Applied Evidence

Hypertriglyceridemia: A strategic approach

Author:

Zahra Raza, MD

Ashwini Kamath Mulki, MD

Linda Contillo Garufi, MD, MEd

Grant M. Greenberg, MD, MHSA, MA

This review, and the at-a-glance tables that follow, detail indications and strategies for the treatment of adults with hypertriglyceridemia.

• Read More

Applied Evidence

The many variants of psoriasis

Author:

Karl T. Clebak, MD, FAAFP

Leesha Helm, MD, MPH

Matthew F. Helm, MD

Elizabeth V. Seiverling, MD

Erythema, skin thickening, and scales typify most cases, but other patterns exist. Tx choices may differ, depending on how much body surface area...

• Read More

Applied Evidence

How to minimize the pain of local anesthetic administration

Author:

Roberto A. Martinez, MD

Ashlee Hurff, MD

Katharine C. DeGeorge, MD, MS

Brent R. DeGeorge Jr, MD, PhD

Expertise in the delivery of effective local analgesia is critical to the success of in-office procedures. Here’s how to optimize patient outcomes...

• Read More

Applied Evidence

Whom should you screen for abdominal aortic aneurysm?

Author:

Jeffrey S. Todd, MD, FACC, FASE

James G. Drougas, MD, FACS

Most patients with AAA are asymptomatic until the situation is dire. Ultrasound screening in older patients can reduce the risk of death, but...

• Read More

Case Reports

Postpartum IUD placement • breastfeeding • difficulty maintaining milk supply • Dx?

Author:

Hannah Maxfield, MD

► Postpartum IUD placement
► Exclusively breastfeeding
► Difficulty maintaining milk supply

• Read More

Clinical Inquiries

Does vitamin D supplementation reduce asthma exacerbations?

Author:

Jaspreet Jaura, MD

Gary Kelsberg, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: Yes, to some extent it does, and primarily in patients with low vitamin D levels. Supplementation reduces asthma...

• Read More

Commentary

How effective is that face mask?

Author:

John Hickner, MD, MSc

The best homemade masks are those with 2 layers of high-quality, heavyweight “quilter’s cotton” with a thread count of 180 or more.

• Read More

Commentary

COVID-19: “You’re gonna need a bigger boat”

Author:

Mark N. Rood, MD, FAAFP

FaceTime, Google Duo, Zoom, and Doximity are low-cost options to get your feet wet if you have no prior experience with virtual visits.

• Read More

Photo Rounds

Purple oral plaques

• Read More

Photo Rounds

Ear and nose plaques

• Read More

Photo Rounds

Itchy leg papules

• Read More

Photo Rounds

Pink nose lesion

• Read More

Photo Rounds

Recent-onset bloody nodule

Author:

M. Tye Haeberle, MD

Jae Jung, MD

Timothy S. Brown, MD

An antibiotic ointment failed to clear the lesion on the patient’s back. A more detailed history revealed the nodule’s troubling genesis.

• Read More

Photo Rounds

Acute bilateral hand edema and vesiculation

Author:

Lindsey Kolar, MD

Morteza Khodaee, MD, MPH

Environmental history exposed the diagnosis.

• Read More

Photo Rounds

Rapid-onset rash

• Read More

Practice Alert

USPSTF round-up

Author:

Doug Campos-Outcalt, MD, MPA

The Task Force now recommends that physicians take steps to prevent perinatal depression and has modified its recommendation on lead screening.

• Read More

PURLs

Immediate or delayed pushing in the second stage of labor?

Author:

Jessica Devitt, MD

Corey Lyon, DO

Is there any advantage to delaying pushing in the second stage of labor for nulliparous women receiving epidural analgesia?

• Read More

For Residents

'Silent Hypoxemia' and Other Curious Clinical Observations in COVID-19

Author:

Gary S. Ferenchick, MD, MS

Hannah R.B. Ferenchick, MD

Gary S. Ferenchick, MD, MS, a professor of medicine at Michigan State University, interviewed his daughter, Hannah R.B. Ferenchick, MD, an...

• Read More

For Residents

Double Masking and Decontamination: A Doctor's COVID-19 Routine

Author:

Gary S. Ferenchick, MD, MS

Hannah R.B. Ferenchick, MD

Gary S. Ferenchick, MD, MS, a professor of medicine at Michigan State University, interviewed his daughter, Hannah R.B. Ferenchick, MD, an...

• Read More

Practice Alert Podcast

USPSTF makes significant change to Hep C screening recommendation

Author:

Doug Campos-Outcalt, MD, MPA

Routine screening for hepatitis C virus (HCV) infection isn’t just for baby boomers anymore, according to the US Preventive Services Task Force....

• Read More