Applied Evidence
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Applied Evidence
When a child won’t speak
They may be “chatterboxes” at home, but kids with selective mutism don’t speak at all at school. Eight questions can help you assess, and address...
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Applied Evidence
It’s 5 pm Friday; the caller thinks he has strep—Do you write that script?
Before you decide, consider using this simple telephone scoring system.
Original Research
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Original Research
How can you improve vaccination rates among older African Americans?
Patients want you to address their fear of drug interactions and allergic reactions.
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Original Research
Does marijuana use play a role in the recreational use of sildenafil?
It may, according to this study, which suggests that marijuana smokers use it to counteract cannabis’ effect on their libido.
Commentary
Photo Rounds
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Photo Rounds
Pruritus in pregnancy
Our patient had excoriations all over her body—but no blistering. What do you suspect was causing her itching?
PURLs
Clinical Inquiries
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Clinical Inquiries
Are DMARDs effective for rheumatologic diseases besides rheumatoid arthritis?
EVIDENCE-BASED ANSWER: It’s unclear whether disease-modifying antirheumatic agents (DMARDs) as first-line therapy in nonrheumatoid rheumatologic...
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Clinical Inquiries
Does bed rest for preeclampsia improve neonatal outcomes?
EVIDENCE-BASED ANSWER: No. strict bed rest in the hospital for pregnant women with preeclampsia does not appear to lower rates of perinatal...
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Clinical Inquiries
What steps can reduce morbidity and mortality caused by hip fractures?
EVIDENCE-BASED ANSWER: Surgery within 24 hours of hip fracture is a critical step in reducing complications, and may decrease mortality compared...
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Clinical Inquiries
How can you best diagnose idiopathic normal pressure hydrocephalus?
EVIDENCE-BASED ANSWER: Diagnose idiopathic normal pressure hydrocephalus (INPH) by clinical history, brain imaging, physical findings, and...
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Clinical Inquiries
When should travelers begin malaria prophylaxis?
EVIDENCE-BASED ANSWER: Travelers should start on chloroquine 1 to 2 weeks before entering an area without chloroquine resistance (strength of...
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Clinical Inquiries
Do COX-2 inhibitors worsen renal function?
EVIDENCE-BASED ANSWER: No, COX-2 inhibitors, as a class, do not worsen renal function for those without renal disease. Celecoxib is the only COX-2...