Applied Evidence

Hepatitis C: Screening changes, treatment advances

Author:

Mark Shaffer, MD

Divya Ahuja, MD

Changing at-risk populations and treatments are reshaping screening and management. Which regimens are best and what factors influence treatment...

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Applied Evidence

Chronic pain: How to approach these 3 common conditions

Author:

Jill Schneiderhan, MD

Carissa Orizondo, MD

Fibromyalgia, osteoarthritis, and low back pain require multimodal, evidence-based treatment plans. Tailoring those plans to the underlying...

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Applied Evidence

Dupuytren’s disease: How to recognize its early signs

Author:

Thomas Auld, MD

Joanne R. Werntz, MD

Palmar skin dimpling and nodule or cord formation signal advancing disease. Treatments vary in effectiveness—in part, depending on condition...

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Case Reports

Weakness and pain in arms and legs • dark urine • history of vertebral osteomyelitis • Dx?

Author:

Antonios Charokopos, MD, MS

Tariq Muhammad, MD

Sidana Surbhi, MD

Andrei Brateanu, MD

► Weakness and pain in arms and legs
► Dark urine
► History of vertebral osteomyelitis

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Commentary

Medical marijuana: Irresponsible medical care?

Author:

Nayvin Gordon, MD

As we know, the active ingredient of marijuana, delta-9 tetrahydrocannabinol (THC), has been available by prescription since 1985...

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Commentary

An overlooked Rx for nasal obstruction relief

Author:

Walter D. Leventhal, MD

In the article, “Improving your approach to nasal obstruction” (J Fam Pract. 2016;65:889-893,898-899), I noticed that ipratropium nasal...

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Commentary

Readers weigh in on opioid epidemic

Author:

Don Sesso, DO, FCCP

David A. Moore, MD

I read Dr. Unger’s guest editorial, “Staring down the opioid epidemic” (J Fam Pract. 2017;66:8) and thought that he made some good points...

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Commentary

The elements of pain care that the guidelines don’t address

Author:

John Hickner, MD, MSc

It's no wonder some of us just say "No" to caring for patients with chronic pain.

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HelpDesk

Does giving a sweet-tasting solution before vaccine injection reduce infant crying?

Author:

Helaine Levine, MD

EVIDENCE-BASED ANSWER: Yes. Oral administration of a sucrose or glucose solution before intramuscular vaccine injection reduces expected crying...

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Photo Rounds

Healthy infant with a blistering rash

Author:

Paul H. Fenton, MD

Matthew J. Landherr, MD

Megan H. Noe, MD, MPH

Heather Ciliberto, MD

Karolyn A. Wanat, MD

The parents denied any environmental exposures and said that the child hadn’t had contact with anyone with a similar rash. The distribution of the...

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Photo Rounds

Widespread erythematous skin eruption

Author:

André D. Généreux, MD

David A. Wetter, MD

The patient presented with a salmon-colored rash from head to toe. The distinctive clinical presentation and a biopsy pointed to an uncommon...

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Photo Rounds

Scalp papules in a teenage boy

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Photo Rounds

Rash around belly button

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Photo Rounds

Rash in both axillae

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Photo Rounds

Large leg rash

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Photo Rounds

Intensely pruritic rash

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Practice Alert

ACIP vaccine update, 2017

Author:

Doug Campos-Outcalt, MD, MPA

HIV infection is now an indication for meningococcus vaccination and HPV vaccine dosing is simpler for patients <15 years.

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PURLs

“Cold turkey” works best for smoking cessation

Author:

LCDR Dustin K. Smith, DO

Deborah E. Miller, MD

Anne Mounsey, MD

Counsel patients who want to quit smoking that doing so abruptly leads to higher cessation rates than does quitting gradually.

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Audio

Polio vaccine status unknown? What the CDC recommends

Author:

Doug Campos-Outcalt, MD, MPA

In its latest move toward worldwide eradication of polio, the Centers for Disease Control and Prevention outlines how to proceed when the vaccine...

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