Applied Evidence

Migraine headache: When to consider these newer agents

Author:

Emily Peterson, PharmD, BCACP

Allison Bernard, PharmD, BCACP

Robert A. Beck, MD

These agents are as effective as traditional acute and preventive treatments, cause fewer adverse effects, and can simplify regimens.

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Behavioral Health

School avoidance: How to help when a child refuses to go

Author:

Meredith L. C. Williamson, PhD

Susan Roberman, MD

Kelly Sopchak, PhD

Taliyah M. Mosley

Many students want to skip school from time to time. But when absenteeism becomes chronic, it may indicate a more serious underlying issue.

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Case Reports

49-year-old woman • headache and neck pain radiating to ears and eyes • severe hypertension • Dx?

Author:

Christian Saleh, MD

Muhannad Seyam, MD

Kristine A. Blackham, MD

Anna Walter, MD

Philippe Lyrer, MD

► Headache and neck pain radiating to ears and eyes
► Severe hypertension

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Case Reports

24-year-old woman • large joint arthralgias • history of type 1 diabetes, seizures, migraines • Dx?

Author:

Asher George, MD, MPH

Stephen Rayborn, PharmD

Peyton Herrington, PharmD, AAHIVP

Svenja Albrecht, MD

Adrian Billings, MD, PhD, FAAFP

► Large joint arthralgias
► History of type 1 diabetes, seizures, migraines

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Clinical Inquiries

Is low-dose naltrexone effective in chronic pain management?

Author:

Roxanne Radi, MD, MPH

Harriet Huang, MD

Jason Rivera, MD

Corey Lyon, DO

Kristen DeSanto, MSLS, MS, RD

EVIDENCE-BASED ANSWER: YES. Low-dose naltrexone is as effective as amitriptyline in the treatment of painful diabetic neuropathy and has a...

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Commentary

Tools—and rules—to support behavior change

Author:

Anthony J. Viera, MD, MPH

This 2-step rule is tech-free and can be applied by patients in a few seconds to make healthier food choices.

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Original Research

Is the Altman Rule a proxy for glycemic load?

Author:

Kimberly R. Dong, DrPH, MS, RDN

Sarah Eustis, MPH, MDc

Kerri Hawkins, MS, RDN

Wayne Altman, MD, FAAFP

The evidence supports patient use of this simple equation to evaluate the nutrition labels of packaged carbohydrate foods in the grocery aisle in...

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Original Research

A worthwhile tool in evaluating worrisome lesions

Author:

Shayan Owji, MD

Chibuzo Aguwa, BA

Joseph Han, MD

Daniel Yassky, BSE

Yen Luu, MD

Margaret Glausser, MD

Nicholas Gulati, MD, PhD

Benjamin Ungar, MD

Daniel Napolitano, MD

Jonathan Ungar, MD

This study demonstrated the value of using electrical impedance spectroscopy in primary care to manage and diagnose pigmented skin lesions.

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Photo Rounds

Inner lip erosions

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Photo Rounds

Small persistent leg wound

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Photo Rounds

Persistent ‘postherpetic neuralgia’ and well-demarcated plaque

Author:

Alli J. Blumstein, MD

Rachel Fayne, MD

Milad Eshaq, MD

Extended treatment for a previous condition provided a key to the diagnosis.

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Photo Rounds

Painful fingertip tumor in pregnancy

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Photo Rounds

Nonhealing postsurgical scalp ulcers

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Photo Rounds

Hyperpigmented lesion on palm

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Practice Alert

Are you ready for RSV season? There’s a new preventive option

Author:

Doug Campos-Outcalt, MD, MPA

Ahead of this year’s respiratory syncytial virus season, the FDA and ACIP have endorsed a new monoclonal antibody to aid in prevention. Here’s...

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PURLs

Should you treat prediabetes? It’s complicated

Author:

Daniel Holligan, MD

Roxanne Radi, MD, MPH, FAAFP

Corey Lyon, DO, FAAFP

While treatment with metformin or lifestyle modification reduces risk for T2D in patients with prediabetes, neither intervention ultimately offers...

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