Applied Evidence

Antibiotic overprescribing: Still a major concern

Author:

David C. Fiore, MD

Lacy P. Fettic, MD

Stephanie D. Wright, MD

Bonnie R. Ferrara, MD

Antibiotic overuse has far-reaching effects on patients’ general health, as well as possible connections to HIV, diabetes, and obesity. Here’s...

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Applied Evidence

The evaluation and management of female sexual dysfunction

Author:

Melissa L. Dawson, DO, MS

Nima M. Shah, MD

Rebecca C. Rinko, DO

Clinton Veselis, MD

Kristene E. Whitmore, MD

Patients often fail to bring it up, and physicians may be reluctant to discuss it, but ignoring sexual dysfunction can disrupt a woman’s most...

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Applied Evidence

Best uses of osteopathic manipulation

Author:

Andrew H. Slattengren, DO

Tanner Nissly, DO

Jodi Blustin, MD

Andrew Bader, DO

Erin Westfall, DO

Osteopathic manipulative treatment helps patients with lower back pain. The evidence for its effectiveness with headaches and IBS, however, is...

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Applied Evidence

The benefits of physician-pharmacist collaboration

Author:

Andrew Y. Hwang, PharmD

Tyler H. Gums, PharmD, MS

John G. Gums, PharmD

This collaborative care model can improve the management of patients with chronic diseases like hypertension and diabetes. But implementation has...

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Behavioral Health

Ensuring prompt recognition and treatment of panic disorder

Author:

Eric H. Berko, PhD

Gabriela Feier, MD

Pharmacologic and/or psychotherapeutic interventions are effective for most patients. But first, you must rule out organic causes of the patient’s...

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Case Reports

Erythematous, friable nipple with loss of protrusion • history of breastfeeding • Dx?

Author:

Heron D. Baumgarten, MD

Shayna L. Showalter, MD

Carrie M. Rochman, MD

Jessica Keim-Malpass, PhD, RN

► Erythematous, friable nipple with loss of protrusion
► History of breastfeeding

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Case Reports

Subacute loss of vision in one eye • rash on hands and feet • plaques with scaling on genitals • Dx?

Author:

Abigail Nunn, MD

Jeffrey M. Sturek, MD, PhD

Joshua E. Reuss, MD

Michael F. Rein, MD

Scott K. Heysell, MD, MPH

► Subacute loss of vision in one eye
► Rash on hands and feet
► Plaques with scaling on genitals

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Clinical Inquiries

Which interventions are effective in managing parental vaccine refusal?

Author:

Dan Brelsford, MD

Elise Knutzen, PharmD

Jon O. Neher, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: It’s unclear whether educational initiatives alone alter vaccine refusal. Although about a third of parents cite herd...

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Commentary

Let’s get physical!

Author:

John Hickner, MD, MSc

Walking was as good as PT and exercise classes in one back pain study.

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Commentary

ERRATUM

In the October, 2017 audiocast, “...

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Photo Rounds

Segmental distribution of nodules on trunk

Author:

Kelly J. Laurent, MD

Thomas M. Beachkofsky, MD, FAAD

Amy Loyd, DO

James R. Neiner, MD, FAAD

The lesions on this patient’s trunk had been growing in size—and number—over the past 42 years. The pattern of these lesions proved helpful in...

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Photo Rounds

Growths on eyelids

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Photo Rounds

Growths and darkened skin

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Photo Rounds

Growing mass on trunk

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Photo Rounds

Longstanding neck growths

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Photo Rounds

Recurrent rash

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Practice Alert

Screening for tuberculosis: Updated recommendations

Author:

Doug Campos-Outcalt, MD, MPA

Each of the available testing methods has advantages and disadvantages. An individual’s age, level of risk, and other personal factors help...

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PURLs

Does azithromycin have a role in cesarean sections?

Author:

Gregory Castelli, PharmD, BCPS, BC-ADM

Allison Flaherty, DO

Jennie B. Jarrett, PharmD, BCPS, MMedEd

Yes, adding azithromycin to the usual antibiotic protocol in nonelective c-sections reduces infections. But not everyone can take advantage of it...

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Audio

The new shingles vaccine: What PCPs need to know

Author:

Doug Campos-Outcalt, MD, MPA

In his latest audiocast, Doug Campos-Outcalt, MD, MPA, reviews the newly FDA-approved herpes zoster subunit vaccine and the Advisory Committee on...

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3-in-3

How to address these 3 opioid adverse effects

Author:

Christopher M. Herndon, PharmD

In this "3 in 3" video, Christopher M. Herndon, PharmD, discusses effective treatments for the constipation, nausea and vomiting, and pruritus...

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