Applied Evidence
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Applied Evidence
Periprocedural management of oral anticoagulation: When and how to hit “pause”
Here’s how best to assess patients’ bleeding and thrombotic risks and 5 key questions to ask as you consider withholding oral anticoagulants.
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Applied Evidence
Acupuncture for pain: 7 questions answered
Is acupuncture an effective treatment for pain? Are there any adverse effects? Learn the answers to these and other questions in this review.
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Applied Evidence
A guide to providing wide-ranging care to newborns
Here’s how to refine your care, which includes an assessment of neonatal feedings, the evaluation of jaundice and fever, and the prevention of...
Case Reports
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Case Reports
Severe right upper chest pain • tender right sternoclavicular joint • Dx?
► Severe right upper chest pain
► Tender right sternoclavicular joint -
Case Reports
Bilateral thigh and knee pain • leg weakness • no history of trauma • Dx?
► Bilateral thigh and knee pain
► Leg weakness
► No history of trauma
Clinical Inquiries
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Clinical Inquiries
What are the benefits and risks of daily low-dose aspirin for primary prevention of CV events?
EVIDENCE-BASED ANSWER: One nonfatal myocardial infarction (MI) will be avoided for every 126 to 138 adults who take daily aspirin for 10 years (...
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Clinical Inquiries
How well do POLST forms assure that patients get the end-of-life care they requested?
EVIDENCE-BASED ANSWER: Quite well, for cardiopulmonary resuscitation (CPR). Most patients (91%-100%) who select “do not resuscitate” (DNR) on...
Commentary
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Commentary
We need to treat gun violence like an epidemic
Imagine it—a day when violence goes the way of polio.
Original Research
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Original Research
Getting the hypertension Dx right: Patient positioning matters
Taking blood pressure with the patient seated on the edge of an exam table led to misclassification of prehypertension or hypertension in 13.2% of...
Photo Rounds
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Photo Rounds
Bilateral nonpitting edema and xerotic skin
When treatment for cellulitis and a suspected exacerbation of congestive heart failure failed, we ordered a biopsy. The pathology report made the...
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Photo Rounds
Enlarging dark patch on back
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Photo Rounds
Lighter skin on left cheek
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Photo Rounds
Light skin on back of neck
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Photo Rounds
Unusual patch of skin
PURLs
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PURLs
Treating migraines: It’s different for kids
Certain medications used for migraine prevention in adults do not perform the same way in children and adolescents and can actually cause harm.
Also In This Issue
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Audio
Why you shouldn’t screen for ovarian cancer in asymptomatic women
In this audiocast, Doug Campos-Outcalt, MD, MPA, explains why the US Preventive Services Task Force has reaffirmed its 2012 recommendation against...