discuss and make known the patient’s health care wishes in case the patient becomes unable to make health care decisions…
In October 2011, CMS began covering annual depression screening for Medicare beneficiaries in the primary care setting when performed by clinical staff who can advise the physician of screening results and who can help facilitate and coordinate referrals for mental…
This JAMA Clinical Guidelines Synopsis summarizes KDIGOís 2024 clinical practice guideline for evaluation and management of chronic kidney disease.
Importance More than 100 000 patients in the US begin hemodialysis each year. While arteriovenous fistulas (AVFs) have been the preferred dialysis access due to their durability and lower complication rates, contemporary guidelines now emphasize achieving a functional access tailored to individual…
Importance Psilocybin use has surged in the US following decriminalization efforts and promising clinical trial results. Mirroring early cannabis legalization, public access and enthusiasm are outpacing regulatory oversight and scientific understanding, posing potential risks to public health. Objective To review emerging evidence…
A healthy 25-year-old female presented with an 8-month history of a painful right mandibular lesion. What is your diagnosis?
A previously healthy 31-year-old woman presents with acute unilateral anterior uveitis with hypopyon and an iris lesion and systemic symptoms, including headache, fatigue, and fever. What would you do next?
Importance Acute myeloid leukemia (AML) is a severe hematologic cancer with complex genetic heterogeneity necessitating personalized treatment approaches. Artificial intelligence (AI) technologies may revolutionize risk stratification, diagnosis enhancement, and treatment planning in addressing critical gaps in AML management, particularly in low-resource…
Importance Persons with heterozygous familial hypercholesterolemia (HeFH) are at increased risk of atherosclerotic cardiovascular disease due to lifelong elevated levels of low-density lipoprotein cholesterol (LDL-C). Many patients with HeFH do not achieve guideline-recommended LDL-C goals with the currently available lipid-lowering therapies….
Importance Risk stratification strategies in primary prevention of coronary events lack precision. Objective To determine whether prediction of first coronary events is improved by adding information on coronary atherosclerosis from coronary computed tomography angiography (CCTA) to a model using the pooled cohort…
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