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Mashup Score: 0Neonatal Facial Lesion - 6 hour(s) ago
A 4-day-old infant presented for an initial well-child visit. His mother was concerned about discoloration on the right side of the infant’s face. The discoloration was present at birth and had not changed in color or size. The mother reported that the infant showed no signs of bleeding, pruritus, or pain. He had no other lesions on his body.
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Mashup Score: 2Allergic Rhinitis: Rapid Evidence Review - 1 day(s) ago
Allergic rhinitis, the fifth most common chronic disease in the United States, is an immunoglobulin E–mediated process. A family history of allergic rhinitis, asthma, or atopic dermatitis increases a patient’s risk of being diagnosed with allergic rhinitis. People in the United States are commonly sensitized to grass, dust mites, and ragweed allergens. Dust mite–proof mattress covers do not prevent allergic rhinitis in children two years and younger. Diagnosis is clinical and based on history, physical examination, and at least one symptom of nasal congestion, runny or itchy nose, or sneezing. History should include whether the symptoms are seasonal or perennial, symptom triggers, and severity. Common examination findings are clear rhinorrhea, pale nasal mucosa, swollen nasal turbinates, watery eye discharge, conjunctival swelling, and allergic shiners (i.e., dark circles under the eyes). Serum or skin testing for specific allergens should be performed when there is inadequate response
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Mashup Score: 13Prenatal Care: An Evidence-Based Approach - 3 day(s) ago
Well-coordinated prenatal care that follows an evidence-based, informed process results in fewer hospital admissions, improved education, greater satisfaction, and lower pregnancy-associated morbidity and mortality. Care initiated at 10 weeks or earlier improves outcomes. Identification and treatment of periodontal disease decreases preterm delivery risk. A prepregnancy body mass index greater than 25 kg per m2 is associated with gestational diabetes mellitus, hypertension, miscarriage, and stillbirth. Advanced maternal and paternal age (35 years or older) is associated with gestational diabetes, hypertension, miscarriage, intrauterine growth restriction, aneuploidy, birth defects, and stillbirth. Rho(D) immune globulin decreases alloimmunization risk in a patient who is RhD-negative carrying a fetus who is RhD-positive. Treatment of iron deficiency anemia decreases the risk of preterm delivery, intrauterine growth restriction, and perinatal depression. Ancestry-based genetic risk stra
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Mashup Score: 1
Does the use of a peanut ball in pregnant patients with an epidural improve labor outcomes?
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Mashup Score: 1Low Back Pain in Children, CVD and Obstetric History, Sarcoidosis, Penicillin Allergies, Myocardial Infarction, Venous Ulcers - 4 day(s) ago
When should children with low back pain be referred to a spine surgeon? | What is the role of obstetric history when assessing CVD risk? | What is first-line treatment for pulmonary sarcoidosis? | Is an amoxicillin oral provocation challenge safe and accessible for distinguishing an erroneous penicillin allergy from a true one in adults and children? | What should be recommended to all patients with a recent history of myocardial infarction? | Is compression therapy with bandages, stockings, or other devices safe and effective for treating venous ulcers in adults?
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Mashup Score: 1Remotely Delivered Psychotherapy for Treating Chronic Pain - 5 day(s) ago
Does remote delivery of psychological therapies reduce pain and disability and improve quality of life in adults with chronic pain?
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Mashup Score: 1
Note: The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. Clinicians should understand the evidence but individualize decision-making to the specific patient or situation.
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Mashup Score: 2AFP Photo Contest - 8 day(s) ago
AFP Photo Contest
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Mashup Score: 0Two Habits of Successful Physician Leaders - 8 day(s) ago
Experience can be a cruel teacher, but it can shape us into better leaders.
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Mashup Score: 8Common Dermatologic Conditions in Skin of Color - 9 day(s) ago
Individuals with skin of color represent a diverse population of racial and ethnic backgrounds, including but not limited to Black or African American, American Indian or Alaska Native, Asian American or Pacific Islander, Hispanic or Latino, and Middle Eastern or North African. Dermatologic health disparities exist in part because of systemic racism and are exacerbated by inadequate physician training and a lack of high-quality research on skin diagnoses that disproportionately affect people with skin of color. These conditions, which include postinflammatory hyperpigmentation, keloids, dermatosis papulosa nigra, pseudofolliculitis barbae, and acne keloidalis nuchae, are usually diagnosed clinically and not associated with an underlying systemic disease. They can have significant impacts on mental health and quality of life and are often underdiagnosed or undertreated in skin of color. Hydroquinone 4% is considered the standard treatment for postinflammatory hyperpigmentation. Standard
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What is the diagnosis? https://t.co/DdfVlR0Izh #familymedicine #afpjournal #afpphotoquiz https://t.co/QCr6UY33bm