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Journal of Family Practice

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https://www.readbyqxmd.com/read/29726859/hypothermia-in-adults-a-strategy-for-detection-and-tx
#1
Natasha J Pyzocha, Joseph L Steele
Whether hypothermia is a result of environmental exposure or illness, it's important to identify predictable patterns of physiologic response and focus on proper Tx.
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726858/photo-rounds-generalized-pustular-eruption
#2
Stanislav N Tolkachjov, David A Wetter, Benjamin J Sandefur
The timing of a recent prescription for azithromycin and the morphology of this eruption made us suspect a drug reaction. But which type of reaction were we looking at?
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726857/clinical-inquiries-does-niacin-decrease-cardiovascular-morbidity-and-mortality-in-cvd-patients
#3
Peter Lazzopina, Anne Mounsey, Lara Handler
No. Niacin doesn't reduce cardiovascular disease (CVD) morbidity or mortality in patients with established disease (strength of recommendation [SOR]: A, meta-analyses of randomized controlled trials [RCTs] and subsequent large RCTs). Niacin may be considered as monotherapy for patients intolerant of statins (SOR: B, one well-done RCT).
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726856/uspstf-update-new-and-revised-recommendations
#4
Doug Campos-Outcalt
Behavioral interventions for obese kids and teens can improve weight for up to a year, and a new analysis reverses previous advice on scoliosis screening.
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726855/purl-a-new-protocol-for-rhd-negative-pregnant-women
#5
Corey Lyon, Aimee English
Can cell-free DNA testing reduce unnecessary use of anti-D immunoglobulin in RhD-negative women and still prevent harm to their RhD-positive infants?
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726854/critical-anemia-%C3%A2-light-headedness-%C3%A2-bilateral-leg-swelling-%C3%A2-dx
#6
Maria Tecos, Megan Yee, Tricia Mueller
40-year-old man was referred to the emergency department (ED) with critical anemia after routine blood work at an outside clinic showed a hemoglobin level of 3.5 g/dL. On presentation, he reported symptoms of fatigue, shortness of breath, bilateral leg swelling, dizziness (characterized as light-headedness), and frequent heartburn. He said that the symptoms began 5 weeks earlier, after he was exposed to a relative with hand, foot, and mouth disease.
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726853/the-naloxone-option
#7
Angeline Prabhu, Bilal Abaid, Mohammed S Khaleel, Shivani Naik, Melanie Lippman, Steven Lippman
This quick guide provides you with naloxone dosing information and steps you'll want to take once the crisis has passed.
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726852/biopsies-for-skin-cancer-detection-dispelling-the-myths
#8
Elizabeth V Seiverling, Hadjh T Ahrns, Lindsay C Bacik, Richard Usatine
This review debunks 5 myths and provides the information you need to perform rapid, high-quality biopsies to detect skin cancers at their earliest stages.
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726851/parkinson-s-disease-a-treatment-guide
#9
Jocelyn Young, Michael Mendoza
By following this stepwise approach, you can confidently incorporate newer agents into your armamentarium with little or no consultation with subspecialists.
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29726850/when-the-correct-dx-is-elusive
#10
EDITORIAL
John Hickner
No abstract text is available yet for this article.
May 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614150/a-guide-to-providing-wide-ranging-care-to-newborns
#11
Scott Hartman, Elizabeth Loomis, Holly Russell, Elizabeth Brown
Here's how to refine your care, which includes an assessment of neonatal feedings, the evaluation of jaundice and fever, and the prevention of SIDS.
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614149/bilateral-thigh-and-knee-pain-%C3%A2-leg-weakness-%C3%A2-no-history-of-trauma-%C3%A2-dx
#12
Tyler D Ames, Carmen E Quatman, Laura S Phieffer, Scott Van Steyn
No abstract text is available yet for this article.
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614148/clinical-inquiries-how-well-do-polst-forms-assure-that-patients-get-the-end-of-life-care-they-requested
#13
Jordan Collier, Gary Kelsberg, Sarah Safranek
Quite well, for cardiopulmonary resuscitation (CPR). Most patients (91%-100%) who select "do not resuscitate" (DNR) on their physician's orders for life-sustaining treatment (POLST) forms are allowed a natural death without attempted CPR across a variety of settings (community, skilled nursing facilities, emergency medical services, and hospice). Few patients (6%) who select "comfort measures only" die in the hospital, whereas more (22%) who choose "limited interventions," and still more (34%) without a POLST form, die in the hospital (strength of recommendation [SOR]: B, large, consistent cross-sectional and cohort studies)...
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614147/clinical-inquiries-what-are-the-benefits-and-risks-of-daily-low-dose-aspirin-for-primary-prevention-of-cv-events
#14
Justin Mutter, Rebecca Grandy, Stephen Hulkower, Sue Stigleman
One nonfatal myocardial infarction (MI) will be avoided for every 126 to 138 adults who take daily aspirin for 10 years (strength of recommendation [SOR]: A, systematic reviews and meta-analyses of multiple randomized controlled trials [RCTs]). Taking low-dose aspirin for primary prevention shows no clear mortality benefit. A benefit for primary prevention of stroke is less certain. Although no evidence establishes increased risk of hemorrhagic stroke from daily low-dose aspirin, one gastrointestinal hemorrhage will occur for every 72 to 357 adults who take aspirin for longer than 10 years (SOR: A, systematic reviews and meta-analyses of multiple RCTs and cohort studies)...
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614146/bilateral-nonpitting-edema-and-xerotic-skin
#15
Kiran Joglekar, Christopher Jackson, Kavita Natrajan
When treatment for cellulitis and a suspected exacerbation of congestive heart failure failed, we ordered a biopsy. The pathology report made the diagnosis clear.
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614145/purl-treating-migraines-it-s-different-for-kids
#16
Matthew Hawks, Anne Mounsey
Certain medications used for migraine prevention in adults do not perform the same way in children and adolescents and can actually cause harm.
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614144/severe-right-upper-chest-pain-%C3%A2-tender-right-sternoclavicular-joint-%C3%A2-dx
#17
Louis Eubank, Samantha Wood, Tania Strout
A 16-year-old hockey player presented to our emergency department with sharp pain in his right upper chest after "checking" another player during a game. The pain did not resolve with rest and was worse with movement and breathing. The patient did not have dysphagia, dyspnea, paresthesias, or hoarseness. The physical examination revealed tenderness over the right sternoclavicular joint (SCJ) without swelling or deformity. A distal neurovascular exam was intact, and a chest x-ray showed no evidence of dislocation or fracture...
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614143/acupuncture-for-pain-7-questions-answered
#18
Russell Lemmon
Is acupuncture an effective treatment for pain? Are there any adverse effects? Learn the answers to these and other questions in this review.
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614142/getting-the-hypertension-dx-right-patient-positioning-matters
#19
Roy N Morcos, Kimbroe J Carter, Frank Castro, Nathan Yu, Cary Jordan, Thomas D Macabobby, Angelina Rodriguez
Taking blood pressure with the patient seated on the edge of an exam table led to misclassification of prehypertension or hypertension in 13.2% of patients.
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29614141/periprocedural-management-of-oral-anticoagulation-when-and-how-to-hit-pause
#20
Nicole Hlavacek, Drew McMillan, Jeremy Vandiver
Here's how best to assess patients' bleeding and thrombotic risks and 5 key questions to ask as you consider withholding oral anticoagulants.
April 2018: Journal of Family Practice
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