Applied Evidence

Reducing CV risk in diabetes: An ADA update

Author:

Neil Skolnik, MD

Florence M. Jaffa, DO

Rita R. Kalyani, MD, MHS

Eric Johnson, MD

Jay H. Shubrook, DO

This Q&A highlights changes to the ADA’s 2017 Standards of Care to help you fine-tune your approach to patients who have, or are at risk for,...

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Applied Evidence

A stepwise approach to pediatric asthma

Author:

Noel A. Dunn, MD

Laurel A. Neff, DO

Douglas M. Maurer, DO, MPH

Two guidelines and several recent studies are available to guide your care. This review—with handy figure—puts it all at your fingertips.

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Applied Evidence

Assessment steps and treatment tips for ankle arthritis

Author:

Adam Bitterman, DO

Jeremy Alland, MD

Johnny Lin, MD

Simon Lee, MD

The tibiotalar joint’s unique biomechanics and associated structures carry management implications that vary from those in knee or hip arthritis...

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Case Reports

Severe headache • neck pain • intermittent cough • Dx?

Author:

Claudia Lyon, DO, MBA, FAAFM

Swapna Sayeneni, MD

Jeanne Carey, MD

► Severe headache
► Neck pain
► Intermittent cough

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Commentary

These agents do double duty by reducing CV risk in diabetes

Author:

John Hickner, MD, MSc

For patients with T2DM who have established or are at high risk for CV disease, prescribing these drugs makes good sense.

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Original Research

Management of bow legs in children: A primary care protocol

Author:

Samuel Dettling, BSE

Dennis S. Weiner, MD

This protocol, which is designed to coincide with well-child visits, distinguishes between normal physiologic maturation and cases requiring...

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Photo Rounds

Fever, petechiae, and joint pain

Author:

Syed Rahman, MD

Adetunji Adegboyega, MD

Kate Rowland, MD, MS

Our patient’s signs and symptoms developed one week after being bitten by a rat that she was feeding to her son’s pet snake.

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Photo Rounds

Green fingernail

Author:

David Gish, MD

Bryan J. Romero, DO

The patient hadn’t injured her thumb and it didn’t hurt. So why had her nail turned green?

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Photo Rounds

Coin-shaped lesions on arm

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Photo Rounds

Dry spots on lower legs

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Photo Rounds

Itchy rash on forearms

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Photo Rounds

Annular lesions on abdomen

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Practice Alert

USPSTF recommendations: A 2017 roundup

Author:

Doug Campos-Outcalt, MD, MPA

Colorectal cancer screening and primary CVD prevention have general and selectively applied updates. This review also covers medical services to...

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PURLs

Consider melatonin for migraine prevention

Author:

Corey Lyon, DO

Shannon Langner, MD

This affordable, over-the-counter hormone is as effective as amitriptyline, causes fewer adverse effects, and may have a surprising added benefit...

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Audio

USPSTF changes stance on routine pelvic exams

Author:

Doug Campos-Outcalt, MD, MPA

After years of treating the screening pelvic exam as a routine part of well care, the USPSTF says the evidence is insufficient to assess the...

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