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Game Changers

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4 papers 0 to 25 followers
By J Edward B. Maddela, MD Clinical Assistant Professor and Assistant Director of the Doctoring Curriculum at the University of Arizona College of Medicine - Phoenix Biomedical Campus
Andrew P Wong, Maurice L Duggins, Tara Neil
Sore throat is a common presenting complaint in the outpatient setting. Most cases are nonbacterial in origin, but those that are bacterial are usually the result of group A β-hemolytic streptococcus. Guidelines exist to help physicians decide whether to treat with an antibiotic. Lemierre syndrome is a dangerous potential sequela of pharyngitis that results in septic thrombophlebitis of the internal jugular (IJ) vein. A high index of suspicion is needed to consider this diagnosis in the workup of pharyngitis and should be aggressively treated once identified...
May 2015: Journal of the American Board of Family Medicine: JABFM
Benjamin H Crenshaw, Kortnee Y Roberson, James J Stevermer
Adding simvastatin to standard wound care improves ulcer healing rates and times as well as the patient's quality of life.
March 2015: Journal of Family Practice
Roland Grad, Pierre Pluye, David Tang, Michael Shulha, David C Slawson, Allen F Shaughnessy
OBJECTIVE: We propose a method of identifying clinical topics for campaigns like Choosing Wisely. METHODS: In the context of an ongoing continuing medication education program, we analyzed ratings on every patient-oriented evidence that matters (POEM) synopsis delivered in 2012 and 2013. Given the objective of the Choosing Wisely campaign, we focused this analysis on 1 specific item in the validated questionnaire used by physicians to rate POEMs. This questionnaire item is about "avoiding an unnecessary diagnostic test or treatment...
March 2015: Journal of the American Board of Family Medicine: JABFM
Tiffany K Roberts-Wilson, Jessica B Spencer, Corinne R Fantz
Secondary amenorrhea in women of reproductive age may be an indication of an undiagnosed, chronic condition and appropriate treatment is dependent upon accurate diagnosis of the underlying etiology. A thorough clinical assessment and a few common laboratory tests can easily identify the most frequent causes of secondary amenorrhea. However, once these have been ruled out, the more uncommon pathophysiologies can be difficult to diagnose due to similarities in presentation and appropriate laboratory testing and interpretation become critical...
August 23, 2013: Clinica Chimica Acta; International Journal of Clinical Chemistry
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