Applied Evidence
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Applied Evidence
These 3 tools can help you streamline management of IBS
A novel explanatory model, Rome IV diagnostic criteria, and evidence-based therapeutic guidelines are making it easier to care for patients with...
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Applied Evidence
Stroke: A road map for subacute management
Time is of the essence when a patient has signs and symptoms suggestive of a stroke or TIA. What should your initial approach and diagnostic work-...
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Applied Evidence
Post-bariatric surgery patients: Your role in their long-term care
Nutritional deficiencies, decreased bone mineral density, and dumping syndrome are just some of the challenges these patients face. Here’s how to...
Behavioral Health
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Behavioral Health
Bipolar disorder: Making the Dx, selecting the right Rx
Patient questionnaires and certain lab tests can help rule out other diagnoses and establish baselines before giving psychotropics. Empiric Tx is...
Case Reports
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Case Reports
Neuropathic pain treatment provides unexpected benefit
Could duloxetine, which we prescribed for our patient's neuropathic leg pain, also provide relief from her neurogenic urinary incontinence?
Clinical Inquiries
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Clinical Inquiries
Do oral decongestants have a clinically significant effect on BP in patients with hypertension?
EVIDENCE-BASED ANSWER: It is unclear. Pseudoephedrine causes an average increase of 1.2 mm Hg in systolic blood pressure (BP) in...
Commentary
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Commentary
The one thing that’s missing from the health care debate
If we control the cost of providing care, insurance premiums will follow suit.
Photo Rounds
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Photo Rounds
Severe right hip pain
While this patient had osteoporosis, she hadn’t experienced any recent trauma or falls that would explain her pain.
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Photo Rounds
Nodules on nose and tattoos
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Photo Rounds
Itchy rash on neck
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Photo Rounds
Itchy nodules on legs
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Photo Rounds
Red line when skin is rubbed
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Photo Rounds
Persistent rash on extremities
PURLs
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PURLs
Oral agent offers relief from generalized hyperhidrosis
An inexpensive and well-tolerated anticholinergic reduces sweating in those with localized—and generalized—hyperhidrosis.
Also In This Issue
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Audio
How much can we really do to slow age-related cognitive decline?
The Agency for Healthcare Research and Quality (AHRQ) found no high-level evidence that any interventions could delay or prevent clinical...