Applied Evidence
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Applied Evidence
How to identify balance disorders and reduce fall risk
A multifactorial risk assessment, correction of hearing impairment, exercise, and an optimized home environment can help prevent imbalance-related...
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Applied Evidence
A practical guide to appendicitis evaluation and treatment
Which clinical findings most reliably point to appendicitis? How do the 3 primary clinical scoring systems compare? When is it time to order...
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Applied Evidence
Easing dementia caregiver burden, addressing interpersonal violence
Caring for aggressive patients with dementia can lead to exhaustion, fear, and burnout. These strategies can help improve the welfare of both...
Behavioral Health
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Behavioral Health
How to screen for and treat teen alcohol use
A full biopsychosocial interview is key, including use of an efficient tool such as the S2BI questionnaire, to quickly stratify risk level and to...
Case Reports
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Case Reports
52-year-old man • syncopal episode • chest pain • mild lightheadedness • Dx?
► Syncopal episode
► Chest pain
► Mild lightheadedness -
Case Reports
58-year-old man • bilateral shoulder pain • history of prostate cancer • limited shoulder range of motion • Dx?
► Bilateral shoulder pain
► History of prostate cancer
► Limited shoulder range of motion
Clinical Inquiries
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Clinical Inquiries
Should we stop prescribing IM progesterone to women with a history of preterm labor?
EVIDENCE-BASED REVIEW: YES, we should stop the routine prescribing of IM progesterone to prevent preterm delivery. A 2003 randomized controlled...
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Clinical Inquiries
Are SERMs safe and effective for the treatment of hypogonadism in men?
EVIDENCE-BASED ANSWER: YES. For both normal-weight and obese men with low testosterone levels and hypogonadal symptoms, selective estrogen...
Commentary
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Commentary
Keeping an open mind about functional medicine
Does functional medicine combine “the worst features of conventional medicine with a heapin’ helpin’ of quackery”? Or is it still in its infancy...
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Commentary
An overlooked cause of dyspepsia?
Discussion of a common cause of dyspepsia was missing from your September article, “Dyspepsia: A stepwise approach to evaluation and management...
Dx Across the Skin Color Spectrum
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Dx Across the Skin Color Spectrum
Sarcoidosis
Sarcoidosis is a granulomatous disease that may affect the skin in addition to multiple body organ systems, including the lungs.
Photo Rounds
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Photo Rounds
Growth on eyelid
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Photo Rounds
Plaque on heel
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Photo Rounds
Dark plaque on back of ear
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Photo Rounds
Nodule on the left cheek
Often mistaken for a cyst or acneiform lesion, this lesion is actually quite aggressive—and worrisome.
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Photo Rounds
Sacral blisters
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Photo Rounds
Hyperpigmented plaque on back
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Photo Rounds
Chronic truncal rash
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Photo Rounds
Right arm rash
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Photo Rounds
Toenail ridges
Practice Alert
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Practice Alert
Why mRNA COVID vaccines are preferred (and why patients should be reassured)
On December 16, 2021, the Advisory Committee on Immunization Practices (ACIP) voted to preferentially recommend messenger RNA (mRNA) vaccines over...
PURLs
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PURLs
Can extended anticoagulation prophylaxis after discharge prevent thromboembolism?
A meta-analysis confirmed the benefit of thromboprophylaxis with a direct oral anticoagulant for high-risk nonsurgical patients after hospital...
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PURLs
Is it time to approach spontaneous pneumothorax more conservatively?
A recent study provides modest evidence for observational management over interventional treatment, sparing patients from invasive procedures.