Applied Evidence

Is an underlying cardiac condition causing your patient’s palpitations?

Author:

Dusty Narducci, MD

Shivajirao Patil, MD

Matthew Zeitler, MD

Anne Mounsey, MD

This review lists the questions to ask to obtain important diagnostic clues and provides an algorithm for evaluating palpitations when the initial...

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Applied Evidence

Functional neurological disorder: A practical guide to an elusive Dx

Author:

Roselyn W. Clemente Fuentes, MD, FAAFP

Merima Bucaj, DO, FAAFP

Sundonia J. W. Wonnum, PhD, LCSW

The complexity of this disorder poses a clinical challenge like few others.

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Applied Evidence

Conservative or surgical management for that shoulder dislocation?

Author:

Cayce Onks, DO, MS, ATC

Matthew Silvis, MD

Jayson Loeffert, DO

James Tucker, MD

Robert A. Gallo, MD

A number of factors—including patient age and risk for recurrence—influence treatment choices. Here’s a closer look at what to consider.

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Applied Evidence

Anticipating the care adolescents will need

Author:

Amy Hays, MD

Mark B. Stephens, MD

The HEADSS approach is one way to begin discussing key clinical and social topics and to guide further screening or intervention.

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Case Reports

14-year-old girl • history of bullying • lack of social support • multiple linear scars on breasts • Dx?

Author:

Gayani Fonseka, MD

Elise Bognanno, MD

Kathleen Rollinger, DO

► History of bullying
► Lack of social support
► Multiple linear scars on breasts

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Clinical Inquiries

Which detoxification regimens are effective for alcohol withdrawal syndrome?

Author:

Rachel Caspar, MD

Katherine Fortenberry, PhD

Jennifer Leiser, MD

Dominik Ose, DrPH, MPH

Joan Nashelsky, MLS

EVIDENCE-BASED ANSWER: Benzodiazepines remain the first-line regimen for alcohol withdrawal syndrome (AWS) and are the only class more effective...

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Clinical Inquiries

Is metformin effective for reducing weight in obese or overweight adolescents?

Author:

Kirsten Anderson, MD

Gary Kelsberg, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: Yes, to some degree—but it is of uncertain clinical significance. Over a period of 6 months, metformin modestly reduced...

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Commentary

We need to apply the evidence to nonphysician practice

Author:

Rebekah Bernard, MD

Studies show that nonphysician practitioners order more labs and radiographic tests and prescribe more medications— including antibiotics—than...

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Commentary

Let’s apply the lessons from the AIDS crisis to the COVID-19 pandemic

Author:

Robert Frierson, MD

Steven Lippmann, MD

Looking back on the AIDS epidemic should teach us to prioritize attending to the mental health of sufferers and caregivers and depoliticizing...

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Commentary

ERRATUM

In the January 2019 article “Migraine: Expanding our Tx arsenal” (J Fam Pract. 2019;68:10-14,16-24), Table 2: Establishing the...

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Commentary

A return of holism? It never left osteopathic medicine

Author:

Steven Shapiro, DO

I enjoyed Dr. Jonas’s article, “A new model of care to return holism to family medicine” (J Fam Pract. 2020;69:493-498).

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Photo Rounds

Rough lesion on the thigh

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Photo Rounds

New skin papules

Author:

Aakash Modi, MD

J. Lane Wilson, MD

The location of the patient’s lesions, as well as her underlying conditions, pointed to the diagnosis.

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Photo Rounds

Slow-growing lesion on eyebrow

Author:

Michael Grover, DO

Augustine Chavez, MD

Steve Nelson, MD

David Swanson, MD

It took a dermatoscopic examination followed by an e-consultation and shave biopsy to arrive at the diagnosis.

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Photo Rounds

Outlier lesion on the back

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Photo Rounds

Pink papule on thigh

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Photo Rounds

Pink plaque on the ear

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Practice Alert

ACIP recommendations for COVID-19 vaccines—and more

Author:

Doug Campos-Outcalt, MD, MPA

Prioritized immunization is advised with the 2 COVID-19 vaccines. A third meningococcal ACWY vaccine is now the only one approved for those >...

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PURLs

An alternative regimen to reduce risk of asthma exacerbations

Author:

Gretchen Shelesky, MD, MS

Gregory Castelli, PharmD, BCPS, BC-ADM

This study supports the use of an ICS/LABA as needed for adults with intermittent, mild persistent, and moderate persistent asthma.

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Practice Alert Podcast

COVID-19 vaccines: New candidates & answers to commonly asked questions

Author:

Doug Campos-Outcalt, MD, MPA

Which patients should not get the COVID-19 vaccine because of the risk of anaphylaxis? Can the COVID-19 vaccine be co-administered with other...

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