Applied Evidence

Urine drug screening: A guide to monitoring Tx with controlled substances

Author:

John Hayes, DO

Kristen Fox, MD

Avoid error by ordering the appropriate test at a risk-based frequency. Be alert to sources of false-positives and adulteration. Be careful not to...

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Applied Evidence

Guarding against nonmelanoma skin cancer in solid organ transplant recipients

Author:

Chance Morris, MD

Thomas Stasko, MD

Lindsey Collins, MD

Periodic skin examination and ongoing counseling are central in your posttransplantation care of these patients at high risk of skin malignancy....

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Applied Evidence

Helping your obese patient achieve a healthier weight

Author:

Wesley Eichorn, DO

Susan Jevert-Eichorn, DO

These tips will help identify underlying causes of obesity, address comorbid conditions, and provide patients with the tools they need to...

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Applied Evidence

Sarcoidosis: An FP’s primer on an enigmatic disease

Author:

Rohit Gupta, MBBS, FCCP

Maulin Patel, MD

Luis Caceres, MD

Mayur Rali, MD, FAAFP

Parth Rali, MD

Management includes ruling out alternate diagnoses, identifying occult/overt organ involvement, determining treatment, and recognizing worrisome...

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Behavioral Health

Integrating primary care into a community mental health center

Author:

Christina Antenucci, MD

Steven Schreiber, RN

Kathleen Clegg, MD

Patrick Runnels, MD

Our initiation of a reverse-integration practice model revealed numerous advantages and rewards, as well as many challenges, for which we found...

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Case Reports

37-year-old man • cough • increasing shortness of breath • pleuritic chest pain • Dx?

Author:

Melissa Neuman, MD

Ramyar Mahdavi, MD

Morteza Khodaee, MD, MPH

► Cough
► Increasing shortness of breath
► Pleuritic chest pain

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Case Reports

23-year-old woman • syncopal episode • sinus bradycardia • history of bipolar disorder • Dx?

Author:

Kyle Fletke, MD

Jeremy Blanchard, MD, MPH

Stephanie Kuo, MD

► Syncopal episode
► Sinus bradycardia
► History of bipolar disorder

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Clinical Inquiries

Is ketamine effective and safe for treatment-resistant depression?

Author:

Amanda Zorn, MD

Sean Linn, PharmD

Mat Jenkinson, PharmD

Jon O. Neher, MD

Sarah Safranek, MLIS

EVIDENCE-BASED ANSWER: MAYBE, but it’s too soon to tell. There is limited evidence that ketamine by itself is effective in the very short term....

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Commentary

A thoughtful approach to drug screening and addiction

Author:

John Hickner, MD, MSc

Use of cheap street fentanyl, rather than prescription drugs, accounts for nearly all of the increase in opioid overdose deaths.

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Commentary

Let’s avoid accepting this headache paradigm as gospel

Author:

David A. Silverstein, MD

Patients with chronic migraine hoard their medications while trying to decide if each daily headache is the “big one” that merits depleting their...

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Commentary

Mnemonics can be real lifesavers

Author:

Kristyn McKnight, PharmD, Candidate

Hannah Lutz, PharmD candidate

Tracy Mahvan, MBA, PharmD, BCGP

Mnemonics are often used to help remember complex groups of individual items related to a common theme.

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Photo Rounds

New-onset hirsutism

Author:

Josee Proulx, MD

Joshua D. Sparling, MD

This postmenopausal patient developed hirsutism following a surgical procedure. Thorough lab work directed us to the unusual cause.

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Photo Rounds

Painful thickened breast lesion

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Photo Rounds

Itchy rash on back

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Photo Rounds

Chronic breast rash

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Photo Rounds

Pigmented palmar lesions

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Photo Rounds

Perimenopausal woman with adnexal mass

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PURLs

Confidently rule out CAP in the outpatient setting

Author:

Timothy Mott, MD

David Echeverri, MD

Luke Fondren, DO

Ashley Hunter, MD

A focus on specific signs and symptoms—without imaging—may rule out community-acquired pneumonia in outpatients.

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Practice Alert Podcast

CDC’s new gonorrhea treatment recs: What’s changed, and when to retest

Author:

Doug Campos-Outcalt, MD, MPA

The CDC recently updated its treatment recommendations for gonorrhea. In this month’s audio, Dr. Campos-Outcalt explains the 4 reasons for the...

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