Applied Evidence
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Applied Evidence
Beta-blockers for heart failure: Why you should use them more
Many physicians are afraid to prescribe beta-blockers for patients with heart failure. Yet in most cases, not prescribing them is a mistake.
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Applied Evidence
The dangers of colon cleansing
Patients may look to colon cleansing as a way to “enhance their well-being,” but in reality they may be doing themselves harm.
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Applied Evidence
Hoarseness and chronic cough: Would you suspect reflux?
Laryngopharyngeal reflux disease is often misdiagnosed as an upper respiratory infection or allergic rhinitis—or confused with GERD. This review...
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Applied Evidence
Managing seizures: Achieving control while minimizing risk
Newer medications have improved physicians’ ability to control seizures, but have made epilepsy management even more complex. Here’s how to find...
Clinical Inquiries
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Clinical Inquiries
Does pneumococcal conjugate vaccine prevent otitis media?
EVIDENCE-BASED ANSWER: YES, if the pneumococcal conjugate vaccine (PCV) series is given before 12 months of age. Vaccination before 12 months is...
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Clinical Inquiries
When is discectomy indicated for lumbar disc disease?
EVIDENCE-BASED ANSWER: EMERGENT DISCECTOMY is indicated in the presence of cauda equina and severe, progressive neuromotor deficits (strength of...
Commentary
Medical Verdicts
Original Research
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Original Research
One practice’s experiment in refusing detail rep visits
Physicians and staff discovered that the benefits of refusing visits from pharmaceutical representatives outweighed the perks they had grown...
Photo Rounds
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Photo Rounds
Dermatomal rash on a 6-year-old boy
The lesion on his trunk looked like zoster, but the patient had been vaccinated against varicella.
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Photo Rounds
Blisters on hands
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Photo Rounds
Erosions from blistering
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Photo Rounds
Itchy rash on hands
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Photo Rounds
Bald spots on scalp
PURLs
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PURLs
More help for patients with less severe heart failure
Adding this drug to the medication regimen of patients with Class II heart failure can help to reduce hospitalization and death rates.