Managing amidst COVID-19 (and everything else that ails us).
PMID: 32724905 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Hickner J Tags: J Fam Pract Source Type: research

Tips and tools for safe opioid prescribing.
Abstract This review-with tables summarizing opioid options, dosing considerations, and recommendations for tapering-will help you provide rigorous Tx for noncancer pain while ensuring patient safety. PMID: 32724906 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Linn BS, Mahvan T, Smith BEY, Oung AB, Aschenbrenner H, Berg JM Tags: J Fam Pract Source Type: research

Dual antiplatelet Tx for stroke prevention: Worth the risk?
Abstract Here's what the evidence tells us about the use of 2 regimens-clopidogrel + aspirin and ER dipyridamole + aspirin-to prevent secondary ischemic stroke. PMID: 32724907 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Helmer RS, Helmer AM, Smithgall S Tags: J Fam Pract Source Type: research

It's time to rethink your approach to C diff infection.
Abstract Metronidazole is no longer the drug of choice for first-line therapy. And fecal microbiota transplantation has proven effective for certain patients. PMID: 32724908 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Zukauckas K, Vandiver J, Biehle L Tags: J Fam Pract Source Type: research

Taking steps to slow the upswing in oral and pharyngeal cancers.
Abstract The CDC estimates that 70% of these cancers are caused by HPV. And yet, in 2018, only about two-thirds of adolescents had received 1 or more doses of HPV vaccine. PMID: 32724909 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Campos-Outcalt D Tags: J Fam Pract Source Type: research

PURL: Do-it-yourself cervical cancer screening?
Abstract Enlisting patients to self-collect specimens for human papillomavirus testing is an effective way to detect cervical precancer in those who might not otherwise undergo cervical cancer screening. PMID: 32724910 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Hoss M, Lyon C Tags: J Fam Pract Source Type: research

67-year-old woman • excessive flatulence • persistent heartburn • chronic cough • Dx?
67-year-old woman • excessive flatulence • persistent heartburn • chronic cough • Dx? J Fam Pract. 2020 Jul/Aug;69(6):304-305 Authors: Khan EA, Khan NS Abstract ► Excessive flatulence, belching, and bloating ► Persistent heartburn ► Chronic cough. PMID: 32724911 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Khan EA, Khan NS Tags: J Fam Pract Source Type: research

Does concurrent use of clopidogrel and PPIs increase CV risk in patients with ACS?
Abstract No. Adding a proton pump inhibitor (PPI) in patients taking antiplatelet medications such as clopidogrel for acute coronary syndrome (ACS) doesn't increase the composite risk of cardiovascular (CV) events: CV death, myocardial infarction (MI), and cerebrovascular accident (CVA) (strength of recommendation: B, randomized, controlled trial [RCT] and prepon-derance of posthoc analyses of large RCTs). PMID: 32724912 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Shehata S, Baker J, Kelsberg G, Safranek S Tags: J Fam Pract Source Type: research

Painful, swollen elbow.
Abstract Was a recent procedure responsible for this patient's pain? PMID: 32724913 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Khodaee M, Spadafore S, Spittler J Tags: J Fam Pract Source Type: research

A guide to managing disorders of the ear pinna and canal.
Abstract This review will help you troubleshoot everything from infections and foreign bodies to trauma and neoplasm. PMID: 32724914 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Grine K, Stephens M Tags: J Fam Pract Source Type: research

PURL: USPSTF expands options for cervical cancer screening.
Abstract Women ages 30 to 65 years now have a third cervical cancer screening option. PMID: 32724915 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Oyola S, VanGompel EW Tags: J Fam Pract Source Type: research

Hyperpigmentation of the legs.
Abstract Was a drug or a comorbidity to blame for this patient's hyperpigmentation? PMID: 32724916 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Nguyen BM, Upchurch S, Amini A Tags: J Fam Pract Source Type: research

50-year-old man • foot pain • "purple" toe • history of smoking • Dx?
50-year-old man • foot pain • "purple" toe • history of smoking • Dx? J Fam Pract. 2020 Jul/Aug;69(6):E14-E16 Authors: Vermeulen M Abstract ► Foot pain ► "Purple" toe ► History of smoking. PMID: 32724917 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2020 Category: Practice Management Authors: Vermeulen M Tags: J Fam Pract Source Type: research

I'm getting old (and it's costing me).
PMID: 32555750 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Pearson R Tags: J Fam Pract Source Type: research

Painful foot or ankle? Don't overlook these 5 injuries.
Abstract A missed diagnosis of one of these conditions risks delay in referral for orthopedic evaluation and surgical management-possibly leading to complications. PMID: 32555751 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Roman A, Van Lancker HP Tags: J Fam Pract Source Type: research

Leveraging CAM to treat depression and anxiety.
Abstract Conventional medications and psychotherapy are still first-line treatments, but certain complementary and alternative strategies have value as adjunctive measures. PMID: 32555752 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Olagunju AE, Gaddey H Tags: J Fam Pract Source Type: research

Managing a woman with BRCA mutations? Shared decision-making is key.
Abstract A collaborative assessment of options and trade-offs-perhaps using visual decision aids-can help. PMID: 32555753 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Schrager S, Torell E, Ledford K, Elezaby M, Barroleit L, Sadowski E Tags: J Fam Pract Source Type: research

Acute rhinosinusitis: When to prescribe an antibiotic.
Abstract Yes, the majority of antibiotics prescribed for acute rhinosinusitis are unnecessary, but when should you prescribe one and which one(s) should you use? PMID: 32555754 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Hughes PR, Hungerford CH, Jensen KN Tags: J Fam Pract Source Type: research

PURL: How old is too old for statins?
Abstract When to start, continue, or stop statins in those ages ≥ 75 years has been a quandary. Here's what 2 studies have to say. PMID: 32555755 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Marshall B, Bennett N Tags: J Fam Pract Source Type: research

Erectile dysfunction: How to help patients and partners.
Abstract This guide and helpful list of key questions can provide a therapeutic framework for addressing the relationship side of ED. PMID: 32555756 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Buck K, Stratton J, Hodgson J Tags: J Fam Pract Source Type: research

36-year-old man • persistent dry cough • frequent sinus congestion • hemoptysis • Dx?
36-year-old man • persistent dry cough • frequent sinus congestion • hemoptysis • Dx? J Fam Pract. 2020 Jun;69(5):255-256 Authors: Pejic RN, Gabrielson AT Abstract ► Persistent dry cough ► Frequent sinus congestion ► Hemoptysis. PMID: 32555757 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Pejic RN, Gabrielson AT Tags: J Fam Pract Source Type: research

Growing scalp nodule.
Abstract Was this a malignant lesion or an unusual presentation of a benign nodule? PMID: 32555758 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Wilson JL Tags: J Fam Pract Source Type: research

Include a behavioral health specialist in ADHD evaluations.
PMID: 32555759 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Bean HC Tags: J Fam Pract Source Type: research

Prolonged azithromycin Tx for asthma?
PMID: 32555760 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Hahn DL Tags: J Fam Pract Source Type: research

Do cinnamon supplements improve glycemic control in adults with T2DM?
PMID: 32555761 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Careyva B, Greenberg G, Jabbour K, Defenbaugh N, Nashelsky J Tags: J Fam Pract Source Type: research

24-year-old man • prednisone therapy for nephrotic syndrome • diffuse maculopapular rash • pruritis • Dx?
24-year-old man • prednisone therapy for nephrotic syndrome • diffuse maculopapular rash • pruritis • Dx? J Fam Pract. 2020 Jun;69(5):E1-E2 Authors: Soifer NE, Hepner MJ Abstract ► Prednisone therapy to treat nephrotic syndrome ► Diffuse maculopapular rash ► Pruritis. PMID: 32555762 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2020 Category: Practice Management Authors: Soifer NE, Hepner MJ Tags: J Fam Pract Source Type: research

How effective is that face mask?
PMID: 32437480 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Hickner J Tags: J Fam Pract Source Type: research

Hypertriglyceridemia: A strategic approach.
Abstract This review, and the at-a-glance tables that follow, detail indications and strategies for the treatment of adults with hypertriglyceridemia. PMID: 32437481 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Raza Z, Mulki AK, Garufi LC, Greenberg GM Tags: J Fam Pract Source Type: research

How to minimize the pain of local anesthetic administration.
Abstract Expertise in the delivery of effective local analgesia is critical to the success of in-office procedures. Here's how to optimize patient outcomes and satisfaction. PMID: 32437482 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Martinez RA, Hurff A, DeGeorge KC, DeGeorge BR Tags: J Fam Pract Source Type: research

Whom should you screen for abdominal aortic aneurysm?
Abstract Most patients with AAA are asymptomatic until the situation is dire. Ultrasound screening in older patients can reduce the risk of death, but recommendations vary. PMID: 32437483 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Todd JS, Drougas JG Tags: J Fam Pract Source Type: research

The many variants of psoriasis.
Abstract Erythema, skin thickening, and scales typify most cases, but other patterns exist. Tx choices may differ, depending on how much body surface area is covered. PMID: 32437484 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Clebak KT, Helm L, Helm MF, Seiverling EV Tags: J Fam Pract Source Type: research

PURL: Immediate or delayed pushing in the second stage of labor?
Abstract Is there any advantage to delaying pushing in the second stage of labor for nulliparous women receiving epidural analgesia? PMID: 32437485 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Devitt J, Lyon C Tags: J Fam Pract Source Type: research

USPSTF round-up.
Abstract The Task Force now recommends that physicians take steps to prevent perinatal depression and has modified its recommendation on lead screening. PMID: 32437486 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Campos-Outcalt D Tags: J Fam Pract Source Type: research

Postpartum IUD placement • breastfeeding • difficulty maintaining milk supply • Dx?
Postpartum IUD placement • breastfeeding • difficulty maintaining milk supply • Dx? J Fam Pract. 2020 May;69(4):205-206 Authors: Maxfield H Abstract ► Postpartum IUD placement ► Exclusively breastfeeding ► Difficulty maintaining milk supply. PMID: 32437487 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Maxfield H Tags: J Fam Pract Source Type: research

Recent-onset bloody nodule.
Abstract An antibiotic ointment failed to clear the lesion on the patient's back. A more detailed history revealed the nodule's troubling genesis. PMID: 32437488 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Haeberle MT, Jung J, Brown TS Tags: J Fam Pract Source Type: research

COVID-19: "You're gonna need a bigger boat".
COVID-19: "You're gonna need a bigger boat". J Fam Pract. 2020 May;69(4):169-171 Authors: Rood MN PMID: 32437489 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Rood MN Tags: J Fam Pract Source Type: research

Acute bilateral hand edema and vesiculation.
Abstract Environmental history exposed the diagnosis. PMID: 32437490 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Kolar L, Khodaee M Tags: J Fam Pract Source Type: research

Does vitamin D supplementation reduce asthma exacerbations?
PMID: 32437491 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2020 Category: Practice Management Authors: Jaura J, Kelsberg G, Safranek S Tags: J Fam Pract Source Type: research

COVID-19 CRISIS: we must care for ourselves as we care for others.
PMID: 32289124 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Sutton A, Skolnik N Tags: J Fam Pract Source Type: research

Diabetic retinopathy: The FP's role in preserving vision.
Abstract Evaluation and Tx of this debilitating complication falls to the eye specialist, but you play a central role in assessing risk and optimizing prevention strategies. PMID: 32289125 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Farford B Tags: J Fam Pract Source Type: research

Getting tendinopathy treatment (and terminology) right.
Abstract Tendinopathy, tendinitis, tendinosis, paratenonitis-they are not synonymous. Here you'll find a review of their pathophysiology and best approaches to treatment. PMID: 32289126 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Goerl K Tags: J Fam Pract Source Type: research

Asthma: newer Tx options mean more targeted therapy.
Abstract It's an exciting era of asthma management, with the introduction of several novel modalities, including biological therapy and bronchial thermoplasty. PMID: 32289127 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Rali PM, Baffour-Awuah NY, Gupta R, Rali G, Rali M Tags: J Fam Pract Source Type: research

Working adeptly to diagnose and treat adult ADHD.
Abstract Rely on DSM-5 criteria and an appropriate rating scale to assess how an individual's inattention, hyperactivity, and impulsivity interfere with functioning in different settings. PMID: 32289128 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Brieler JA, Matsunaga A, Gafford J Tags: J Fam Pract Source Type: research

Sharp lower back pain • left-side paraspinal tenderness • anterior thigh sensory loss • Dx?
Sharp lower back pain • left-side paraspinal tenderness • anterior thigh sensory loss • Dx? J Fam Pract. 2020 Apr;69(3):150-153 Authors: Nithyanandam S, Smoot K, Schleich K, Slayman T Abstract ► Acute-onset, sharp nonradiating lower back pain ► Left-side paraspinal tenderness ► Anterior thigh sensory loss. PMID: 32289129 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Nithyanandam S, Smoot K, Schleich K, Slayman T Tags: J Fam Pract Source Type: research

Red painful nodules in a hospitalized patient.
Abstract Was the patient's treatment, or his underlying condition, to blame? PMID: 32289130 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: MacKillop KM, Dekay J, Karnes J Tags: J Fam Pract Source Type: research

Probiotics as a Tx resource in primary care.
Abstract While probiotics have not been marketed as drugs, clinicians can still recommend them in an evidence-based manner. PMID: 32289131 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Merenstein DJ, Sanders ME, Tancredi DJ Tags: J Fam Pract Source Type: research

Paranoid delusions • ideas of reference • sleep problems • Dx?
Paranoid delusions • ideas of reference • sleep problems • Dx? J Fam Pract. 2020 Apr;69(3):E11-E15 Authors: Chan S, Chik I, Wilson BA Abstract ► Paranoid delusions ► Ideas of reference ► Sleep problems ► Multiple, vague somatic symptoms. PMID: 32289132 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Chan S, Chik I, Wilson BA Tags: J Fam Pract Source Type: research

PURL: Aspirin, Yes, for at-risk elderly-but what about the healthy elderly?
This study paints a decidedly different picture as to what role-if any-aspirin can play in the primary prevention of CVD for older adults. PMID: 32289133 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Piggott C, Lyon C Tags: J Fam Pract Source Type: research

PURL: Can drinking more water prevent urinary tract infections?
Abstract A high-quality randomized controlled trial says 'Yes.' PMID: 32289134 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: McCollum BJ, Garigan T, Earwood J Tags: J Fam Pract Source Type: research

Do prophylactic antipyretics reduce vaccination-associated symptoms in children?
PMID: 32289135 [PubMed - as supplied by publisher] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - April 1, 2020 Category: Practice Management Authors: Chau-Glendinning H, Baber B, Neher JO Tags: J Fam Pract Source Type: research