Applied Evidence

Obesity: When to consider surgery

Author:

Sarah R. Barenbaum, MD

Katherine H. Saunders, MD, DABOM

Leon I. Igel, MD, FACP, DABOM

Alpana P. Shukla, MD, MRCP

Louis J. Aronne, MD, FACP, FTOS, DABOM

Bariatric surgery is underutilized despite an obesity epidemic. Here, 3 patients pursue a surgical option when they can't reach their target...

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Applied Evidence

Take these steps to improve your flu season preparedness

Author:

Jennifer L. Hamilton, MD, PhD, FAAFP

Nerissa L. Baptiste, MD

The 6 strategies outlined here can help you reduce the risk of illness and limit its severity if contracted.

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Applied Evidence

Strategies for caring for the well cancer survivor

Author:

Michael J. Arnold, MD, CDR, USN

Courtney Saint, DO, LT, USN

Andrea Ochab, DO, LT, USN

Surveillance of existing cancer, management of treatment-related adverse effects, and screening for second cancers are key to the care you'll...

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Applied Evidence

Dehydration in terminal illness: Which path forward?

Author:

Kanwarjeet Brar, MD

Hema Madhuri Mekala, MD

Steven Lippmann, MD

While our natural tendency is to restore full hydration to patients, how do we proceed when death is imminent and being fully hydrated may prolong...

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Behavioral Health

How to treat complicated grief

Author:

Scott A. Fields, PhD

William Michael Johnson, MD

James Mears, MD

Several DSM-5 criteria lasting 6 months or longer can help identify complicated grief, as can available assessment tools. Treatment has a...

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Case Reports

Nausea and vomiting • sensitivity to smell • history of hypertension and alcohol abuse • Dx?

Author:

Romith Naug, MD

Julie Phillips, MD, MPH

► Nausea and vomiting
► Sensitivity to smell
► History of hypertension and alcohol abuse

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Clinical Inquiries

How effectively do ACE inhibitors and ARBs prevent migraines?

Author:

Brendan Morris, MD

John Neher, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: The angiotensin-converting enzyme (ACE) inhibitor lisinopril reduces the number of migraines by about 1.5 per month in...

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Clinical Inquiries

What’s the best VTE treatment for patients with cancer?

Author:

Thuy Pham, DO

Hannah Sundquist, PharmD

Gary Kelsberg, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: No head-to-head studies directly compare all the main treatments for venous thromboembolism (VTE) in cancer patients. Long-...

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Commentary

A (former) skeptic’s view of bariatric surgery

Author:

John Hickner, MD, MSc

My skepticism, however, has changed to cautious optimism for carefully selected patients.

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Photo Rounds

Chronic diarrhea in a 64-year-old woman

Author:

Don N. Nguyen, MD, MHA

Cassie D. Tran, MD

Nicholas C. Cleveland, DO

Matthew S. Hartman, MD

Our patient presented with abdominal pain and worsening diarrhea. She had no significant medical history, but imaging studies helped us make the...

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Photo Rounds

Growth on nose

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Photo Rounds

Rash on arm

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Photo Rounds

Growth on forehead

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Photo Rounds

Sore on nose

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Practice Alert Podcast

Cervical cancer: Who should you screen?

Author:

Doug Campos-Outcalt, MD, MPA

In this month’s audiocast, Dr. Campos-Outcalt details the new cervical cancer screening guidelines from the US Preventive Services Task Force. He...

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