Applied Evidence
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Applied Evidence
Physician burnout: Signs and solutions
From awareness to advocacy, here’s what you need to know to prevent burnout from taking hold.
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Applied Evidence
Strategies to reduce and prevent polypharmacy in older patients
Deprescribing can be accomplished by using tested tools, good judgment, and a team approach.
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Applied Evidence
Primary care for the declining cancer survivor
Asking yourself 1 question can help you to estimate an advanced cancer patient’s prognosis and determine how best to help in setting end-of-life...
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Applied Evidence
Presentation is key to diagnosing salivary gland disorders
Initial signs and symptoms offer the best guide to next steps in assessment, testing, and treatment, plus any needed referral or multidisciplinary...
Case Reports
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Case Reports
20-year-old male college basketball prospect • wrist pain after falling on wrist • normal ROM • pain with active/passive wrist extension • Dx?
► Right wrist pain 4 days after falling on wrist while playing basketball
► Normal range of motion of wrist and hand
► Pain with active...
Clinical Inquiries
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Clinical Inquiries
Time to conception after miscarriage: How long to wait?
EVIDENCE-BASED ANSWER: An interpregnancy interval (IPI) of < 6 months following miscarriage is associated with an increased live birth rate in...
Commentary
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Commentary
Burned out? Change your practice
No amount of yoga, mindfulness, meditation, or exercise will be sufficient to combat physician burnout.
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Commentary
Dismantling the opioid crisis
Dr. John Hickner’s editorial, “Doing our part to dismantle the opioid crisis” (J Fam Pract 2019;68:308) had important inaccuracies.
Photo Rounds
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Photo Rounds
Painful ulcers on gingiva, tongue, and buccal mucosa
We had one clue that helped explain the ulcers in the patient’s mouth: He had an accompanying low-grade fever.
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Photo Rounds
Persistent rash on the sole
The patient’s immune status offered a clue to the diagnosis
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Photo Rounds
Scars and color changes on face
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Photo Rounds
Rash with weakness
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Photo Rounds
Telangiectasias with tight skin
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Photo Rounds
Skin changes on abdomen
Practice Alert
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Practice Alert
Influenza update
Consider starting vaccination in September or later to avoid waning immunity by the end of the flu season.
PURLs
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PURLs
Can sleep apnea be accurately diagnosed at home?
A recent study says Yes, and that it offers advantages: It can be scheduled faster, is less expensive, and is more acceptable to many patients...
Practice Alert Podcast
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Practice Alert Podcast
USPSTF BRCA testing recs: 2 more groups require attention
This month, Dr. Campos-Outcalt describes the 2 groups that have been added to the list of women who should be assessed for their risk of BRCA-...
CME Supplements
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Sponsored Supplement
Hot Topics in Primary Care 2019