Applied Evidence

Blood pressure targets: How low should you go (and for whom)?

Author:

Eric J. MacLaughlin, PharmD, BCPS, FASHP, FCCP

John F. Slaton, DO

Rodney B. Young, MD, FAAFP

Sondra M. DePalma, DHSc, PA-C, CLS, CHC, DFAAPA, AACC

The ACC/AHA's lower BP goals are supported by previously unavailable evidence, the strongest of which is for patients with CVD. But others can...

• Read More

Applied Evidence

Diabetes in the elderly: Matching meds to needs

Author:

Barbara Keber, MD

Jennifer Fiebert, PharmD

Elderly patients, whose insulin resistance is complicated by age-related loss of beta-cell function and concomitant diseases, require personalized...

• Read More

Applied Evidence

How best to manage chronic cholestasis

Author:

Ignazio Grattagliano, MD

Annarosa Floreani, MD

Enzo Ubaldi, MD

Piero Portincasa, MD

Here's how to maximize your use of lab work and imaging techniques to identify the source of your patient's cholestasis and provide prompt...

• Read More

Applied Evidence

Thrombocytopenia and neutropenia: A structured approach to evaluation

Author:

Richard W. Temple, MD, FAAFP

Brittany Burns, DO

These algorithms and tables will help you quickly assess the severity of the 2 blood abnormalities and delineate between life-threatening and...

• Read More

Case Reports

Body-wide, pruritic, papular rash • scalp lesion • excoriation • Dx?

Author:

Richard Temple, MD, CAPT, MC, USN

Theodore Rogers, DO, LT, MC, USN

► Body-wide, pruritic, papular rash
► Scalp lesion
► Excoriation

• Read More

Clinical Inquiries

Can CBT effectively treat adult insomnia disorder?

Author:

Steven Fox, MD

Joan Nashelsky, MLIS

Michael Jack, BA

EVIDENCE-BASED ANSWER: Yes. Cognitive behavioral therapy (CBT) administered individually, in a group setting, or on the internet is effective for...

• Read More

Clinical Inquiries

What are the benefits/risks of giving betamethasone to women at risk of late preterm labor?

Author:

Lee Dresang, MD

Christopher Hooper-Lane, MA

EVIDENCE-BASED ANSWER: Giving betamethasone to women at risk for delivery between 34 weeks 0 days and 36 weeks 6 days can lower by almost 40% the...

• Read More

Commentary

The problem with blood pressure guidelines

Author:

Paul A. James, MD

Evidence-based guidelines differ from evidence-informed guidelines.

• Read More

Commentary

Gun addiction

Author:

W.E. Feeman Jr., MD

I’d like to add several comments to Dr. John Hickner’s editorial, “We need to treat gun violence like an epidemic” (J Fam Pract. 2018;67:...

• Read More

Photo Rounds

Pain in right shoulder

Author:

Barbara Kiersz, DO

This patient's joint pain kept her out of work for several years. While x-rays of her hands appeared normal, an x-ray of her shoulder exposed the...

• Read More

Photo Rounds

Bumps under eyes

• Read More

Photo Rounds

Rash on forearm

• Read More

Photo Rounds

Dark spot on back

• Read More

Photo Rounds

Atypical pigmented lesions on back

• Read More

Practice Alert

Dietary recommendations for patients with diabetes

Author:

Doug Campos Outcalt, MD, MPA

A new UK guideline bolsters recommendations from the American Diabetes Association and cites newer evidence of diabetes remission through weight...

• Read More

PURLs

First-time, mild diverticulitis: Antibiotics or watchful waiting?

Author:

Bob Marshall, MD, MPH, MISM, FAAFP

Shailendra Prasad, MBBS, MPH

Mary Alice Noel, MD

Jeffrey Burket, MD, FAAFP

Michael Arnold, DO, FAAFP

Benjamin Arthur, MD

Nick Bennett, DO

Ashley Smith, MD

Don't jump to antibiotic Tx for mild, uncomplicated diverticulitis, a recent RCT says. Observation may be just as effective.

• Read More

Practice Alert Podcast

Vector-borne diseases: Trends and take-home points

Author:

Doug Campos-Outcalt, MD, MPA

Vector-borne diseases are on the rise, underreported, and can quickly become epidemics. Dr. Doug Campos-Outcalt reviews the trends you need to be...

• Read More