Applied Evidence
-
Applied Evidence
What to do when warfarin therapy goes too far
Warfarin is certainly a lifesaver—but it can also lead to potentially fatal hypocoagulability. Here we recommend best reversal options based on...
-
Applied Evidence
Osteoarthritis: Managing without surgery
To help patients who want to “try everything” before considering joint replacement, turn to the STEPs approach.
-
Applied Evidence
Cochrane Musculoskeletal Group review: Acute gout
Steroids or NSAIDs? Let this overview from the Cochrane Group help you decide what’s best for your patient.
PURLs
-
PURLs
Migraine treatment “tweak” could reduce office visits
Adding dexamethasone to standard treatment for acute migraine decreases the incidence of short-term recurrence.
-
PURLs
Initiating antidepressant therapy? Try these 2 drugs first
For most patients, sertraline and escitalopram are more effective and better tolerated than other antidepressants.
Photo Rounds
-
Photo Rounds
Worsening low back pain
Our patient attributed his back pain to a recent fall, but his lab work and a sagittal CT pointed us in another direction.
-
Photo Rounds
Red pruritic area on forehead
-
Photo Rounds
Skin change on forehead
-
Photo Rounds
Occasionally pruritic rash
-
Photo Rounds
Red and swollen area on nose
-
Photo Rounds
Blisters on back
Practice Alert
-
Practice Alert
Preventive services: The good, the bad, and the unproven
Latest recommendations from the USPSTF reinforce some long-standing advisories and contradict others.
Original Research
-
Original Research
Potential caregivers for homebound elderly: More numerous than supposed?
This study suggests that caregivers may be drawn from a broader pool than first-degree female relatives.
Clinical Inquiries
-
Clinical Inquiries
What is the best diagnostic approach to alopecia in women?
EVIDENCE-BASED ANSWER: It’s unclear what the best approach is given the lack of studies on this issue. Indirect evidence and expert opinion...
-
Clinical Inquiries
How can you help prevent a recurrence of diverticulitis?
EVIDENCE-BASED ANSWER: A high-fiber diet may help; available evidence doesn’t support other interventions. A high-fiber diet is often prescribed...
-
Clinical Inquiries
Which factors increase the risk of an infant becoming an overweight child?
EVIDENCE-BASED ANSWER: Variables that increase the risk of overweight in childhood include formula feeding, high birth weight, high rate of weight...
-
Clinical Inquiries
Does group prenatal care improve pregnancy outcomes?
EVIDENCE-BASED ANSWER: Yes, it may decrease preterm births, especially among higher-risk women—minority women, women of low socioeconomic status,...
-
Clinical Inquiries
What measures relieve postherpetic neuralgia?
EVIDENCE-BASED ANSWER: Tricyclic antidepressants, gabapentin, and pregabalin effectively reduce pain (strength of recommendation [SOR]: A, at...