Applied Evidence
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Applied Evidence
When guideline treatment of asthma fails, consider a macrolide antibiotic
This class of drugs has the potential to benefit patients with persistent, poorly controlled asthma and those with new-onset disease as an adjunct...
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Applied Evidence
A patient-centered approach to tapering opioids
Simply treating opioid addiction isn’t enough. Instead, reposition your patient’s singular circumstances and needs at the center of efforts to end...
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Applied Evidence
Treatment of OSA: What (else) can it accomplish?
Treatment of obstructive sleep apnea improves daytime sleepiness, but does it improve other outcomes?
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Applied Evidence
Bringing the HPV vaccination rate into line with other adolescent immunizations
Use simple practice measures and counsel parents with compelling evidence to help correct the low uptake of this vital vaccine.
Clinical Inquiries
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Clinical Inquiries
Does using e-cigarettes increase cigarette smoking in adolescents?
EVIDENCE-BASED ANSWER: Probably. Electronic cigarette (e-cigarette) use by adolescents is associated with a 2- to 4-fold increase in cigarette...
Commentary
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Commentary
What to do when the evidence is not conclusive
Why don't we have conclusive evidence? Because the right studies have not been done.
Case Reports
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Case Reports
Was this patient's transdermal Tx making her dog sick?
► Hot flushes, night sweats
► Concern about estradiol effects on pet
► Nipple, vulvar enlargement in pet
Photo Rounds
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Photo Rounds
Mole on back
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Photo Rounds
Infant with bilious emesis
Clinical findings and imaging studies revealed an additional cause for concern.
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Photo Rounds
An erythematous facial rash
Two months of treatment with doxycycline provided no improvement. A biopsy of the patient’s cheek led to a proper diagnosis.
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Photo Rounds
Pigmented lesion on face
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Photo Rounds
Red lesion on back
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Photo Rounds
Fingernail deformity
Practice Alert
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Practice Alert
Pneumococcal conjugate vaccine update
ACIP no longer recommends routine use of PCV13 in immunocompetent adults ≥ 65 years. Three simple statements summarize guidance on intervals to...
PURLs
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PURLs
Early pregnancy loss: Pretreat with mifepristone?
Yes. While medical management of early pregnancy loss with misoprostol frequently results in treatment failure, pretreating with mifepristone can...
Practice Alert Podcast
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Practice Alert Podcast
Could your patient benefit from a breast CA risk-reducing med?
This month, Dr. Campos-Outcalt describes a recent recommendation from the US Preventive Services Task Force that advocates prescribing tamoxifen,...