Applied Evidence
Commentary
Clinical Inquiries
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Clinical Inquiries
When should patients with mitral valve prolapse get endocarditis prophylaxis?
EVIDENCE-BASED ANSWER: Patients with suspected mitral valve prolapse (MVP) ( Figure 1 ) should undergo echocardiography before any procedure that...
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Clinical Inquiries
What is the best macrolide for atypical pneumonia?
EVIDENCE-BASED ANSWER: Erythromycin, clarithromycin, and azithromycin are equally effective in treating pneumonia caused by Mycoplasma pneumoniae...
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Clinical Inquiries
Does warfarin prevent deep venous thrombosis in high-risk patients?
EVIDENCE-BASED ANSWER: Warfarin (Coumadin) is effective in preventing deep venous thrombosis (DVT) among patients with a history of DVT....
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Clinical Inquiries
Do antibiotics improve outcomes in chronic rhinosinusitis?
EVIDENCE-BASED ANSWER: For children, antibiotics do not appear to improve short-term (3-6 weeks) or long-term (3 months) outcomes of chronic...
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Clinical Inquiries
What is the best approach for patients with ASCUS detected on Pap smear?
EVIDENCE-BASED ANSWER: DNA testing for human papillomavirus (HPV), especially if the sample can be obtained at the same time as the Papanicolaou (...
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Clinical Inquiries
Are ARBs or ACE inhibitors preferred for nephropathy in diabetes?
EVIDENCE-BASED ANSWER: Angiotensin receptor blockers (ARBs) have been shown to reduce the progression of nephropathy in several consistent studies...
Original Research
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Original Research
Advanced procedures in family medicine: The cutting edge or the lunatic fringe?
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Original Research
The Problem with Ps
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Original Research
Laparoscopic cholecystectomy in a rural family practice: The Vivian, LA, experience
Objective To evaluate the feasibility of family physicians safely and effectively performing laparoscopic cholecystectomy in a community hospital...
Photo Rounds
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Photo Rounds
Red eyes with a brown spot
Practice Alert
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Practice Alert
10 steps for avoiding health disparities in your practice
You are caring for a 55-year-old person with acute coronary syndrome whose angiogram shows significant obstruction in 2 arteries. Will your...
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Practice Alert
Type 2 diabetes: The role of basal insulin therapy
Q&A
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Q&A
3-year interval between Pap smears adequate for women with prior negative results
BACKGROUND: The United States Preventive Services Task Force recommends that sexually active women receive Pap smears at least every 3 years.
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Q&A
Epinephrine is efficacious for outpatient treatment of bronchiolitis
BACKGROUND: Inhaled epinephrine is the most frequently prescribed bronchodilator for acute viral bronchiolitis. It stimulates alpha-receptors in...
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Q&A
Geranium extract reduces bronchitis symptoms
BACKGROUND: Acute bronchitis is common in primary care, but controversy remains about appropriate management. Symptomatic therapy is the mainstay...
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Q&A
Donepezil minimally effective for patients with vascular dementia
BACKGROUND: Donepezil provides some benefits in cognition, global function, and activities of daily living for patients with mild to moderate...
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Q&A
First-trimester tests for trisomies 21 and 18 as sensitive as triple screen
BACKGROUND: Women who are deemed to have abnormal calculated risks for trisomy 21 (Down syndrome—the most common trisomy) or trisomy 18 (Edwards...
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Q&A
High-dose azithromycin or amoxicillin-clavulanate for recurrent otitis media?
BACKGROUND: High-dose amoxicillin-clavulanate is recommended for children with acute otitis media (AOM) who have not improved on previous...