Applied Evidence
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Applied Evidence
Ejection fraction is back to normal—now what?
Heart failure treatment guidelines don’t address whether to change a patient’s medications should the EF improve. This evidence review provides...
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Applied Evidence
Treating anxiety without SSRIs
Are SSRI side effects a problem for your patient with generalized anxiety disorder? Here are some options to consider—and others to avoid.
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Applied Evidence
Preventing perinatal transmission of HIV: Your vigilance can pay off
These interventions can keep the risk of mother-to-child transmission at less than 2%.
Commentary
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Commentary
Practicing medicine in shades of gray
Practice Alert
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Practice Alert
ACIP immunization update
Here’s what you need to know to keep your patients’ immunizations up to date.
Medical Verdicts
PURLs
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PURLs
When is it safe to forego a CT in kids with head trauma?
New clinical prediction rules make it easier to identify children at low risk of serious brain injury—and reduce the reliance on CT scanning.
Photo Rounds
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Photo Rounds
Sequential bilateral hip deformities
The patient’s age (10 years) and her size (she was overweight) shed light on her diagnosis.
Clinical Inquiries
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Clinical Inquiries
What’s best when a patient doesn’t respond to the maximum dose of an antidepressant?
EVIDENCE-BASED ANSWER: FIRST, CONSIDER POSSIBLE CAUSES OF THE INADEQUATE RESPONSE, then weigh treatment options in light of the characteristics of...
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Clinical Inquiries
What’s the most effective way to screen patients with a family history of colon cancer?
EVIDENCE-BASED ANSWER: THE BEST APPROACH HINGES on the number, degree, and age of relatives diagnosed with colorectal cancer (CRC) or adenomatous...
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Clinical Inquiries
Which history and physical findings are most useful in identifying rotator cuff tears?
EVIDENCE-BASED ANSWER: IT’S UNKNOWN WHICH—IF ANY—HISTORICAL FACTORS ARE MOST USEFUL, because no studies evaluating their accuracy with rotator...