Practice Alert
Applied Evidence
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Applied Evidence
The less familiar side of heart failure: Symptomatic diastolic dysfunction
Diastolic heart failure is not as well studied as systolic, but its prevalence has probably been underestimated
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Applied Evidence
Complex regional pain syndrome underdiagnosed
CRPS type 1 is an under-recognized problem in limbs recovering from fracture or immobilized post-stroke.
Clinical Inquiries
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Clinical Inquiries
Which imaging modality is best for suspected stroke?
EVIDENCE-BASED ANSWER: Patients exhibiting stroke symptoms should have brain imaging immediately within 3 hours of symptom onset (strength of...
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Clinical Inquiries
What is the best strategy for impaired glucose tolerance in nonpregnant adults?
EVIDENCE- BASED ANSWER: The best treatment strategy for impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) is lifestyle...
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Clinical Inquiries
Can we prevent splenic rupture for patients with infectious mononucleosis?
EVIDENCE- BASED ANSWER: All patients with infectious mononucleosis should be considered at risk for splenic rupture since clinical severity,...
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Clinical Inquiries
What is the best way to identify patients with white-coat hypertension?
EVIDENCE- BASED ANSWER: Ambulatory blood pressure monitoring is currently the gold standard for detecting patients with white-coat hypertension....
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Clinical Inquiries
What is the evaluation and treatment strategy for Raynaud’s phenomenon?
EVIDENCE- BASED ANSWER: Raynaud’s phenomenon is diagnosed by history, which also plays a key role in distinguishing primary from secondary Raynaud...
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Clinical Inquiries
Does digoxin decrease morbidity for those in sinus rhythm with heart failure?
EVIDENCE - BASED ANSWER: In patients with congestive heart failure due to systolic dysfunction who are in normal sinus rhythm, digoxin therapy...
Commentary
Original Research
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Original Research
Using systematic literature surveillance
Photo Rounds
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Photo Rounds
Palpable purpura and a visible sock line
The patient’s rash was painful and concentrated around her lower legs, with a clear line encircling her calves
Q&A
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Q&A
Melatonin effective for some sleep disorders
Clinical Question: Is melatonin effective for insomnia and other sleep problems?Study Design: Meta-analysis (randomized controlled trials)Setting...
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Q&A
Antibiotic choice makes little difference in CAP
Clinical Question: In the treatment of patients with community-acquired pneumonia, is there a difference among antibiotics?Study Design: Meta-...
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Q&A
Anemia does not predict iron deficiency among toddlers
Clinical Question: Does screening toddlers for anemia identify those with iron deficiency?Study Design: Cohort (prospective)Setting: Population-...
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Q&A
Once-daily topical steroid dosing effective for atopic eczema
Clinical Question: Is dosing topical corticosteroids more than once a day better than once-daily dosing for atopic eczema?Study Design: Meta-...
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Q&A
Early intrathecal analgesia does not increase cesarean sections
Clinical Question: Does early administration of neuraxial analgesia in labor increase the risk of cesarean delivery?Study Design: Randomized...