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Journal of Family Practice

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https://www.readbyqxmd.com/read/28258979/healthy-infant-with-a-blistering-rash
#1
Paul H Fenton, Matthew J Landherr, Megan H Noe, Heather Ciliberto, Karolyn A Wanat
The parents denied any environmental exposures and said that the child hadn't had contact with anyone with a similar rash. The distribution of the rash was revealing.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249062/readers-weigh-in-on-opioid-epidemic
#2
LETTER
Don Sesso
I would like to see someone conduct a nationwide survey of primary care physicians regarding their views on narcotics for pain so that I can better understand my colleagues' perspectives on this issue.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249061/readers-weigh-in-on-opioid-epidemic
#3
LETTER
David A Moore
Patients who are addicted to opioids are no more difficult to treat than patients with diabetes, yet we, as family physicians, often fail to fulfill our basic duty to respond to their illness.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249060/medical-marijuana-irresponsible-medical-care
#4
LETTER
Nayvin Gordon
Illness should continue to be treated by health professionals employing scientific evidence. This is responsible policy. It is not appropriate or medically justified for family physicians to refer patients to medical marijuana clinics; instead, they should inform their patients that medical treatment must be based on scientific evidence.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249059/an-overlooked-rx-for-nasal-obstruction-relief
#5
LETTER
Walter D Leventhal
We frequently recommend ipratropium nasal spray in our office, as it is an effective, non-addictive nasal decongestant.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249058/help-desk-answers-does-giving-a-sweet-tasting-solution-before-vaccine-injection-reduce-infant-crying
#6
Helaine Levine
Oral administration of a sucrose or glucose solution before intramuscular vaccine injection reduces expected crying duration by 12 to 77 seconds following the shot.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249057/widespread-erythematous-skin-eruption
#7
André D Généreux, David A Wetter
The patient presented with a salmon-colored rash from head to toe. The distinctive clinical presentation and a biopsy pointed to an uncommon diagnosis.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249056/purls-cold-turkey-works-best-for-smoking-cessation
#8
REVIEW
Dustin K Smith, Deborah E Miller, Anne Mounsey
Counsel patients who want to quit smoking that doing so abruptly leads to higher cessation rates than does quitting gradually.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249055/weakness-and-pain-in-arms-and-legs-%C3%A2-dark-urine-%C3%A2-history-of-vertebral-osteomyelitis-%C3%A2-dx
#9
Antonios Charokopos, Tariq Muhammad, Sidana Surbhi, Andrei Brateanu
Rhabdomyolysis is a serious complication of statin treatment. Both higher statin doses and pharmacokinetic factors can raise statin levels, leading to this serious usclerelated syndrome. Co-administration of statins with drugs that are strong inhibitors of cytochrome P450 (CYP) 3A4 (the main cytochrome P450 isoform that metabolizes most statins) can increase statin levels several fold. The trigger for our patient's statin-induced rhabdomyolysis was fluconazole, a known moderate inhibitor of CYP3A4, which is comparatively weaker than certain potent azoles like itraconazole or ketoconazole...
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249054/practice-alert-acip-vaccine-update-2017
#10
Doug Campos-Outcalt
HIV infection is now an indication for meningococcus vaccination and HPV vaccine dosing is simpler for patients ⟨15 years.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249053/chronic-pain-how-to-approach-these-3-common-conditions
#11
REVIEW
Jill Schneiderhan, Carissa Orizondo
Fibromyalgia, osteoarthritis, and low back pain require multimodal, evidence-based treatment plans. Tailoring those plans to the underlying mechanisms of pain is key.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249052/hepatitis-c-screening-changes-treatment-advances
#12
REVIEW
Mark Shaffer, Divya Ahuja
Changing at-risk populations and treatments are reshaping screening and management. Which regimens are best and what factors influence treatment choices?
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28249051/the-elements-of-pain-care-that-the-guidelines-don-t-address
#13
EDITORIAL
John Hickner
I have managed many patients with chronic pain who were already on hefty doses of narcotics when they became my patients. Rather than refuse to care for them, we should seek to understand their story, continuously try other medications and therapies, repeatedly attempt to reduce dosages, and frequently check substance databases.
March 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222461/elements-for-success-in-managing-type-2-diabetes-with-sglt-2-inhibitors-individualizing-treatment-with-sglt-2-inhibitor-therapy-in-type-2-diabetes-mellitus
#14
Eden M Miller
The largely self-managed nature of type 2 diabetes mellitus (T2DM) underscores the importance of a collaborative decision-making process between patient and provider that best aligns the medication characteristics with the needs, interests, and abilities of the patient and with the treatment goals. The treatment regimen should be kept as simple as possible. This article applies these general principles to the use of sodium glucose cotransporter-2 inhibitor (SGLT-2) therapy, based on evidence from published studies and the clinical experience of the author...
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222460/elements-for-success-in-managing-type-2-diabetes-with-sglt-2-inhibitors-overview-of-the-efficacy-and-safety-of-sglt-2-inhibitors-in-type-2-diabetes-mellitus
#15
Eden M Miller
Since the approval of the first sodium-glucose cotransporter-2 (SGLT-2) inhibitor by the US Food and Drug Administration (FDA) in 2013, the SGLT-2 inhibitors have assumed key roles in the management of patients with type 2 diabetes mellitus (T2DM). This review covers the safety and efficacy of these agents when used in this patient population.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222459/elements-for-success-in-managing-type-2-diabetes-with-sglt-2-inhibitors-role-of-the-kidney-in-glucose-homeostasis-implications-for-sglt-2-inhibition-in-the-treatment-of-type-2-diabetes-mellitus
#16
Eden M Miller
The focus on the kidney as a therapeutic target for the treatment of type 2 diabetes mellitus (T2DM) has led to the development of the sodium-glucose cotransporter-2 (SGLT-2) inhibitors, of which 3 are available in the United States. This article addresses the implications for SGLT-2 inhibition in the treatment of T2DM.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222458/purls-steroids-during-late-preterm-labor-better-later-than-never
#17
REVIEW
Corey Lyon, Jennifer K Bello
Steroids--even when administered in the last leg of the late preterm period--still reduce the likelihood of respiratory complications in newborns.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222457/hemodialysis-patient-with-finger-ulcerations
#18
Sahand Rahnama-Moghadam, Tina Motazedi, Jennifer Krejci-Manwaring
The patient reported pain and paresthesias of his left ring finger, and his left hand was cooler than his right. An angiogram helped us recognize the cause of his symptoms.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222456/nausea-vomiting-%C3%A2-tachycardia-%C3%A2-unintentional-weight-loss-%C3%A2-dx
#19
Daryl J Selen, Matthew P Gilbert
A 22-year-old woman presented to the emergency department (ED) with a 24-hour history of nausea, vomiting, diarrhea, generalized abdominal pain, and mild headache. She denied shortness of breath, chest pain, or anxiety, and didn't have a history of cardiac problems. The physical examination revealed tachycardia (heart rate, 135 beats/min) and a respiratory rate of 24 breaths per minute.
February 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28222455/muscle-cramps-pain-%C3%A2-weakness-%C3%A2-muscle-twitching-%C3%A2-dx
#20
Sommer Aldulaimi
A 39-year-old man who worked in construction presented to our clinic with complaints of muscle cramps and muscle pain that had been bothering him for several months. The cramps and pain started in both of his arms and subsequently became diffuse and generalized. He also reported an unintentional 15-pound weight loss.
February 2017: Journal of Family Practice
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