Applied Evidence
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Applied Evidence
When the answer to vaccines is “No”
This comprehensive review provides point-by-point, data-supported responses to 13 common vaccine misconceptions and concerns your patients may...
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Applied Evidence
Newer cholesterol-lowering agents: What you must know
Considering a non-statin intervention? Choose one that upregulates LDL-C-receptor expression. Adding a PCSK9 inhibitor to statin therapy is...
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Applied Evidence
Cognitive bias: Its influence on clinical diagnosis
In a busy practice, it’s helpful to be aware of specific psychological tendencies that influence diagnostic reasoning and can lead to error.
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Applied Evidence
Is the "breast is best" mantra an oversimplification?
Recommendations about breastfeeding—absent critical analysis and removed from context—may overvalue its benefit. Here's a look at the evidence.
Case Reports
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Case Reports
History of posttraumatic stress disorder • priapism • Dx?
► History of posttraumatic stress disorder
► Priapism -
Case Reports
Enlarging nodule under the toenail • no history of trauma • unremarkable medical history • Dx?
► Enlarging nodule under the toenail
► No history of trauma
► Unremarkable medical history
Clinical Inquiries
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Clinical Inquiries
How effective and safe is fecal microbial transplant in preventing C difficile recurrence?
EVIDENCE-BASED ANSWER: Fecal microbial transplant (FMT) is reasonably safe and effective. In patients who have had multiple Clostridium difficile...
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Clinical Inquiries
Does prophylactic azithromycin reduce the number of COPD exacerbations or hospitalizations?
EVIDENCE-BASED ANSWER: Yes for exacerbations, no for hospitalizations. Prophylactic azithromycin reduces the number of exacerbations by about 25...
Commentary
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Commentary
When our biases derail the diagnosis
My partner saw the patient's myxedematous face and knew she had hypothyroidism—not hyperlipidemia.
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Commentary
Restoring healing to the patient-provider conversation
By practicing in a way that prioritizes what really matters to patients, we begin to take health care reform into our own hands.
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Commentary
Don’t overlook these uses of point-of-care ultrasound
In the article, “Point-of-care ultrasound: Coming soon to primary care?” (J Fam Pract. 2018;67:70-79), Bornemann et al outline potential...
Photo Rounds
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Photo Rounds
Painless penile ulcer and tender inguinal lymphadenopathy
Our patient had previously been treated for syphilis. But when his symptoms persisted, further testing revealed that he was being treated for the...
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Photo Rounds
Rash on eyebrows
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Photo Rounds
Growth on neck
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Photo Rounds
Growth behind infant’s ear
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Photo Rounds
Growth on scalp
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Photo Rounds
Changing growth on scalp
PURLs
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PURLs
Let low-risk moms eat during labor?
Allowing low-risk pregnant women to eat less restrictive diets during labor may not only make them happier, but may shorten labor, too.
Supplements
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Sponsored Supplement
Once-weekly Glucagon-like Peptide-1 Receptor Agonists
Practice Alert Podcast
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Practice Alert Podcast
USPSTF offers 3 recommendations for preventing falls in older adults
Dr. Doug Campos-Outcalt details the first recommendation that addresses exercise, the second involving a multifactorial approach, and the third—...
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Practice Alert Podcast
USPSTF takes another stab at PSA screening recs
The latest recommendations from the US Preventive Services Task Force regarding prostate cancer screening have left many health care practitioners...