Applied Evidence
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Applied Evidence
How to integrate shared decision-making into your practice
Despite the many benefits of shared decision-making, uptake of its practices is low. These tools and frameworks can help you to engage patients in...
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Applied Evidence
Insomnia diagnosis and treatment across the lifespan
Insomnia impairs quality of life and is associated with an increased risk for physical and mental health problems and substance misuse. Here’s how...
Behavioral Health
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Behavioral Health
Tips and tools to help you manage ADHD in children, adolescents
Avail yourself of a range of assessment tools, pursue collaborative care opportunities, and consider 5 recommendations to diminish barriers to...
Case Reports
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Case Reports
42-year-old man • altered mental status • vomiting • agitation • Dx?
► Altered mental status
► Vomiting
► Agitation -
Case Reports
14-year-old boy • aching midsternal pain following a basketball injury • worsening pain with direct pressure and when the patient sneezed • Dx?
► Aching midsternal pain following a basketball injury
► Worsening pain with direct pressure and when the patient sneezed
Clinical Inquiries
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Clinical Inquiries
Does physical exercise reduce dementia-associated agitation?
EVIDENCE-BASED ANSWER: Not consistently. Physical exer- cise demonstrates inconsistent benefit for neuropsychiatric symptoms, including agitation...
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Clinical Inquiries
Does regular walking improve lipid levels in adults?
EVIDENCE-BASED ANSWER: Minimally. Regular moderate- intensity walking for a period of 4 or more weeks minimally decreased total cholesterol (TC)...
Commentary
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Commentary
Shared decision-making (when you’re wearing the paper gown)
“Well, do it, don’t do it, but I recommend it,” the radiologist said. The conversation was over.
Dx Across the Skin Color Spectrum
Photo Rounds
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Photo Rounds
Scar overgrowth
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Photo Rounds
Nodule on gardener’s hand
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Photo Rounds
Scaly facial plaques
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Photo Rounds
Circular patch on chest
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Photo Rounds
Infant with red eyelid lesion
The rapid growth of this lesion provided an important clue in the diagnosis.
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Photo Rounds
Palmar rash
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Photo Rounds
Scalp ridges
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Photo Rounds
Longitudinal arm lesion
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Photo Rounds
Clustered erythematous limb lesions
Practice Alert
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Practice Alert
Latent TB: The case for vigilance
To reduce morbidity and mortality from tuberculosis (TB), major health organizations recommend screening for latent TB infection in those who are...
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Practice Alert
CDC updates guidance on opioid prescribing in adults
Opioid prescribing has decreased in recent years, but related deaths have not. New guidance from the CDC aims to address this gap and offset some...
PURLs
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PURLs
Put down the electronics after a concussion?
Yes, patients should do just that. In a randomized clinical trial, symptom duration was reduced when teens and young adults observed a certain...
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PURLs
Consider this tool to reduce antibiotic-associated adverse events in patients with sepsis
Predictive biomarker procalcitonin can aid clinical decision-making on continued antibiotic treatment in this patient population.