Applied Evidence
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Applied Evidence
An algorithmic approach to otitis media with effusion
How you proceed will depend on the risk or presence of associated speech, language, and learning delays and the severity of hearing loss.
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Applied Evidence
Statin therapy: When to think twice
While statins lower the risk of morbidity and mortality for millions of Americans, recent findings help clarify when a statin—or a statin and...
Case Reports
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Case Reports
Treatment in the face of uncertainty following traumatic anhydrous ammonia exposure
The patient lost consciousness and his vision. He then experienced incomplete sight recovery, anxiety, and recurring nightmares. How would you...
Clinical Inquiries
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Clinical Inquiries
What clinical clues differentiate migraine from sinus headaches?
EVIDENCE-BASED ANSWER: Patients with sinus headaches have thick nasal discharge, fever, chills, sweats, or abnormally malodorous breath (SOR: B,...
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Clinical Inquiries
What is the best age to start vitamin D supplementation to prevent rickets in breastfed newborns?
EVIDENCE-BASED ANSWER: It’s unclear what age is best to start vitamin D supplementation because no comparison studies exist. That said, breastfed...
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Clinical Inquiries
Does ultrasound guidance improve outcomes for steroid joint injections?
EVIDENCE-BASED ANSWER: Patients yes, at least in the short term. Ultrasound-guided (USG) injections of triamcinolone into the shoulder improve...
Commentary
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Commentary
Self-management of type 2 diabetes? Yes!
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Commentary
Take family medicine in a new direction
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Commentary
How well do you know your patients?
Medical Verdicts
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Medical Verdicts
When pain persists, so shold investigation
Original Research
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Original Research
Gastroesophageal reflux disease: The case for improving patient education in primary care
This study reveals that something as simple as knowing when to take GERD medication is compromised when physicians don’t spend enough time talking...
Photo Rounds
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Photo Rounds
Abrupt onset of abdominal pain
What was causing this patient’s epigastric abdominal pain, which began several days after he’d been hospitalized for acute pericarditis?
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Photo Rounds
Sinus pressure
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Photo Rounds
Nasal discharge
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Photo Rounds
Fissures near mouth
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Photo Rounds
Soreness around mouth
Practice Alert
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Practice Alert
Lung cancer screening: USPSTF revises its recommendation
A draft statement calls for annual screening for individuals who are between the ages of 55 and 79 years, have ≥30 pack-year history of smoking,...
PURLs
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PURLs
Mediterranean diet: Higher fat but lower risk
For patients at high risk for cardiovascular disease, a Mediterranean diet may be the best bet.
Supplements
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Sponsored Supplement
Optimizing the Use of Injectable Therapies for Type 2 Diabetes
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Medical Education Library
Chronic Pain Perspectives—December 2013