Applied Evidence

Migraine: Expanding our Tx arsenal

Author:

Kathryn McGrath, MD

Allison Rague, MD

Claire Thesing, MD

Elizabeth Collins, MD

Olivia Seecof, MD

John Liantonio, MD

Beyond tried-and-true therapies are new therapeutic targets on the horizon—giving you a bigger toolbox to help patients abort and prevent migraine...

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Applied Evidence

The role of home BP monitoring: Answers to 10 common questions

Author:

Sonal J. Patil, MD, MSPH

Richelle J. Koopman, MD, MS

Jeffery Belden, MD

Michael Lefevre, MD, MSPH

How does home BP monitoring stack up against clinic and ambulatory measurements for the Dx and management of hypertension? Find out in this review...

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Applied Evidence

Neonatal hyperbilirubinemia: An evidence-based approach

Author:

Emma J. Pace, MD

Carina M. Brown, MD

Katharine C. DeGeorge, MD, MS

This review provides the latest advice on the screening and management of hyperbilirubinemia in term infants.

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Behavioral Health

Alcohol use disorder: How best to screen and intervene

Author:

Jaividhya Dasarathy, MD, FAAFP

Juan Young, MD

Aarti Chhatlani, MD

Michael Raddock, MD

Rajesh Tampi, MD, MS, DFAPA

The USPSTF recommends the AUDIT, the AUDIT-C, or the single-question NIAAA screen. The CAGE screening tool has low sensitivity at lower levels of...

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Case Reports

Pain in right shoulder • recent influenza vaccination • history of hypertension and myocardial infarction • Dx?

Author:

Vijay Jotwani, MD

Dusty Marie Narducci, MD

► Pain in right shoulder
► Recent influenza vaccination
► History of hypertension and myocardial infarction

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Case Reports

Leg-length discrepancy • asymmetric gluteal folds and popliteal fossae • positive Galeazzi test • Dx?

Author:

Beth P. Davis, DPT, MBA, FNAP

Amir Barzin, DO, MS

Cristen Page, MD, MPH

► Leg-length discrepancy
► Asymmetric gluteal folds and popliteal fossae
► Positive Galeazzi test

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Case Reports

History of melanoma in situ • dyspnea • rib pain • Dx?

Author:

Iris L. Tong, MD

Mariah Stump, MD, MPH

► History of melanoma in situ
► Dyspnea
► Rib pain

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Clinical Inquiries

Does left atrial appendage closure reduce stroke rates as well as oral anticoagulants and antiplatelet meds in A-fib patients?

Author:

Beth Careyva, MD

Drew Keister, MD

Susan Mathieu, MD

Lynn Wilson, DO

Joan Nashelsky, MLS

EVIDENCE-BASED ANSWER: Yes. Left atrial appendage closure (LAAC) with the Watchman device is noninferior to vitamin K antagonists (VKAs) and non-...

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Commentary

To refer—or not?

Author:

John Hickner, MD, MSc

My mentor often told me that a competent family physician should be able to manage about 80% of patients’ office visits without consultation.

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Commentary

Another look at overdiagnosis/remission of asthma

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Commentary

A skeptic’s view of bariatric surgery

Author:

John Reed, MD

It is more prudent to refer bariatric surgery candidates to someone who understands good nutrition and lifestyle changes.

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Commentary

We must counsel against heat-not-burn cigarettes

Author:

Diksha Mohanty, MD

Steven Lippmann, MD

Heat-not-burn aerosols deliver many of the same dangerous compounds as traditional cigarettes, including carbon monoxide, tar, and aromatic...

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HelpDesk

What are the best treatments for reducing osteoporotic compression fracture pain?

Author:

S. Whitney Courtney, DO

Eric Radcliffe, MD

Lyndsi Cress, DO

Brittanie West, DO

EVIDENCE-BASED ANSWER: Vertebral augmentation with vertebroplasty or balloon kyphoplasty yields a small reduction in both acute and chronic pain...

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Photo Rounds

Painful lesion on lower lip

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Photo Rounds

Growing lesion

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Photo Rounds

Lesions around anus

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Photo Rounds

Growing cyst on face

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Photo Rounds

Persistent facial hyperpigmentation

Author:

Kandice C. Bailey, MS-2

Louis “Skip” Wise, MD

Tracy Breeden, RN

Robert T. Brodell, MD

The patient presented with persistent hyperpigmentation that was unaffected by regular face washing. A simple test both diagnosed and treated the...

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Photo Rounds

A young girl with a painful rash

Author:

Hannah Gardner, MD

Nicholas M. Potisek, MD

The speed with which this rash spread and the fact that the patient’s skin sloughed off when pressure was applied made the diagnosis clear.

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Photo Rounds

Sore on nose

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Photo Rounds

Black lesion on arm

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Photo Rounds

Irregular macule on back

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Photo Rounds

Dark spot on arm

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PURLs

Less is more when it comes to ketorolac for pain

Author:

Corey Lyon, DO

Liza W. Claus, PharmD, BCACP

It’s time to review our dosing with ketorolac for acute pain management.

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Practice Alert

“The Physical Activity Guidelines for Americans”— a summary with tips

Author:

Doug Campos-Outcalt, MD, MPA

Only about 20% of Americans are sufficiently active, according to “The Physical Activity Guidelines for Americans” issued by a Department of...

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Practice Alert Podcast

Flu activity & measles outbreaks: Where we stand, steps we can take

Author:

Doug Campos-Outcalt, MD, MPA

The Centers for Disease Control and Prevention is reporting widespread influenza activity in 36 states. In addition, there are active measles...

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