Medical Cannabis: Not just a passing fad.
PMID: 31532812 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Hickner J Tags: J Fam Pract Source Type: research

Medical Cannabis: A guide to the clinical and legal landscapes.
Abstract If your patient expresses interest in medical marijuana, you'll find evidence on maximizing benefit while minimizing risk. But be cautious: Data are often contradictory. PMID: 31532813 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Weinstein LC, Worster B Tags: J Fam Pract Source Type: research

How best to address breast pain in nonbreastfeeding women.
Abstract This guide-with accompanying algorithms-will help you to streamline your approach to breast pain in a patient who isn't breastfeeding. PMID: 31532814 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Lochner J, Larson M, Torell E, Schrager S Tags: J Fam Pract Source Type: research

Caring for patients with co-occurring mental health & substance use disorders.
Caring for patients with co-occurring mental health & substance use disorders. J Fam Pract. 2019 Sep;68(7):400-404 Authors: Rundell K, Oza R, Greco L, Cruzado EO Abstract Consider substance abuse if Tx for mood or anxiety disorders is ineffective. Don't defer treating a mental health issue until a substance use disorder is resolved. PMID: 31532815 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Rundell K, Oza R, Greco L, Cruzado EO Tags: J Fam Pract Source Type: research

8-year-old boy • palpable purpura on the legs with arthralgia • absence of coagulopathy • upper respiratory infection • Dx?
8-year-old boy • palpable purpura on the legs with arthralgia • absence of coagulopathy • upper respiratory infection • Dx? J Fam Pract. 2019 Sep;68(7):411;412;414 Authors: Bramson R, Trinh A PMID: 31532816 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Bramson R, Trinh A Tags: J Fam Pract Source Type: research

PURL: Antidepressant Tx for anxiety disorders: How long?
Abstract This systematic review/meta-analysis provides some long-awaited evidence regarding the length of time to treat to minimize the risk of relapse. PMID: 31532817 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: McGuire P, Castelli G Tags: J Fam Pract Source Type: research

Rash on the thigh.
Abstract The patient's study habits led to the diagnosis in this case. PMID: 31532818 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Cheng MW, Goldbach H, Young LC Tags: J Fam Pract Source Type: research

Which oral nonopioid agents are most effective for OA pain?
PMID: 31532819 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Gilmer B, Hulkower S, Wilson CG, Macdonald B, Pozner J, Stigleman S Tags: J Fam Pract Source Type: research

Advanced team-based care: How we made it work.
Abstract Our move away from a traditional practice model has improved quality metrics and enhanced our financial sustainability. PMID: 31532820 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Jerzak J, Siddiqui G, Sinsky CA Tags: J Fam Pract Source Type: research

Red patches on the tongue with white borders • history of geographic tongue • incompletely treated celiac disease • Dx?
Red patches on the tongue with white borders • history of geographic tongue • incompletely treated celiac disease • Dx? J Fam Pract. 2019 Sep;68(7):E9-E11 Authors: Bray SC, Carek PJ PMID: 31532821 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Bray SC, Carek PJ Tags: J Fam Pract Source Type: research

How safe and effective is ondansetron for nausea and vomiting in pregnancy?
PMID: 31532822 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - September 1, 2019 Category: Practice Management Authors: Collins KL, Wilson M, Vincent EC, Safranek S Tags: J Fam Pract Source Type: research

Doing our part to dismantle the opioid crisis.
PMID: 31381618 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Hickner J Tags: J Fam Pract Source Type: research

Is it time to taper that opioid? (And how best to do it).
Abstract This guide will help you to determine when to start an opioid taper and how to do so while maintaining pain control and minimizing the risk that the taper will fail. PMID: 31381619 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Mendoza M, Russell HA Tags: J Fam Pract Source Type: research

What we know--and don't--about non-nutritive sweeteners.
Abstract Here's what's known about the safety of these sweeteners and their effect on weight, appetite, and the risk for type 2 diabetes. PMID: 31381620 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Dugan J, Chiu JW, Shubrook JH, Young CF Tags: J Fam Pract Source Type: research

Managing dermatologic changes of targeted cancer therapy.
Abstract Failure to control these dermatologic changes can lead to lower dosages of cancer agents or an interrupted course of Tx. These steps can help you to head off trouble. PMID: 31381621 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Zarrabi K, Gemmill JAL, Safaee M, Baer L Tags: J Fam Pract Source Type: research

Facts to help you keep pace with the vaccine conversation.
Abstract In the United States, we have a robust system to monitor vaccine safety and an efficient system to compensate those who experience adverse reactions. Here's how it works. PMID: 31381622 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Campos-Outcalt D Tags: J Fam Pract Source Type: research

PURL: Do probiotics reduce C diff risk in hospitalized patients?
Abstract A systematic review and meta-analysis says, "Yes," but that doesn't necessarily mean they will start appearing on hospital formularies. PMID: 31381623 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Simpson M, Lyon C Tags: J Fam Pract Source Type: research

Acute hearing loss, tinnitus, and fullness in the left ear • Weber test lateralized to the right ear • Positive Rinne test and normal tympanometry • Dx?
Acute hearing loss, tinnitus, and fullness in the left ear • Weber test lateralized to the right ear • Positive Rinne test and normal tympanometry • Dx? J Fam Pract. 2019 Jul/Aug;68(6):355-357 Authors: Ovando D, Kutz JW, Huerta S PMID: 31381624 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Ovando D, Kutz JW, Huerta S Tags: J Fam Pract Source Type: research

Multiple hyperpigmented papules and plaques.
Abstract We had our suspicions as to the diagnosis, but a particular sign was missing. The biopsy settled things. PMID: 31381625 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Bray A, Sparling JD Tags: J Fam Pract Source Type: research

A solution for reducing referrals (and malpractice suits).
PMID: 31381626 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Volpintesta E Tags: J Fam Pract Source Type: research

Erratum: A better approach to the diagnosis of PE.
Abstract The author list for the June 2019 PURL ("A better approach to the diagnosis of PE." J Fam Pract. 2019;68:286,287,295) should have read: Andrew H. Slattengren, DO; Shailendra Prasad, MBBS, MPH; David C. Bury, DO; Michael M. Dickman, DO; Nick Bennett, DO; Ashley Smith, MD; Robert Oh, MD, MPH, FAAFP; Robert Marshall, MD, MPH, MISHM, FAAFP. PMID: 31381627 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Slattengren AH, Prasad S, Bury DC, Dickman MM, Bennett N, Smith A, Oh R, Marshall R Tags: J Fam Pract Source Type: research

The benefits of a standardized approach to opioid prescribing.
Abstract This initiative increased patient acceptance of controlled substance agreements and random urine drug screening, and it led many patients to discontinue opioid therapy. PMID: 31381628 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Patchett D, Grover M, Kresin M, Bryan M, Nordrum J, Buras M, Pierce S, McDaniel K Tags: J Fam Pract Source Type: research

Facial swelling in an adolescent.
Abstract Clinical findings, as well as the patient's age and sex, pointed to the diagnosis. PMID: 31381629 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Bambekova P, Morfin A, Buch C, Usatine R Tags: J Fam Pract Source Type: research

Do A-fib patients continue to benefit from vitamin K antagonists with advancing age?
PMID: 31381630 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Guthmann R, Bahrami A, Martin R, Nashelsky J Tags: J Fam Pract Source Type: research

Can unintended pregnancies be reduced by dispensing a year's worth of hormonal contraception?
PMID: 31381631 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - July 1, 2019 Category: Practice Management Authors: Wirsing N, Pierce C, Nashelsky J Tags: J Fam Pract Source Type: research

We all benefit from this powerful pairing.
PMID: 31287440 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Hickner J, Hickner A Tags: J Fam Pract Source Type: research

Allergy immunotherapy: Who, what, when...and how safe?
Abstract The evidence-based answers to these and other questions will help you to update your knowledge of allergy immunotherapy. PMID: 31287441 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Bright D, Pollart SM, Franko J Tags: J Fam Pract Source Type: research

How to incorporate HIV PrEP into your practice.
Abstract These recommendations and resources can help make HIV pre-exposure prophylaxis an essential part of your work. PMID: 31287442 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Stewart J, Stekler JD Tags: J Fam Pract Source Type: research

The case for behavioral health integration into primary care.
Abstract Chronic health disorders can be better managed without increasing costs by engaging in collaborative care management of depression and anxiety. PMID: 31287443 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Rajesh R, Tampi R, Balachandran S Tags: J Fam Pract Source Type: research

Would you be able to recognize the signs and symptoms of this particular drug overdose?
Abstract These 2 cases offer insights to faster recognition of a common cause of drug overdose. PMID: 31287444 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Rajesh R, Dasarathy J Tags: J Fam Pract Source Type: research

PURL: A better approach to the diagnosis of PE.
Abstract A simple diagnostic algorithm is all that's needed to safely and effectively reduce our reliance on CT pulmonary angiography to diagnose PE. PMID: 31287445 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Slattengren AH, Prasad S Tags: J Fam Pract Source Type: research

Rapidly growing lesions on the forehead.
Abstract Three distinct morphologies were visible. Biopsies revealed the diagnosis for each. PMID: 31287446 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Harview CL, McKenzie SA, Hsiao JL Tags: J Fam Pract Source Type: research

Can medical scribes improve quality measure documentation?
PMID: 31287447 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Platt J, Altman W Tags: J Fam Pract Source Type: research

4-year-old girl · genital discomfort and dysuria · clitoral hood swelling · Blood blister on the labia minora · Dx?
4-year-old girl · genital discomfort and dysuria · clitoral hood swelling · Blood blister on the labia minora · Dx? J Fam Pract. 2019 Jun;68(5):E8-E10 Authors: Alaniz VI, Rosen M, Mohr B, Markman L, Quint EH PMID: 31287448 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Alaniz VI, Rosen M, Mohr B, Markman L, Quint EH Tags: J Fam Pract Source Type: research

How effective is spironolactone for treating resistant hypertension?
PMID: 31287449 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - June 1, 2019 Category: Practice Management Authors: Lyon C, Utter B, DeSanto K Tags: J Fam Pract Source Type: research

Why we should vaccinate early for measles.
PMID: 31287450 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Roth R Tags: J Fam Pract Source Type: research

Guidelines are not mandates.
PMID: 31226172 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Hickner J Tags: J Fam Pract Source Type: research

Translating AHA/ACC cholesterol guidelines into meaningful risk reduction.
ro MD Abstract The new recommendations detail refined, personalized lipid management and emphasize multiple levels of evidence. The result? Care is more complex but patients might benefit more. PMID: 31226173 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Wójcik C, Shapiro MD Tags: J Fam Pract Source Type: research

A practical guide to the care of ingrown toenails.
Abstract Choose either a conservative or surgical treatment approach based on severity. The Vandenbos procedure, described here, is an effective surgical option. PMID: 31226174 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Stacey SK Tags: J Fam Pract Source Type: research

2019 USPSTF update.
Abstract The latest recommendations include 2 topics previously unaddressed: perinatal depression prevention and EKG screening for atrial fibrillation. PMID: 31226175 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Campos-Outcalt D Tags: J Fam Pract Source Type: research

Failure to thrive in a 6-day-old neonate · intermittent retractions with inspiratory stridor · Dx?
Failure to thrive in a 6-day-old neonate · intermittent retractions with inspiratory stridor · Dx? J Fam Pract. 2019 May;68(4):232-234 Authors: Hansen BP, Fiore DC, Galek KE PMID: 31226176 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Hansen BP, Fiore DC, Galek KE Tags: J Fam Pract Source Type: research

PURL: Can vitamin D prevent acute respiratory infections?
Abstract A systematic review and meta-analysis says Yes, but the dosages used may not be what you'd expect. PMID: 31226177 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Marshall B, Bennett N, Smith A, Oh R, Burket J Tags: J Fam Pract Source Type: research

Erythematous swollen ear.
PMID: 31226178 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Klawonn MA, Helm MM, Helm MF Tags: J Fam Pract Source Type: research

Overdoses are driving down life expectancy.
PMID: 31226179 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Ghosh K, Yeruva R, Lippmann S Tags: J Fam Pract Source Type: research

Does withholding an ACE inhibitor or ARB before surgery improve outcomes?
PMID: 31226180 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Jackman R, Hamilton A Tags: J Fam Pract Source Type: research

Could that back pain be caused by ankylosing spondylitis?
Abstract It can often take years for patients with this condition to learn the true cause of their pain. But this guide to the work-up can help speed the diagnostic process. PMID: 31226181 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Covey CJ, Church LT Tags: J Fam Pract Source Type: research

Painful, slow-growing recurrent nodules.
Abstract The patient's mother and son had similar lesions. Histopathology revealed an uncommon diagnosis. PMID: 31226182 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Afzal Z, Kallumadanda S, Sotelo O Tags: J Fam Pract Source Type: research

Hyperextension of the bilateral knees in a 1-day-old neonate · no knee fractures or dislocation on x-ray · Dx?
Hyperextension of the bilateral knees in a 1-day-old neonate · no knee fractures or dislocation on x-ray · Dx? J Fam Pract. 2019 May;68(4):E10-E13 Authors: Dasarathy J, Adedipe A, Hawke A PMID: 31226183 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Dasarathy J, Adedipe A, Hawke A Tags: J Fam Pract Source Type: research

Erratum: Hypoglycemia in the elderly: Watch for atypical symptoms.
er BM Abstract A recent letter, "Hypoglycemia in the elderly: Watch for atypical symptoms" (J Fam Pract. 2019;68:116) provided an incomplete list of the letter's authors. The list should have read: Jan Brož, MD, Jana Urbanová, MD, PhD, Prague, Czech Republic; Brian M. Frier, MD, BSc, Edinburgh, United Kingdom. PMID: 31226184 [PubMed - in process] (Source: The Journal of Family Practice)
Source: The Journal of Family Practice - May 1, 2019 Category: Practice Management Authors: Brož J, Urbanová J, Frier BM Tags: J Fam Pract Source Type: research

Real-world evidence in diabetes: relevance to clinical practice.
Abstract Real-world studies may be distinguished from traditional randomized controlled trials (RCTs) based on the study population and the setting in which the research is conducted. While RCTs are the gold standard for evaluating the efficacy and safety of new therapeutic interventions, they are typically conducted in specialized environments that may lack the everyday reality of clinical, home, and community settings. There is often a gap between efficacy shown in RCTs and the effectiveness observed in real-world settings. Real-world studies and resultant real-world data can be used to develop real-world eviden...
Source: The Journal of Family Practice - April 1, 2019 Category: Practice Management Authors: Blonde L, Bailey T, Strong J, Levin P Tags: J Fam Pract Source Type: research