Applied Evidence
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Applied Evidence
Tips and tools to help refine your approach to chest pain
One of the most concerning and challenging patient complaints presented to physicians is chest pain.
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Applied Evidence
How to meet the challenges of managing patients with IBS
Establish a strong relationship with your patient. Rule out “red-flag” diagnoses. Then choose from one of the therapies detailed here to target...
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Applied Evidence
Botulinum toxin for chronic pain: What's on the horizon?
Botulinum toxin has proven safe and effective when used correctly. This review examines the evidence that could support its expanded use.
Behavioral Health
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Behavioral Health
Twice exceptionality: A hidden diagnosis in primary care
Michael T,* a 20-year-old cisgender male, visited one of our clinic’s primary care physicians (PCPs).
Case Reports
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Case Reports
72-year-old man • fever • new-onset urinary frequency • altered mental state • Dx?
► Fever
► New-onset urinary frequency
► Altered mental state -
Case Reports
Successful accelerated taper for sleeping aid
► Chronic insomnia
► Nightly zolpidem use
► Concern for tapering withdrawals
Clinical Inquiries
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Clinical Inquiries
Which injections are effective for lateral epicondylitis?
EVIDENCE-BASED ANSWER: Placebo injections actually improve lateral epicondylitis at high rates. No other injections convincingly improve it better...
Commentary
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Commentary
When the evidence suggests that placebo is best
What they discovered is that no type of injection therapy has been proven to be better than a saline injection.
Dx Across the Skin Color Spectrum
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Dx Across the Skin Color Spectrum
Seborrheic dermatitis
Seborrheic dermatitis in a woman with brown-gray greasy scale, as well as petaloid papules and plaques that are especially prominent in the...
Photo Rounds
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Photo Rounds
Enlarging purple plaque on leg
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Photo Rounds
Hyperpigmented lesion on left palm
The location of the lesion and an insight into the patient’s regular activities revealed the clinical diagnosis.
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Photo Rounds
Nonhealing incision and drainage site
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Photo Rounds
New wound over an old scar
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Photo Rounds
Itchy belly
PURLs
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PURLs
Validated scoring system identifies low-risk syncope patients
This study validated the Canadian Syncope Risk Score for predicting 30-day serious outcomes in patients presenting to the ED within 24 hours of...
Practice Alert Podcast
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Practice Alert Podcast
Beyond the headlines: A closer look at the USPSTF draft recs on aspirin
The US Preventive Services Task Force recently made big news with its draft update that recommends against the initiation of low-dose aspirin for...