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August 2005 (Vol. 54, No. 8)

Editorial

P4P—Pain for Performance?
Jeff Susman, MD

 

InfoPOEMsŪ

Negative CT scan to rule out PE equal to angiography

 Calcium/vitamin D not effective for secondary prevention of fracture

Little evidence either way for diet, sun, cleansing in acne management

 Acupuncture effective for chronic back pain

Validated algorithm for suspected pulmonary embolism

 

Applied Evidence

Otitis externa: Providing relief while avoiding complications
Stan L. Block, MD

 Earning trust and losing it: Adolescents’ views on trusting physicians
Brenda K. Klostermann, PhD; Gail B. Slap, MD, MS; Dawn M. Nebrig, MSW; Tanya L. Tivorsak, BA; Maria T. Britto, MD, MPH

Photo Rounds

Abdominal pain in a pregnant woman
Maria Muñoz, MD; Richard P. Usatine, MD

 

Guideline Update

How should we evaluate and treat constipation in infants and children?
Keith B. Holten, MD

 

Practice Alert

Pertussis: A disease re-emerges
Doug Campos-Outcalt, MD, MPA

 

Clinical Inquiries

For those intolerant to ACE inhibitors and ARBs, what is the best therapy for reducing the risk of diabetic nephropathy?
Santhi Penmetsa, MD; Michael Simmons, MLS
Commentary
• Controlling blood pressure in diabetes is more important than what agents we use
Allen Daugird , MD

 What is the role of tacrolimus and pimecrolimus in atopic dermatitis?
Sara Trammell, MD; Amer Shakil, MD; Laura Wilder, MLS
Commentary
• Benefits of topical immunosuppressants don’t overcome cost and risks
Allen Daugird , MD

What physical exam techniques are useful to detect malingering?
Steven Greer, MD; Lee Chambliss, MD, MSPH; Leslie Mackler, MSLS
Commentary
• Meticulous examination and documentation will save time and trouble down the road
Tim Huber , MD

 Do TZDs increase the risk of heart failure for patients with diabetes?
Serena Baskin, MD; Jon O. Neher, MD; Sherry Dodson, MLS
Commentary
• Consider stopping TZDs for patients developing edema or CHF
Richard Hoffman , MD

Is therapy based on endoscopy results better than empiric therapy for dyspepsia?
Kevin Rich, MD; Sarah Safranek, MLIS
Commentary
• Test-and-treat for H pylori a reasonable first option
Wail Malaty , MD

 Should we recommend universal neonatal hearing screening?
Johnathan M. Compton, MD; Brian K. Crownover, MD, FAAFP; Joan Nashelsky, MLS
Commentary
• Despite lack of evidence, early intervention could aid future language skills

Observations from Practice

The community-focused family medicine clinic: A “new model” in Oregon
Pamela L. Wible, MD

 

Letters to the Editor

Further studies on the treatment of fibromyalgia

 Screening for prostate cancer

Other strategies for evaluating rectal bleeding in younger patients

 Intrathecal analgesia and the cesarean rate

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