Applied Evidence
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Applied Evidence
Is C difficile to blame for your patient’s diarrhea?
Once viewed almost exclusively as a nosocomial infection, C difficile is increasingly common in outpatient settings, making it imperative that FPs...
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Applied Evidence
Patient dismissal: The right way to do it
Under what circumstances is it permissible for a physician to “fire” a patient? We present a balanced— and legal—approach.
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Applied Evidence
A new certification for FPs
A new board strengthens the role of family physicians as providers of obstetric care in their communities. Here are details about certification...
Clinical Inquiries
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Clinical Inquiries
How best to diagnose asthma in infants and toddlers?
EVIDENCE-BASED ANSWER: NO RELIABLE WAY EXISTS TO DIAGNOSE ASTHMA IN INFANTS AND TODDLERS. Recurrent wheezing, especially apart from colds,...
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Clinical Inquiries
Does turmeric relieve inflammatory conditions?
EVIDENCE-BASED ANSWER: YES, but data aren’t plentiful. Limited evidence suggests that turmeric and its active compound, curcumin, are effective...
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Clinical Inquiries
What is the best way to treat Morton’s neuroma?
EVIDENCE-BASED ANSWER: NO SINGLE TREATMENT HAS BEEN IDENTIFIED in the literature. That said, a protocol of stepped care that showed good results...
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Clinical Inquiries
What is the prognosis for patients with chronic urticaria?
EVIDENCE-BASED ANSWER: THE PROGNOSIS FOR CHRONIC URTICARIA IN PRIMARY CARE IS UNKNOWN; studies in dermatology clinics in multiple countries report...
Commentary
Case Reports
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Case Reports
Diffuse abdominal pain, vomiting
The patient had undergone a cholecystectomy years earlier following an episode of gallstone pancreatitis. So what was causing the pain this time...
Photo Rounds
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Photo Rounds
Cellulitis unresponsive to antibiotics
Oral cephalexin didn’t work, so we started the patient on IV vancomycin and clindamycin, followed by gatifloxacin. But the lesions worsened.
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Photo Rounds
Bumps on legs
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Photo Rounds
Red nodules on knees
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Photo Rounds
Rash on extremities
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Photo Rounds
Discoloration of lower legs
Practice Alert
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Practice Alert
CDC update: Guidelines for treating STDs
A revised dosage for ceftriaxone and an alternative agent for bacterial vaginosis are among the newer recommendations.
Medical Verdicts
PURLs
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PURLs
An alternative to oral NSAIDs for acute musculoskeletal injuries
A topical NSAID can relieve acute musculoskeletal pain, with little risk of side effects.