journal
MENU ▼
Read by QxMD icon Read
search

Journal of Family Practice

journal
https://www.readbyqxmd.com/read/29309479/painful-jaw-lesion
#1
Delwyn Zj Lim, Hua-Liang J Lim
A 48-year-old Chinese woman was referred to our center with a 7-month history of a painful lesion on her left jaw that had been gradually increasing in size. The patient noted occasional purulent and bloody discharge from the lesion. She denied having a toothache. An examination revealed an erythematous nodule with perilesional puckering superior to the left body of the mandible, measuring 7 × 8 mm, with no discharge or surrounding inflammation. There was no cervical lymphadenopathy. WHAT IS YOUR DIAGNOSIS? HOW WOULD YOU TREAT THIS PATIENT?...
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309478/is-this-hypertension-treatment-strategy-based-on-sor-a-evidence
#2
LETTER
Chris Fallert
No abstract text is available yet for this article.
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309477/let-s-recognize-dr-john-geyman-too
#3
LETTER
Jay Siwek
No abstract text is available yet for this article.
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309476/utilize-guidelines-but-customize-bp-treatment-in-older-patients
#4
LETTER
Jennifer L Middleton, Miriam Chan
No abstract text is available yet for this article.
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309475/clinical-inquiries-how-do-hyaluronic-acid-and-corticosteroid-injections-compare-for-knee-oa-relief
#5
Corey Lyon, Emily Spencer, Jack Spittler, Kristen Desanto
Inconsistent evidence shows a small amount of pain relief early (one week to 3 months) with corticosteroid (CS) injections and an equally small improvement in pain relief and function later (3 to 12 months) with hyaluronic acid (HA) injections (strength of recommendation [SOR]: B, meta-analysis of a randomized controlled trial and inconsistent RCTs). Guidelines state that CS injections can be considered for symptomatic knee osteoarthritis, but that insufficient evidence exists to recommend HA injections (SOR: B, evidence-based guidelines)...
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309474/worsening-dyspnea
#6
Karyn B Kolman, Kaitlyn R Losey
A 62-year-old woman presented with a 2- to 3-week history of fatigue, nonproductive cough, dyspnea on exertion, and intermittent fever/chills. Her medical history was significant for rheumatoid arthritis that had been treated with methotrexate and prednisone for the past 6 years. The patient was currently smoking half a pack a day with a 40-pack year history. The patient was a lifelong resident of Arizona and had previously worked in a stone mine. WHAT IS YOUR DIAGNOSIS? HOW WOULD YOU TREAT THIS PATIENT?
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309473/cdc-provides-advice-on-recent-hepatitis-a-outbreaks
#7
Doug Campos-Outcalt
The epidemiology of hepatitis A virus disease has changed. Since July 2016, there have been 5 large outbreaks of infection involving more than 1600 cases, with affected states requiring assistance from the Centers for Disease Control and Prevention. Two of these outbreaks were foodborne, and 3 involved person-to-person transmission. This article reviews the extent of the outbreaks, what's behind the outbreaks, and outbreak-specific vaccine recommendations.
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309472/purls-tamsulosin-for-patients-with-ureteral-stones
#8
Pamela Hughes, Corey Lyon
A 54-year-old man presents to the emergency department with acute onset left flank pain that radiates to the groin. A computed tomography scan of the abdomen/pelvis without contrast reveals a 7-mm distal ureteral stone. He is deemed appropriate for outpatient management. In addition to pain medications, should you prescribe tamsulosin?
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309471/weakness-with-left-elbow-flexion-%C3%A2-left-anterior-shoulder-pain-%C3%A2-dx
#9
James Keeling, Morteza Khodaee
A 41-year-old, right-hand dominant man sought care at our facility one day after trying to pull his boat out of the water. He'd tried to lift the boat with his hands while his forearms were fully supinated and his elbows were flexed to about 90 degrees. He then felt a sharp burning sensation in his left anterior shoulder and was unable to lift the boat. The patient denied feeling a popping sensation at the time of the injury. He had mild pain at night, but was able to sleep. He said that he had mild diminished strength with elbow flexion, but denied having any numbness, tingling, or discoloration of his skin...
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309470/the-evidence-for-herbal-and-botanical-remedies-part-2
#10
Michael Malone, Gary Tsai
In part one of this series, we discussed the studies that have been done on capsaicin, butterbur, green tea, and peppermint. In this installment, we outline the research on 5 additional remedies: turmeric/curcumin, which may be of benefit in ulcerative colitis; chamomile, which appears to offer relief to patients with anxiety; rosemary, which may help treat alopecia; as well as coffee and cocoa, which may have some cardiovascular benefits.
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309469/the-evidence-for-herbal-and-botanical-remedies-part-1
#11
Michael Malone, Gary Tsai
There is evidence to support the use of capsaicin to relieve osteoarthritis and postherpetic neuralgia and support for green tea to serve as a lipid-lowering agent and help treat diabetes. Similarly, researchers have found that peppermint may be of value in the management of irritable bowel syndrome. We also review the literature on butterbur for migraine headaches, but serious safety issues exist.
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309468/heart-failure-treatment-keeping-up-with-best-practices
#12
Darin Brink
This article briefly reviews the diagnosis and initial evaluation of the patient with suspected heart failure and then describes how newer treatments fit within heart failure management priorities and strategies.
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29309467/time-for-another-cup-of-coffee-or-two
#13
EDITORIAL
John Hickner
No abstract text is available yet for this article.
January 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29300792/management-of-acute-coronary-syndromes-in-patients-with-diabetes
#14
Peter P Toth
Given the heightened risk for adverse cardiovascular outcomes in patients with diabetes mellitus, it is important that primary care clinicians be comfortable with the routine management of acute coronary syndromes (ACS) in this patient population. Notably, patients with diabetes are more likely to present atypically during an ACS. To improve health outcomes, patients with a history of diabetes and ACS should be evaluated for peripheral arterial disease and encouraged to pursue cardiac rehabilitation. Clinicians should also be cognizant of the high rate of polypharmacy in patients with diabetes and the potential glycemic and cardioprotective impact of medications they prescribe for these patients...
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29261190/optimal-duration-of-antiplatelet-therapy-following-acute-coronary-syndrome
#15
REVIEW
Tomas Villanueva
This newsletter provides an overview of the available data pertaining to the optimal duration of dual antiplatelet therapy following an acute coronary syndrome, with a focus on individualized treatment plans to optimize patient outcomes.
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29202152/subacute-loss-of-vision-in-one-eye-%C3%A2-rash-on-hands-and-feet-%C3%A2-plaques-with-scaling-on-genitals-%C3%A2-dx
#16
Abigail Nunn, Jeffrey M Sturek, Joshua E Reuss, Michael F Rein, Scott K Heysell
A 67-year-old man presented to the hospital with subacute loss of vision in his left eye. The visual changes began 2 weeks earlier, with a central area of visual loss that had since progressed to near complete vision loss in the left eye. Physical examination revealed patchy alopecia, a scaling and hyperkeratotic rash of his hands and feet, and blanching, erythematous plaques with associated scaling on the scrotum and glans penis. Ophthalmologic examination revealed 1/200 vision in his left eye with a large plaque occupying a substantial portion of the superior quadrant, smaller perifoveal plaques in both of his eyes, and a small infiltrate above the left optic nerve head...
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29202151/screening-for-tuberculosis-updated-recommendations
#17
Doug Campos-Outcalt
Tuberculosis (TB) remains a significant public health problem worldwide with an estimated 10.4 million new cases and 1.7 million deaths having occurred in 2016. In that same year, there were 9287 new cases in the United States--the lowest number of TB cases on record. TB appears in one of 2 forms: active disease, which causes symptoms, morbidity, and mortality and is a source of transmission to others; and latent TB infection (LTBI), which is asymptomatic and noninfectious but can progress to active disease...
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29202150/erythematous-friable-nipple-with-loss-of-protrusion-%C3%A2-history-of-breastfeeding-%C3%A2-dx
#18
Heron D Baumgarten, Shayna L Showalter, Carrie M Rochman, Jessica Keim-Malpass
A 34-year-old healthy woman presented to the breast surgical oncology clinic with skin changes to her left nipple after being referred by her primary care provider. She attributed the skin changes to shearing from breastfeeding her third child 5 years earlier. Physical examination revealed an erythematous and friable nipple with loss of protrusion. The patient reported routine bleeding from her nipple, but said the skin changes had remained stable and denied any breast masses. The patient's last mammogram was 2...
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29202149/clinical-inquiries-which-interventions-are-effective-in-managing-parental-vaccine-refusal
#19
REVIEW
Dan Brelsford, Elise Knutzen, Jon O Neher, Sarah Safranek
It's unclear whether educational initiatives alone alter vaccine refusal. Although about a third of parents cite herd immunity as motivation for vaccination, its efficacy in addressing vaccine hesitancy isn't clear. Multifaceted interventions (encompassing improved access to vaccines, immunization mandates, and patient education) may produce a ≥25% increase in vaccine uptake in groups with vaccine hesitancy and low utilization. Correcting false information about influenza vaccination improves perceptions about the vaccine, but may decrease intention to vaccinate in parents who already have strong concerns about safety...
December 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/29202148/behavioral-health-consult-ensuring-prompt-recognition-and-treatment-of-panic-disorder
#20
Eric H Berko, Gabriela Feier
Lorna D was seen by her primary care physician as follow-up to a visit she made to the emergency department (ED). The 37 year old had gone to the ED 4 times in the previous year. Each time she presented with tachycardia, dyspnea, nausea, numbness in her extremities, and a fear that she was having a heart attack. In spite of negative work-ups at each visit (electrocardiogram, cardiac enzymes, complete blood count, toxicology screen, Holter monitoring), Ms. D was terrified that the ED doctors were missing something...
December 2017: Journal of Family Practice
journal
journal
20262
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"