Applied Evidence

Using biomarkers to quantify problematic alcohol use

Author:

Rahul Chaudhari, MD

Dilip Moonka, MD

Frederick Nunes, MD

Direct biomarkers detect alcohol even in small amounts shortly after ingestion. But which one is nearly 100% specific for alcohol use?

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Applied Evidence

Functional medicine: Focusing on imbalances in core metabolic processes

Author:

Frank A. Orlando, MD

Ku-Lang Chang, MD

Irene M. Estores, MD

This medical field surveys details of assimilation, defense and repair, energy, biotransformation and elimination, transport, communication, and...

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Applied Evidence

Write an exercise Rx to improve patients' cardiorespiratory fitness

Author:

Matthew Kampert, DO, MS

Elizabeth Joy, MD, MPH

Irfan M. Asif, MD

Assessing physical activity is an opportunity to encourage lifestyle-based tactics for reducing cardiovascular risk. These handy tables serve as...

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Applied Evidence

Cervical cancer update: The latest on screening & management

Author:

Linda Speer, MD

Shirley Bodi, MD

Here are updated guidelines for prevention, testing, and treatment. Elimination of causative HPV continues to hold center stage in the global...

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Case Reports

25-year-old woman • abdominal pain • urticarial rash • recent influenza immunization • Dx?

Author:

Danielle Yee, MD

Adam Skrynski, MD

Kathleen Dass, MD

► Abdominal pain
► Urticarial rash
► Recent influenza immunization

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Clinical Inquiries

Does inadequate sleep increase obesity risk in children?

Author:

Daniela Herzog, MD

Kristin Thai, DO

Jon O. Neher, MD

Beth Auten, MA, MSLIS, AHIP

EVIDENCE-BASED ANSWER: Yes, a link has been established but not a cause-effect relationship. Shorter reported sleep duration in childhood is...

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Commentary

Despite ‘getting it wrong’ we must continue to do what’s right

Author:

John Hickner, MD, MSc

There is no question that everyone in the United States— and most likely, the entire world—will eventually get vaccinated against COVID-19 or get...

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Commentary

25-hydroxyvitamin D concentration is key to analyzing vitamin D’s effects

Author:

William B. Grant, PhD

There are significant benefits of vitamin D supplementation to achieve a 25(OH)D concentration of 30 to 60 ng/mL for important health outcomes.

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Photo Rounds

Bullae on elderly woman’s toes

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Photo Rounds

A sun distributed rash

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Photo Rounds

A mass on the ear

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Photo Rounds

Wrist rash

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Photo Rounds

Wrist pain and swelling

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Photo Rounds

Waxy fingers and skin tethering

Author:

Lauren E. Prusinski Fernung, MD, PhD

James S. Petit, MD

Loretta S. Davis, MD

The patient sought care for a burn he hadn’t felt when he’d held a hot cup of coffee. His history, and the appearance of his hands, suggested a...

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Photo Rounds

White ankle scars

Author:

Joel Lim Hua Liang, MBBS, MRCP, MMed

Amanda Kuan Hui Yu, MBBS

We discovered that these white lesions were remnants of a deeper issue that linked back to significant events in the patient’s medical past.

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PURLs

Skip that repeat DXA scan in these postmenopausal women

Author:

Alexander Zweig, MD

Carl Tunink, MD

Laura Morris, MD, MSPH

Repeat bone density measurement offers no advantage in predicting fracture risk in postmenopausal women who do not have osteoporosis.

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Practice Alert Podcast

ACIP simplifies adult vaccinations for HepB and pneumonia

Author:

Doug Campos-Outcalt, MD, MPA

The Advisory Committee on Immunization Practices (ACIP) recently updated its recommendations on adult vaccinations for hepatitis B and...

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Practice Alert

2021 CDC guidelines on sexually transmitted infections

Author:

Doug Campos-Outcalt, MD, MPA

A higher dose of ceftriaxone is now recommended for gonorrhea. Doxycycline, not azithromycin, is first-line therapy for chlamydia.

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