Medical History Taking

Publication Title: 
Annals of Internal Medicine

RECOMMENDATION 1: Clinicians should conduct a focused history and physical examination to help place patients with low back pain into 1 of 3 broad categories: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause. The history should include assessment of psychosocial risk factors, which predict risk for chronic disabling back pain (strong recommendation, moderate-quality evidence).

Author(s): 
Chou, Roger
Qaseem, Amir
Snow, Vincenza
Casey, Donald
Cross, J. Thomas
Shekelle, Paul
Owens, Douglas K.
Clinical Efficacy Assessment Subcommittee of the American College of Physicians
American College of Physicians
American Pain Society Low Back Pain Guidelines Panel
Publication Title: 
The Journal of the American Board of Family Practice

BACKGROUND: Sexual problems are common but infrequently diagnosed. They are classified into four major categories: (1) sexual desire disorders, (2) sexual arousal disorders, (3) orgasmic disorders, and (4) sexual pain disorders. METHODS: MEDLINE files from 1966 to the present were searched using the specific sexual dysfunctions as key words along with the general key word "sexual dysfunction" to review the published literature. Additional articles came from the reference lists of dysfunction-specific reviews.

Author(s): 
Halvorsen, J. G.
Metz, M. E.
Publication Title: 
Annals of Internal Medicine

RECOMMENDATION 1: Clinicians should conduct a focused history and physical examination to help place patients with low back pain into 1 of 3 broad categories: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause. The history should include assessment of psychosocial risk factors, which predict risk for chronic disabling back pain (strong recommendation, moderate-quality evidence).

Author(s): 
Chou, Roger
Qaseem, Amir
Snow, Vincenza
Casey, Donald
Cross, J. Thomas
Shekelle, Paul
Owens, Douglas K.
Clinical Efficacy Assessment Subcommittee of the American College of Physicians
American College of Physicians
American Pain Society Low Back Pain Guidelines Panel
Publication Title: 
Annals of Internal Medicine

RECOMMENDATION 1: Clinicians should conduct a focused history and physical examination to help place patients with low back pain into 1 of 3 broad categories: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause. The history should include assessment of psychosocial risk factors, which predict risk for chronic disabling back pain (strong recommendation, moderate-quality evidence).

Author(s): 
Chou, Roger
Qaseem, Amir
Snow, Vincenza
Casey, Donald
Cross, J. Thomas
Shekelle, Paul
Owens, Douglas K.
Clinical Efficacy Assessment Subcommittee of the American College of Physicians
American College of Physicians
American Pain Society Low Back Pain Guidelines Panel
Publication Title: 
Pediatric Clinics of North America

Tourette syndrome (TS) is a childhood-onset neurodevelopmental disorder characterized by multiple motor tics and at least one vocal or phonic tic, and often one or more comorbid psychiatric disorders. Premonitory sensory urges before tic execution and desire for "just-right" perception are central features. The pathophysiology involves cortico-striato-thalamo-cortical circuits and possibly dopaminergic system. TS is considered a genetic disorder but the genetics is complex and likely involves rare mutations, common variants, and environmental and epigenetic factors.

Author(s): 
Serajee, Fatema J.
Mahbubul Huq, A. H. M.
Publication Title: 
The Journal of Nervous and Mental Disease

With recent developments in community psychiatric services, concern with prevention has become an urgent social, as well as medical challenge. Comprehensive investigation into causation must therefore be given systematic emphasis. This paper is an effort toward clarification of etiology, specifically of the depressive disorder, in terms of early childhood experiences.

Author(s): 
Jacobson, S.
Fasman, J.
DiMascio, A.
Publication Title: 
Geriatrics

In the medical evaluation of older female patients with sexual problems, you need to assess the woman's psychological state, as well as her physical condition. An important question to ask is whether her level of sexual activity is satisfactory to her. Women's early sexual experiences, in some cases including childhood sexual abuse, impact greatly on their sexuality in later life. When sexual problems are related to the menopause, customized hormone replacement therapy is the treatment of choice.

Author(s): 
Butler, R. N.
Lewis, M. I.
Hoffman, E.
Whitehead, E. D.
Publication Title: 
The American Journal of Clinical Hypnosis
Author(s): 
Kolouch, F. T.
Publication Title: 
Medical Teacher

We hypothesized that attending a brief, introductory hypnosis training workshop enhances communication skills. We speculated that attending such a programme would enable residents in a Family Medicine training programme to identify the psycho-social concerns of their patients more rapidly. To test the hypothesis five residents were videotaped interviewing a standardized patient before and after attending a hypnosis workshop. A blinded observer reviewed the tapes.

Author(s): 
Ovens, H.
Talbot, Y.
Harris, F.
Newman, B.
Publication Title: 
The Journal of the American Board of Family Practice / American Board of Family Practice

BACKGROUND: Sexual problems are common but infrequently diagnosed. They are classified into four major categories: (1) sexual desire disorders, (2) sexual arousal disorders, (3) orgasmic disorders, and (4) sexual pain disorders. METHODS: MEDLINE files from 1966 to the present were searched using the specific sexual dysfunctions as key words along with the general key word "sexual dysfunction" to review the published literature. Additional articles came from the reference lists of dysfunction-specific reviews.

Author(s): 
Halvorsen, J. G.
Metz, M. E.

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