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- 1From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedSEPTEMBER What do you advise women in their 40s regarding screening mammography? Begin having annual mammograms at age 40 39% Have a baseline mammogram and evaluate risk before determining when to screen 30% Wait until...
- 2From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedA 78-YEAR-OLD MAN was diagnosed with polymyalgia rheumatica (painful inflammation of the arteries, usually in the shoulders and hips) by his longtime primary care physician. The doctor treated the condition with...
- 3From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedEVIDENCE-BASED ANSWER A/SEVERAL VITAMIN D REPLACEMENT REGIMENS ARE EFFECTIVE. Cumulative dosing may be more important than frequency of dosing (strength of recommendation [SOR]: C, inconsistent results from...
- 4From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedEVIDENCE-BASED ANSWERS A/A SINGLE DOSE OF CORTICOSTEROIDS is the first-line treatment for croup, resulting in fewer return visits and hospital admissions, shorter lengths of stay in the emergency department (ED) or...
- 5From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedPRACTICE RECOMMENDATIONS * Advise patients with metatarsalgia to use metatarsal pads, consider orthotics, use contrast baths, and avoid high heels and pointy-toed shoes. (C) * Recommend that runners with stress...
- 6From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedPRACTICE RECOMMENDATIONS * Emollients should be used during acute flares as well as regularly for maintenance therapy in children with atopic dermatitis (AD). (A) * Topical corticosteroids are the first-line...
- 7From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedEVIDENCE-BASED ANSWER A/INSUFFICIENT EVIDENCE exists to determine which specific combinations most effectively decrease cardiovascular morbidity and mortality, although combinations of hypertension medications at...
- 8From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedAFTER 6 MONTHS OF BREAST PAIN that became worse during menses, a 36-year-old woman, who had recently come to the United States from Iraq, consulted her family physician. The physician had been recommended because she...
- 9From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedA 19-YEAR-OLD NULLIPAROUS CAUCASIAN WOMAN came into our family practice clinic; she was concerned about redness and swelling that had developed in her left breast 2 weeks earlier. She'd gone to a local emergency...
- 10From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedA COMPUTED TOMOGRAPHY (CT) SCAN of a patient's chest ordered by his physician revealed a cancerous nodule on the right lung. The physician's office received the report but didn't notify the patient of the finding. Nor...
- 11From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedEach year, The Journal of Family Practice provides a variety of CME and non-CME programs in the form of printed supplements and eNewsletters, all of which are outside of the traditional journal content but subject to...
- 12From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedSUDDEN ONSET OF CHEST PAIN brought a 41-year-old woman to the ED. Results of an electrocardiogram, chest radiograph, and lab tests were all normal. While in the ED, the patient developed diarrhea and was diagnosed with...
- 13From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedAbstract Purpose * Assessing for cognitive impairment is now mandated as part of the Medicare Annual Wellness Visit. This offers an unparalleled opportunity for early detection and treatment of dementia. However,...
- 14From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedNUMBNESS IN HER RIGHT FOOT prompted 2 visits to the emergency department by a woman in her early 40s. The foot was cold and discolored. By the second visit, the patient was screaming with pain. A sprain was diagnosed...
- 15From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedDr. Susman's editorial, "The rebirth of the solo family doc" (J Fam Pract. 2011;60:510), gave me tremendous satisfaction. I have had my own practice since the early 1970s, after being kicked out of a family practice...
- 16From: Journal of Family Practice. (Vol. 60, Issue 11) Peer-ReviewedPRACTICE CHANGER Advise patients to start taking zinc supplements (available as tablets, syrup, or lozenges) within 24 hours of the onset of a cold. (1) Singh M, Das RR. Zinc for the common cold. Cochrane Database...