Applied Evidence

Before surgery: Have you done enough to mitigate risk?

Author:

Mark K. Huntington, MD, PhD, FAAFP

A preoperative evaluation demands more than a cursory history and physical. The tips and tables you’ll find here will boost your ability to...

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Applied Evidence

Insulin therapy for type 2 diabetes: Making it work

Author:

Jody Dushay, MD

Martin J. Abrahamson, MD

Initiating and advancing insulin therapy in patients with type 2 diabetes can be challenging. Here’s how to overcome the barriers that may arise...

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Clinical Inquiries

Do standing orders help with chronic disease care and health maintenance in ambulatory practice?

Author:

Katrina Donahue, MD, MPH

Marcus Plescia, MD, MPH

Karen Stafford, MLS

EVIDENCE-BASED ANSWER: RESULTS ARE MIXED. Studies of standing orders tend to examine their effect on compliance with preventive interventions for...

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Clinical Inquiries

Does surgery relieve the pain of a herniated disc?

Author:

Betsey Sorensen, MD

Stephen Hulkower, MD

Sue Stigleman, MLS

EVIDENCE-BASED ANSWER: YES, in the short term. Patients with an acute episode of low back pain, radicular symptoms, and evidence of a herniated...

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Clinical Inquiries

Do dietary interventions improve ADHD symptoms in children?

Author:

William Ballard, MD

Mary N. Hall, MD

Leonora Kaufmann, MLS

EVIDENCE-BASED ANSWER: PROBABLY NOT, based on available data. Insufficient evidence exists to suggest that dietary interventions improve the...

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Commentary

Still optimistic after all these years

Author:

Jeff Susman, MD

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Photo Rounds

A progressive scalp lesion

Author:

Ahunna Ahiarah, MD

John Sauret, MD

Our patient’s case of “ringworm” on the scalp had been treated with 6 weeks of griseofulvin. But 13 years later, she wanted to know why the...

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PURLs

Treating UTIs in reproductive-age women—Proceed with caution

Author:

Jean Moon, PharmD

Shailendra Prasad, MBBS, MPH

Mari Egan, MD, MHPE

A new study suggesting that nitrofurantoin and sulfonamides are teratogenic highlights the need for a risk-benefit analysis when your patient is a...

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Article

Red eye, blurry vision, and cough

Author:

Egambaram Senthilvel, MD

Frcsed

Chintan Shah, MD

Bode Adebambo, MD

The 48-year-old patient also has chills and a low-grade fever. How would you proceed with his care?

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Article

Fever, cough, and hypoxia in a pregnant woman

Author:

Melissa Bender, MD

Christopher Bernheisel, MD

Her symptoms worsened, despite trips to 3 EDs. Transfer to a fourth facility finally led to a proper diagnosis.

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