Applied Evidence
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Applied Evidence
Choosing Wisely: 10 practices to stop—or adopt—to reduce overuse in health care
The evidence-based recommendations presented here, made by the AAFP and other societies, can help you to avoid unnecessary testing and...
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Applied Evidence
Is your patient’s cannabis use problematic?
Individuals who do not meet DSM-5 criteria for cannabis use disorder may still have problematic use. The screening tool and 5...
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Applied Evidence
Primary prevention of VTE spans a spectrum
High mortality from VTE makes primary prevention appealing. Guidelines and assessment tools offer a variety of patient-specific strategies and...
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Applied Evidence
Neurofibromatosis type 1: More than skin deep
Dermatologic findings manifest in childhood, but the disease progresses to multiple organ systems. Here’s how to proceed if you diagnose this in...
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Applied Evidence
Low back pain in youth: Recognizing red flags
Although low back pain in children and teens is usually benign, recognizing red flags that indicate the need for imaging, referral, bracing, or...
Case Reports
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Case Reports
28-year-old woman • weakness • anxiety • altered mental status • Dx?
► Weakness
► Anxiety
► Altered mental status
Clinical Inquiries
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Clinical Inquiries
Does early introduction of peanuts to an infant’s diet reduce the risk for peanut allergy?
EVIDENCE-BASED ANSWER: Probably not, unless the child has severe eczema or egg allergy. In a general pediatric population, introducing peanuts...
Commentary
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Commentary
Choose wisely
Here are 5 more recommendations from the Choosing Wisely list of tests and treatments to avoid ordering for your patients.
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Commentary
These images of diabetic retinopathy tell the story better
I read, with great interest, Dr. Farford’s thorough review article “Diabetic retinopathy: the FP’s role in preserving vision” (J Fam Pract...
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Commentary
Putting an end to chronic opioid prescriptions
We should not be starting people on opioids for knee and back pain.
Photo Rounds
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Photo Rounds
Chronic, nonhealing leg ulcer
When this patient’s chronic stasis ulcer failed to respond to the usual treatment of dressings, elevation, and diuretics, our suspicions led us to...
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Photo Rounds
Rapidly developing vesicular eruption
The patient’s previously diagnosed dermatologic condition, paired with her recent exposure history, led to the diagnosis in this case.
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Photo Rounds
Recurrent leg lesions
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Photo Rounds
Hyperpigmented patch on the back
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Photo Rounds
Index finger plaque
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Photo Rounds
Eyebrow hair loss
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Photo Rounds
Pruritic rash on flank, back, and chest
Practice Alert
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Practice Alert
Prospects and challenges for the upcoming influenza season
New vaccine and antiviral products are available, and additional vaccine contraindications are identified. The concurrence of influenza and SARS-...
PURLs
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PURLs
Ruling out PE in pregnancy
Can clinical probability and a high-sensitivity D-dimer test reliably and safely rule out pulmonary embolism during pregnancy?
Practice Alert Podcast
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Practice Alert Podcast
Study offers reassurance to postmenopausal women taking hormone therapy
This month, Dr. Campos-Outcalt summarizes findings from a long-term follow-up study of Women’s Health Initiative participants that offers...