Applied Evidence
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Applied Evidence
Removing barriers to insulin use
Patients with type 2 diabetes and their physicians are often reluctant to begin insulin therapy—despite evidence of its efficacy. Here’s help in...
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Applied Evidence
Elbow injuries: Getting kids back in the game
Elbow injuries are increasingly common in children and young adults who participate in team sports nearly year-round. This review—and the tables...
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Applied Evidence
Supine infant positioning—Yes, but there’s more to it
The Back-to-Sleep campaign has helped reduce the incidence of SIDS, but a neglect of prone positioning during wakefulness has increased the risk...
Case Reports
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Case Reports
Dyspnea, pancytopenia, and splenomegaly
An extensive initial laboratory assessment, including testing for viral disorders, left the diagnosis unsolved.
Clinical Inquiries
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Clinical Inquiries
Are serum uric acid levels always elevated in acute gout?
EVIDENCE-BASED ANSWER: NO. Many patients with acute gout (11%-49%) have normal serum uric acid (SUA) levels (strength of recommendation [SOR]: A,...
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Clinical Inquiries
What is the most effective way to treat recurrent canker sores?
EVIDENCE-BASED ANSWER: AMLEXANOX appears to be most effective overall. Amlexanox 5% paste reduces ulcer size, pain duration, and healing time (...
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Clinical Inquiries
Chronic urticaria: What diagnostic evaluation is best?
EVIDENCE-BASED ANSWER: A DETAILED HISTORY AND 6-WEEK TRIAL of an H1 antihistamine are the best diagnostic evaluations for chronic urticaria. More...
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Clinical Inquiries
Postcholecystectomy diarrhea: What relieves it?
EVIDENCE-BASED ANSWER: A TRIAL OF A BILE ACID BINDER such as cholestyramine or colestipol may benefit patients with postcholecystectomy diarrhea (...
Commentary
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Commentary
Payment reform: It’s time to get real!
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Commentary
Colon cleansing: Not dangerous if done right
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Commentary
“Ideal” practice helps this FP thrive
Photo Rounds
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Photo Rounds
Pruritic erythematous maculopapular rash
A trip to the beach left this patient with an unusual rash where his bathing suit had been.
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Photo Rounds
Fingernail streaks
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Photo Rounds
Dark lines in nails
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Photo Rounds
Indentation across fingernails
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Photo Rounds
Lines across fingernails
PURLs
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PURLs
Arthritis pain? These supplements provide little relief
Taken alone or together, these 2 supplements don’t relieve the pain of hip or knee osteoarthritis.