How should we manage fibromyalgia?

How should we manage incidentalomas?

The patient-centered medical home model advocates that diagnostic testing be performed based on shared decision making between the patient and physician.1 This goal can be challenging when findings are uncertain or incidental to the original reason for ordering the test. For this reason, it would be useful for physicians to have guidelines to help address the ethical, practical, and legal impli...

How should we manage oral leukoplakia?

The aim of this article is to review the management of oral leukoplakia. The topics of interest are clinical diagnosis, methods of management and their outcome, factors associated with malignant transformation, prognosis, and clinical follow-up. Global prevalence is estimated to range from 0.5 to 3.4%. The point prevalence is estimated to be 2.6% (95% CI 1.72-2.74) with a reported rate of malig...

How should we diagnose and manage photosensitivity?

Should we be rethinking how we assess and manage ADHD?

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common clinical problems assessed and treated by child and adolescent psychiatrists, yet many important questions remain unanswered. In this month’s issue of the Journal, two articles address two puzzling issues. First, what can research tell us about how we should be conceptualizing and defining ADHD? Second, although it is wel...

How should we manage arrest following cardiac surgery?

Perioperative arrest occurs in thousands of cardiac surgical patients annually, yet standard resuscitation methods are ineffective or potentially harmful. These "high risk, low volume" events typically occur in well-monitored patients in the highly specialized environment of the operating room or intensive care unit, with a short list of likely causes of arrest, making a protocolized approach t...