Applied Evidence
-
Applied Evidence
Translating AHA/ACC cholesterol guidelines into meaningful risk reduction
The new recommendations detail refined, personalized lipid management and emphasize multiple levels of evidence. The result? Care is more complex...
-
Applied Evidence
A practical guide to the care of ingrown toenails
Choose either a conservative or surgical treatment approach based on severity. The Vandenbos procedure, described here, is an effective surgical...
-
Applied Evidence
Could that back pain be caused by ankylosing spondylitis?
It can often take years for patients with this condition to learn the true cause of their pain. But this guide to the work-up can help speed the...
Case Reports
-
Case Reports
Failure to thrive in a 6-day-old neonate • intermittent retractions with inspiratory stridor • Dx?
► Failure to thrive
► Trouble feeding
► Intermittent retractions with inspiratory stridor -
Case Reports
Hyperextension of the bilateral knees in a 1-day-old neonate • no knee fractures or dislocation on x-ray • Dx?
► Hyperextension of the bilateral knees
► No knee fractures or dislocation on x-ray
► Normal prenatal ultrasounds and lab screenings
Clinical Inquiries
-
Clinical Inquiries
Does withholding an ACE inhibitor or ARB before surgery improve outcomes?
EVIDENCE-BASED ANSWER: A guarded yes, because the evidence of benefit is from observational studies and applies to noncardiac surgery. Withholding...
Commentary
-
Commentary
Guidelines are not mandates
I find the recommendations for adults ages 75 and older and for children and teens to be problematic.
-
Commentary
ERRATUM
-
Commentary
Overdoses are driving down life expectancy
The average life expectancy in the United States declined from 78.9 years in 2014 to 78.6 years in 2017.
-
Commentary
Why we should vaccinate early for measles
Since the measles outbreak in the Pacific Northwest (where I did my training and remain in touch with colleagues and patients), parents with...
Photo Rounds
-
Photo Rounds
Erythema on abdomen
-
Photo Rounds
Widespread hyperpigmented plaques
-
Photo Rounds
Erythematous swollen ear
The timing of the reaction in this case led us to the proper diagnosis.
-
Photo Rounds
Painful, slow-growing recurrent nodules
The patient’s mother and son had similar lesions. Histopathology revealed an uncommon diagnosis.
-
Photo Rounds
Raised lesion on hand
-
Photo Rounds
Geometric rash on arms and legs
-
Photo Rounds
Generalized rash following ankle ulceration
Practice Alert
-
Practice Alert
2019 USPSTF update
The latest recommendations include 2 topics previously unaddressed: perinatal depression prevention and EKG screening for atrial fibrillation.
PURLs
-
PURLs
Can vitamin D prevent acute respiratory infections?
A systematic review and meta-analysis says Yes, but the dosages used may not be what you’d expect.
Practice Alert Podcast
-
Practice Alert Podcast
Are you offering vaccines to adults for these 5 conditions?
One of the best preventative interventions you can implement in your practice is to ensure that your adult patients are fully vaccinated. In this...