Applied Evidence
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Applied Evidence
Antibiotic stewardship: The FP’s role
Drug resistance is an expanding problem in outpatient settings. The text and tables that follow can help you fight it by adhering to optimal...
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Applied Evidence
Does your patient really need testosterone replacement?
Or has he been made to think so by direct-to-consumer advertising? Here’s how to properly screen patients and when to recommend treatment.
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Applied Evidence
Improving your approach to nasal obstruction
The causes are diverse—from rhinitis and rhinosinusitis to drugs and structural/mechanical abnormalities. Here’s how to provide patients with...
Case Reports
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Case Reports
Two men with dyspnea, enlarged lymph nodes • Dx?
► Dyspnea
► Diminished breath sounds
► Enlarged mediastinal lymph nodes -
Case Reports
Worsening of longstanding headaches, dizziness, visual symptoms • Dx?
► Worsening of longstanding headaches
► Dizziness
► Visual symptoms
Clinical Inquiries
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Clinical Inquiries
Does breastfeeding affect the risk of childhood obesity?
EVIDENCE-BASED ANSWER: Yes. Ever having breastfed during the first year of life is associated with a 15% lower risk of overweight or obesity over...
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Clinical Inquiries
Does vitamin D without calcium reduce fracture risk?
EVIDENCE-BASED ANSWER: No. Supplemental vitamin D without calcium—in doses averaging as much as 800 IU per day—doesn’t reduce the risk of hip,...
Commentary
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Commentary
6 steps to take when a patient insists on that antibiotic
Patients may be less likely to ask for an antibiotic if you refer to acute bronchitis as a "chest cold."
HelpDesk
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HelpDesk
Is an intestinal biopsy necessary when the blood work suggests celiac disease?
EVIDENCE-BASED ANSWER: It depends on the antibody levels in the blood work. Symptomatic patients with serologic levels of immunoglobulin A anti-...
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HelpDesk
Do progesterone-only contraceptives lead to more mood changes than other types?
EVIDENCE-BASED ANSWER: No. Women taking progesterone-only contraceptives don’t appear to experience more depressive symptoms or mood changes than...
Original Research
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Original Research
A look at the burden of opioid management in primary care
This pilot study identified practice variables that can increase the time and resources needed to manage opioids. The authors suggest possible...
Photo Rounds
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Photo Rounds
Perifollicular petechiae and easy bruising
This patient was a liver transplant recipient and had a history of malnutrition. One tell-tale sign on the physical exam, however, left no doubt...
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Photo Rounds
Sore throat and ear pain
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Photo Rounds
Itchy blisters on feet
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Photo Rounds
Painful rash on feet
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Photo Rounds
Malodorous, itchy feet
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Photo Rounds
Rash on top of feet
Practice Alert
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Practice Alert
Opioids for chronic pain: The CDC’s 12 recommendations
The Centers for Disease Control and Prevention has issued 12 recommendations to help clinicians prescribe an optimal and safe course of treatment...
PURLs
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PURLs
A more palatable alternative to oral rehydration therapy for kids
Parents no longer need to struggle to get their kids to drink electrolyte solutions during episodes of mild gastroenteritis; apple juice works...
Supplements
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Sponsored Supplement
Control of COPD Symptoms: Addressing an Unmet Need
This series for primary care physicians has discussed key topics in the management of chronic obstructive pulmonary disease (COPD) and asthma......
Also In This Issue
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Audio
Pediatric update: 2 vaccine changes and the latest word on media time
Among the vaccine changes, only 2 doses—not 3—are now needed for human papillomavirus protection, according to ACIP, and the American Academy of...
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3-in-3
Diagnosis & assessment of pain: Refining your approach
In this "3 in 3" video, Louis Kuritzky, MD, offers 3 practical tips to help you refine your approach to the patient with chronic pain.