Applied Evidence
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Applied Evidence
The agitated patient: Steps to take, how to stay safe
The patient is agitated and not interested in answering any questions. He’s begun pacing the room. How would you respond?
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Applied Evidence
ACL injury: How do the physical examination tests compare?
The Lachman test is more accurate diagnostically than the anterior drawer test, although it’s used less often. The newer lever sign test may prove...
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Applied Evidence
Limited evidence guides empiric Tx of female chronic pelvic pain
Treat patients based on experience and by applying options used for other chronic pain syndromes. Lifestyle modifications can help, but avoid...
Case Reports
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Case Reports
Bilateral wrist pain • limited range of motion • tenderness to palpation • Dx?
► Bilateral wrist pain
► Limited range of motion
► Tenderness to palpation
Clinical Inquiries
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Clinical Inquiries
Does exercise relieve vasomotor menopausal symptoms?
EVIDENCE-BASED ANSWER: No. Exercise doesn’t decrease the frequency or severity of vasomotor menopausal symptoms (VMS) in perimenopausal and...
Commentary
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Commentary
Reduce unnecessary imaging by refining clinical exam skills
A thorough physical exam and selective plain x-rays are all that is needed for initial evaluation of most knee injuries.
HelpDesk
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HelpDesk
How accurate are point-of-care urine drug screens in patients taking chronic opioid therapy?
EVIDENCE-BASED ANSWER: In adults treated with opioids for chronic pain, point-of-care (POC) urine drug screens (immunoassays) for detecting...
Photo Rounds
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Photo Rounds
Mole on forehead
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Photo Rounds
Dark mole on face
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Photo Rounds
Depigmented plaques on vulva
The distinctive pattern of our young patient’s skin changes made the diagnosis clear.
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Photo Rounds
Diffuse erythematous rash resistant to treatment
Our patient’s rash had spread to most of her body and returned after initial treatment attempts. A skin biopsy helped us to figure out why.
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Photo Rounds
Dark patch on leg
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Photo Rounds
Growth on nose
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Photo Rounds
Newborn with multiple plaques
Practice Alert
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Practice Alert
ACIP vaccine update
Hepatitis B revaccination of infant nonresponders is now simpler. A new herpes zoster vaccine is preferred. A third MMR dose is okay during mumps...
PURLs
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PURLs
An easy approach to obtaining clean-catch urine from infants
Current collection methods leave much to be desired. But a new method may provide a quick alternative.
Also In This Issue
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Audio
Influenza update: A robust season but there's (some) good news
All key flu indicators are up from this time last year, reports Doug Campos-Outcalt, MD, MPA. But there is a bit of good news when it comes to...