Applied Evidence

COPD and asthma: Diagnostic accuracy requires spirometry

Author:

Christina D. Wells, MD

Min J. Joo, MD, MPH

Up to one-third of patients receiving a clinical diagnosis of COPD or asthma have been shown to lack evidence of disease in subsequent lung-...

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Applied Evidence

A systematic approach to chronic abnormal uterine bleeding

Author:

Melody A. Jordahl- Iafrato, MD

Heather Reed, MD

Susan K. Hadley, MD

Karyn B. Kolman, MD

The care you provide to women of childbearing age who are bleeding gets an assist from an established classification system of 9 causes and a...

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Applied Evidence

To avoid Hep B reactivation, screen before immunosuppression

Author:

Ronan Farrell, MD

Kyley Leroy, DO

Frederick Nunes, MD

Universal HBV screening before immunosuppression is prudent and cost effective, even when local HBV prevalence is just 0.3%.

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Applied Evidence

Juvenile idiopathic arthritis: Old disease, new tactics

Author:

Tobe Momah, MD

Linda Ray, MD

Beyond NSAIDs and disease-modifying antirheumatic drugs are now biologic agents and anti-interleukin drugs that can augment therapy.

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Case Reports

Sudden-onset rash on the trunk and limbs • morbid obesity • family history of diabetes mellitus • Dx?

Author:

Kam Sum Chan, MBChB, FHKAM

Loretta Kit Ping Lai, MBBS, FHKAM

Pang Fai Chan, MBBS, FHKAM

David Vai Kiong Chao, MBChB, FHKAM

► Sudden-onset rash on the trunk and limbs
► Morbid obesity
► Family history of diabetes mellitus

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Clinical Inquiries

Is intra-articular platelet-rich plasma injection an effective treatment for knee OA?

Author:

Carrie Lynn Wilcox, MD

Gary Kelsberg, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: Probably not, based on the balance of evidence. While low-quality evidence may suggest potential benefit,...

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Commentary

Getting that Dx right, keeping patients safe

Author:

John Hickner, MD, MSc

Listening closely to the patient's and family's concerns can lead in a direction other than my initial impression.

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Commentary

Should we upend health care? Yes! (But how?)

Author:

Chris Noah, MD

Jeff Keil, MD

As health care leaders, we must take responsibility for our role in creating the current health care system.

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Commentary

Another practice’s experiences in “dialing back opioids”

Author:

Bharat Gopal, MD

Cristina Capannolo, DO

It is with much enthusiasm that we read the article “Dialing back opioids for chronic pain one conversation at a time” (J Fam Pract. 2018...

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Commentary

Hypoglycemia in the elderly: Watch for atypical symptoms

Author:

Jan Brož, MD

Hypoglycemia in older T2DM patients often presents with atypical neurologic symptoms, including incoordination and ataxia, slurring of speech, and...

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Photo Rounds

Growing spot on nose

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Photo Rounds

Sore on head

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Photo Rounds

Pruritic rash on chest and back

Author:

Daniel Croom, MD

Thomas Barlow, DO

J. Thomas Landers, MD

Was a recent change in diet to blame for this patient’s rash?

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Photo Rounds

Nodules, tumors, and hyperpigmented patches

Author:

Jonathan Madden, MD

Jonathan Banta, MD

Thomas Beachkofsky, MD

Empiric therapy for common skin conditions failed to improve this patient’s longstanding skin eruption. Serial biopsies ultimately revealed an...

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Photo Rounds

Pigmentation on foot

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Photo Rounds

Sore on arm

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Photo Rounds

Violaceous patches on baby’s foot/leg

Author:

Kathryn Oppenlander, MD

Caleb Dickison, DO

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Practice Alert

Hepatitis vaccination update

Author:

Doug Campos-Outcalt, MD, MPA

Immunization rates for hepatitis B are still suboptimal; a new 2-dose vaccine may help turn that around. HepA vaccine is now preferred as post-...

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PURLs

How do these 3 diabetes agents compare in reducing mortality?

Author:

Jennifer Martini, MD

Catherine L. Coe, MD

Anne Mounsey, MD

A meta-analysis reveals that there may be advantages associated with SGLT-2 inhibitors and GLP-1 agonists that are not associated with DPP-4...

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PURLs

Bariatric surgery + medical therapy: Effective Tx for T2DM?

Author:

Kortnee Y. Roberson, MD

Emily White Van Gompel, MD

Jennie B. Jarrett, PharmD, BCPS, MMedEd

Short-term studies have indicated “Yes,” but does a long-term randomized controlled trial give it a thumbs up?

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Practice Alert Podcast

Don’t overlook this step in combatting the rise in STIs

Author:

Doug Campos-Outcalt, MD, MPA

In this month’s audiocast, Dr. Campos-Outcalt discusses the recent rise in sexually transmitted infections and how best to screen patients and...

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