Applied Evidence

Buprenorphine to treat opioid use disorder: A practical guide

Author:

Tanner Nissly, DO

Robert Levy, MD

Medication-assisted treatment is demonstrably superior to abstinence and counseling in maintaining sobriety. The authors examine this effective...

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Applied Evidence

Consider these exercises for chronic musculoskeletal conditions

Author:

Stephen M. Carek, MD

Peter J. Carek, MD, MS

Exercise interventions reduce pain and improve function in knee/hip OA, chronic low back pain, shoulder pain, Achilles tendinopathy, and lateral...

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Applied Evidence

CV risk prediction tools: Imperfect, Yes, but are they serviceable?

Author:

Jonathon M. Firnhaber, MD

CVD risk prediction tools have largely been used to determine the advisability of statin therapy. They might be better used to counsel patients...

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Case Reports

24-year-old with history of smoking tobacco and cannabis • dyspnea • chest tightness

Author:

Montoya Taylor, MD

Konstantinos Dean Boudoulas, MD

► History of smoking tobacco and cannabis
► Dyspnea
► Chest tightness

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Clinical Inquiries

How often does long-term PPI therapy cause clinically significant hypomagnesemia?

Author:

Timothy Plaut, MD

Katelyn Graeme, DO

Sue Stigleman, MLS

Stephen Hulkower, MD

Tasha Woodall, PharmD

EVIDENCE-BASED ANSWER: Rarely. Proton pump inhibitors (PPIs) may be associated with decreases in serum magnesium laboratory...

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Clinical Inquiries

Do statins alter the risk or progression of dementia?

Author:

Tess Lang, MD

Joseph Clifton, PharmD

Jon Neher, MD

Sarah Safranek, MLIS

EVIDENCE-BASED SUMMARY: No. Moderate-intensity statin therapy (with pravastatin or simvastatin) doesn’t prevent progression to dementia in...

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Commentary

4 pearls for treating musculoskeletal pain

Author:

John Hickner, MD, MSc

Studies remind us to harness the placebo effect, rather than dismiss it.

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Photo Rounds

Painful facial blisters, fever, and conjunctivitis

Author:

Melissa Neuman, MD

Jack Spittler, MD

Following Tx for facial blisters, our patient returned with what appeared to be viral conjunctivitis. Further evaluation revealed a missed tip-off...

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Photo Rounds

Rapid-onset rash in child

Author:

Rita S. Matos, MD

Tiago Torres, MD, PhD

Our patient’s pruritic rash was spreading throughout his trunk and arms. An acute infection 10 days earlier shed light on the diagnosis.

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Photo Rounds

Growing spot on face

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Photo Rounds

Brown spot on ear

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Photo Rounds

Brown spot on cheek

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Photo Rounds

Growth lateral to right eye

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Practice Alert

CDC recommendations for the 2018-2019 influenza season

Author:

Doug Campos-Outcalt, MD, MPA

Vaccines will contain a new A (H3N2) component and B antigen. The live attenuated influenza vaccine returns as an option for those 2- to 49-years...

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PURLs

Time to stop glucosamine and chondroitin for knee OA?

Author:

Corey Lyon, DO

Rebecca Mullen, MD

Drew Ashby, MD

Prior studies provided conflicting results regarding the efficacy of these medications. This study offers evidence for discontinuing them.

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Practice Alert Podcast

DTC test for BRCA mutations: What to tell patients who inquire

Author:

Doug Campos-Outcalt, MD, MPA

In this month’s audiocast. Dr. Campos-Outcalt addresses 5 questions that patients may ask about 23andMe, the recently approved direct-to-consumer...

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