Applied Evidence

Managing TIA: Early action and essential risk-reduction steps

Author:

Kristen Rundell, MD

Shalina Nair, MD, MBA

Your patient with a focal neurologic deficit is rushed to the ED for diagnostic imaging. Which initial and long-term interventions can best reduce...

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Applied Evidence

Hypertension—or not? Looking beyond office BP readings

Author:

Joi Spaulding, MD

Rebecca E. Kasper, MD, MPH

Anthony J. Viera, MD, MPH

Follow these strategies and tips for using home and 24-hour ambulatory measurements to more accurately assess a patient’s blood pressure.

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Applied Evidence

Patients asking about APOE gene test results? Here’s what to tell them

Author:

Shana D. Stites, PsyD, MS, MA

Nicholas M. Vogt, MD, PhD

Deborah Blacker, MD, ScD

Malia Rumbaugh, MS, LGC

Monica W. Parker, MD

for the Advisory Group on Risk Evidence Education for Dementia (AGREED)

This guidance can help shape the conversations you have with patients who want to understand the results of their gene and biomarker testing for...

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Case Reports

43-year-old male • fatigue • unintentional weight loss • pancytopenia • Dx?

Author:

Isabella Buzzo Bellon Brout, MD

Caitlin A. Nicholson, MD

Jennifer N. Lee, MD

► Fatigue
► Unintentional weight loss
► Pancytopenia

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Clinical Inquiries

Does platelet-rich plasma improve patellar tendinopathy symptoms?

Author:

Emily Wolfenden, MD, MPH

Brian Vukelic, MD

Matthew DeMarco, MD

Jordan Knox, MD

Dominik Ose, DrPH, MPH

EVIDENCE-BASED ANSWER: IT’S UNCLEAR. High-quality data have not consistently established the effectiveness of platelet-rich plasma (PRP)...

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Commentary

Home BP monitoring is essential

Author:

John Hickner, MD, MSc

Office BPs are notoriously inaccurate, because it is exceedingly difficult to measure BP properly in a busy office setting.

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Dx Across the Skin Color Spectrum

Melanoma

Author:

Candrice R. Heath, MD

Richard P. Usatine, MD

Acral lentiginous melanoma on the sole of the foot of a 30-year-old Black woman. The depth of the lesion was 2 mm with a positive sentinel lymph...

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Photo Rounds

Focal hair loss

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Photo Rounds

Atypical knee pain

Author:

Garrett K. Berger, MD, PharmD

Kenneth Milligan, MD

Eric K. Holder, MD

Joseph M. Schwab, MD

Lee E. Rubin, MD

The patient found it hard to climb stairs—and to complete a particular task when getting dressed. Difficulty with that task provided a useful...

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Photo Rounds

Substantially enlarged cardiac silhouette

Author:

Hampton A. Crimm, MD, MS

Timothy Welch, MD

This case highlights an impressive manifestation of a diagnosis that affects many people around the world.

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Photo Rounds

Smooth plaque on ankle

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Photo Rounds

Itching at night

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Photo Rounds

Ulcer on knuckle

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Practice Alert

Should you be screening for eating disorders?

Author:

Doug Campos-Outcalt, MD, MPA

The US Preventive Services Task Force recently said there’s insufficient evidence to come out in favor of (or against) routine screening for...

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Practice Alert

USPSTF recommendation roundup

Author:

Doug Campos-Outcalt, MD, MPA

Offer pregnant women behavioral counseling to promote healthy weight gain. Screen for type 2 diabetes and prediabetes in adults ages 35 to 70...

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PURLs

Time to consider topical capsaicin for acute trauma pain?

Author:

Dillon Cleary, MD

Samuel Burton, MD

Brock Cardon, MD

Topical capsaicin is more effective than topical piroxicam at reducing pain in acute upper extremity injuries.

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