Applied Evidence
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Applied Evidence
Inhalation therapy: Help patients avoid these mistakes
Faulty technique can sabotage the best of treatment plans for asthma and COPD. Here are some common errors and how you can help patients avoid...
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Applied Evidence
How best to address these common movement disorders
This review describes how to manage everything from Parkinson’s disease and tic disorders to restless legs syndrome and ataxia.
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Applied Evidence
Detecting and treating delirium—key interventions you may be missing
Early identification of risk factors for delirium and routine use of screening are often overlooked—with dire effects. Here’s what to look for and...
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Applied Evidence
Diabetes and alcohol use: Detecting at-risk drinking
Asking a simple question helps uncover at-risk drinking in patients with diabetes, and brief office interventions have proven effective in...
Practice Alert
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Practice Alert
CDC update on gonorrhea: Expand treatment to limit resistance
In all cases, add azithromycin to ceftriaxone or an acceptable alternative agent, and screen asymptomatic individuals at high risk of infection....
Clinical Inquiries
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Clinical Inquiries
What treatment is best for hypertrophic scars and keloids?
EVIDENCE-BASED ANSWER: NO ONE TREATMENT IS BEST (strength of recommendation [SOR]: C, meta-analysis of heterogenous studies); no good evidence...
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Clinical Inquiries
How can we minimize recurrent ankle sprains?
EVIDENCE-BASED ANSWER: USING EXTERNAL ANKLE SUPPORTS during physical activity significantly reduces the likelihood of primary and secondary...
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Clinical Inquiries
What should you tell pregnant women about exposure to parvovirus?
EVIDENCE-BASED ANSWER: TELL PATIENTS that parvovirus infections before 20 weeks’ gestation confer a risk of fetal morbidity and mortality as high...
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Clinical Inquiries
Should you test for H pylori in patients with nonulcer dyspepsia?
EVIDENCE-BASED ANSWER: POSSIBLY. Helicobacter pylori increases the risk of developing peptic ulcer disease (strength of recommendation [SOR]: B,...
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Clinical Inquiries
Ferning in amniotic fluid: Is it a useful indicator of ruptured membranes?
EVIDENCE-BASED ANSWER: YES. The presence of arborized crystals (ferning) in amniotic fluid is both sensitive (74%-100%) and specific (77%-100%)...
Commentary
Photo Rounds
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Photo Rounds
Acute abdominal pain in an elderly patient
A possible large bowel obstruction and severe dehydration prompted us to admit this patient. But a day later, the clinical picture became even...
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Photo Rounds
Abnormal fingernails
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Photo Rounds
Painful toe
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Photo Rounds
Dark color on cheeks
PURLs
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PURLs
Postprostatectomy incontinence? Here’s help
Behavioral therapy is an effective treatment for incontinence related to prostatectomy.
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PURLs
Offer this contraceptive to breastfeeding new moms
Early insertion of the etonogestrel implant does not affect lactogenesis, and fosters contraceptive compliance.