Medical Verdicts
Applied Evidence
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Applied Evidence
Preconception counseling: Make it part of the annual exam
Addressing lifestyle issues, managing chronic conditions, updating immunizations, and screening for genetic disorders before pregnancy pay big...
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Applied Evidence
How to remove those things children put up their nose
Beans, buttons, batteries… Kids put all sorts of objects in their nostrils. Here’s how best to retrieve them.
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Applied Evidence
Derm diagnoses you can’t afford to miss
Innocuous or serious? Patients’ lives may depend on your ability to recognize dangerous dermatologic conditions.
Photo Rounds
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Photo Rounds
A newborn with peeling skin
This baby’s cellophane-like skin and the mother’s obstetric history left little doubt of the diagnosis.
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Photo Rounds
Painful sore on finger
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Photo Rounds
Rash on back
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Photo Rounds
Flat lesions on thigh
Clinical Inquiries
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Clinical Inquiries
Do patients at high risk of Alzheimer’s disease benefit from early treatment?
EVIDENCE-BASED ANSWER: Yes, but the extent of the benefit is unclear. Treating patients with early-stage Alzheimer’s disease yields statistically...
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Clinical Inquiries
Sleep apnea in adults: How accurate is clinical prediction?
EVIDENCE-BASED ANSWER: Moderately accurate, depending on which tool you use. Questionnaires, physical examination, and clinical prediction rules...
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Clinical Inquiries
What treatments work best for constipation in children?
EVIDENCE-BASED ANSWER: Osmotic laxatives produce the best results. Fiber and behavior modification may have a role. Increased fiber and behavior...
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Clinical Inquiries
How should you manage an overweight breastfed infant?
EVIDENCE-BASED ANSWER: There are several steps you can take. Monitor the growth of exclusively breastfed babies by plotting routine weights and...
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Clinical Inquiries
Menstrual disturbances in perimenopausal women: What’s best?
EVIDENCE-BASED ANSWER: It’s best to start with nonsteroidal anti-inflammatory drugs (NSAIDs), which effectively reduce heavy menstrual bleeding (...
Commentary
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Commentary
A weighty patient history
Original Research
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Original Research
Type 2 diabetes: Which interventions best reduce absolute risks of adverse events?
The Archimedes risk engine shows that many patients are likely to benefit more from aspirin and exercise than all other interventions combined.