• Mashup Score: 1

    The differential diagnosis of heel pain is extensive, but a mechanical etiology is the most common. The specific anatomic location of the pain can help guide diagnosis. The most common diagnosis is plantar fasciitis, which leads to medial plantar heel pain, especially with the first weight-bearing steps after rest. Other causes of plantar heel pain include calcaneal stress fractures (progressively worsening pain after an increase in activity or change to a harder walking surface), nerve entrapment or neuroma (pain accompanied by burning, tingling, or numbness), heel pad syndrome (deep, bruise-like pain in the middle of the heel), and plantar warts. Achilles tendinopathy is a common cause of posterior heel pain; other tendinopathies result in pain localized to the insertion site of the affected tendon. Posterior heel pain can also be attributed to Haglund deformity (a prominence of the calcaneus that may lead to retrocalcaneal bursa inflammation) or Sever disease (calcaneal apophysitis

    Tweet Tweets with this article
    • A 57-year-old woman presents to your office with progressively worsening plantar heel pain after increasing her daily walking. MRI is suggestive of what pathology? https://t.co/zBCFT57nKq #familymedicine #footpain #podiatry https://t.co/mOP1kol8HD

  • Mashup Score: 0
    AFP Podcast - 7 month(s) ago

    AFP Podcast

    Tweet Tweets with this article
    • Part 2 of the September AFP Podcast is available! Topics include nicotine receptor partial agonists for smoking cessation, primary aldosteronism, dual- vs. triple-combination inhalers for asthma, and more. Listen now: https://t.co/5XiNcSsz5M #familymedicine #afppodcast https://t.co/2DN812NH7s

  • Mashup Score: 1

    Delirium is an acute disturbance in attention, cognition, and awareness that fluctuates over time. Delirium is characterized by three subtypes: hyperactive, hypoactive, and mixed. It occurs in 11% to 25% of older adults in inpatient settings and is associated with a significant financial burden. Older age, multiple comorbidities, recent surgery, and polypharmacy are independent risk factors for delirium. The diagnosis is clinical but can be challenging due to overlapping symptoms with dementia and depression. The Confusion Assessment Method is a screening tool that is 94% to 100% sensitive haloperidol because of their faster onset of action and fewer adverse effects. Patients hospitalized with prolonged delirium have approximately three times the chance of dying in the following year compared with patients with a quick resolution of delirium or no symptoms; therefore, prevention and early detection should be emphasized. (Am Fam Physician. 2023; 108(3):278–287. Copyright © 2023 American

    Tweet Tweets with this article
    • Delirium occurs in 11% to 25% of older adults in inpatient settings and is associated with a significant financial burden. Learn more: https://t.co/ZfxIiQ0Cg8 #familymedicine #afpjournal #delirium https://t.co/OTScm2K4HF