Applied Evidence
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Applied Evidence
Otitis externa: Providing relief while avoiding complications
Treatment options may be equally effective, but risks of ototoxicity vary
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Applied Evidence
Earning trust and losing it: Adolescents’ views on trusting physicians
Specific physician behaviors—particularly those implying an assurance of confidentiality—encourage trust-building among adolescents
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Applied Evidence
How should we evaluate and treat constipation in infants and children?
Clinical Inquiries
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Clinical Inquiries
For those intolerant to ACE inhibitors and ARBs, what is the best therapy for reducing the risk of diabetic nephropathy?
EVIDENCE-BASED ANSWER: Angiotensin-converting enzyme (ACE) inhibitors and angiotensin-receptor blockers (ARBs) are the first-line agents for...
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Clinical Inquiries
What is the role of tacrolimus and pimecrolimus in atopic dermatitis?
EVIDENCE-BASED ANSWER: When the standard therapies—mild topical corticosteroids and moisturizers—fail in the treatment of atopic dermatitis,...
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Clinical Inquiries
What physical exam techniques are useful to detect malingering?
EVIDENCE-BASED ANSWER: No examination technique objectively proves malingering (strength of recommendation [SOR]: C, expert opinion). Waddell’s...
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Clinical Inquiries
Do TZDs increase the risk of heart failure for patients with diabetes?
EVIDENCE-BASED ANSWER: Patients with diabetes who take thiazolidinediones (TZDs) have a higher incidence of congestive heart failure (CHF) than...
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Clinical Inquiries
Is therapy based on endoscopy results better than empiric therapy for dyspepsia?
EVIDENCE-BASED ANSWER: In the initial management of dyspepsia for patients without “alarm” symptoms (weight loss, recurrent vomiting, dysphagia,...
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Clinical Inquiries
Should we recommend universal neonatal hearing screening?
EVIDENCE-BASED ANSWER: Universal neonatal hearing screening leads to both earlier detection and earlier treatment of infants with hearing loss (...
Commentary
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Commentary
P4P—Pain for Performance?
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Commentary
Other strategies for evaluating rectal bleeding in younger patients
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Commentary
Intrathecal analgesia and the cesarean rate
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Commentary
Further studies on the treatment of fibromyalgia
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Commentary
Screening for prostate cancer
Original Research
Photo Rounds
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Photo Rounds
Abdominal pain in a pregnant woman
Practice Alert
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Practice Alert
Pertussis: A disease re-emerges