Applied Evidence
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Applied Evidence
Insomnia: Getting to the cause, facilitating relief
Chronic insomnia is often the result of multiple underlying physiologic, psychological, and social factors. A sleep log, sleep hygiene, CBT, and...
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Applied Evidence
Partnering to optimize care of childhood cancer survivors
Familiarizing yourself with the survivorship care plan can help ensure that survivors receive proper follow-up care. Collaboration among providers...
Behavioral Health
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Behavioral Health
Targeting depression: Primary care tips and tools
The resources provided here can help you determine if depression is to blame for your patient’s symptoms. A handy antidepressant guide can inform...
Case Reports
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Case Reports
Muscle spasms, twitches in arm upon throwing • Dx?
► Muscle spasms in right arm when throwing a baseball
► Twitches and involuntary muscle contractions in upper arm -
Case Reports
Severe polyarthralgia, high-grade fever, diffuse maculopapular rash on trunk and extremities • Dx?
► Severe polyarthralgia
► High-grade fever (102.6º F)
► Diffuse maculopapular rash on trunk and extremities
Clinical Inquiries
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Clinical Inquiries
Do ACE inhibitors or ARBs help prevent kidney disease in patients with diabetes and normal BP?
EVIDENCE-BASED ANSWER: Yes for angiotensin-converting enzyme (ACE) inhibitors, no for angiotensin receptor blockers (ARBs).
Commentary
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Commentary
Is auscultation really better than echocardiography?
Is auscultation really better thanechocardiography? In a recent letter to the editor on the role of auscultation and echocardiography, “Point-of-...
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Commentary
Screen for bullying—but know what to do next
I read the article, “What family physicians can do to combat bullying” (J Fam Pract. 2017;66:82-89) and Dr. Hickner’s editorial, “It’s...
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Commentary
A new addition to JFP: “Behavioral Health Consult”
The column will address topics like depression and substance abuse.
Original Research
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Original Research
Can scribes boost FPs’ efficiency and job satisfaction?
Yes, the evidence suggests that they can. This pilot study found that the use of scribes improved both, without negatively affecting the patient...
Photo Rounds
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Photo Rounds
Single nontender ulcer on the glans
The patient’s history and the clinical appearance of the ulcer led to the diagnosis of this re-emerging condition.
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Photo Rounds
Itchy rash on sides of fingers
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Photo Rounds
Dry, thickened skin on hand
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Photo Rounds
Painful, red hands
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Photo Rounds
Severely painful vesicular rash
PURLs
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PURLs
When can exercise supplant surgery for degenerative meniscal tears?
Patients with a medial, degenerative meniscal tear and a minimal history of osteoarthritis make good candidates for physical therapy—and there is...
CME Supplements
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Sponsored Supplement
Hot Topics in Primary Care
Also In This Issue
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Audio
Breast cancer screening: New study fans flames of old timing controversy
A recent study from Denmark finds that one-third of breast cancers identified by mammography are over-diagnosed. This brief review of the findings...