Features

Clinical Challenge

Management and treatment of peripheral neuropathy

Management and treatment of peripheral neuropathy

An older patient with type 2 diabetes expresses concern about potential peripheral neuropathy.

Features Sexual assault—Intervention in primary care

Sexual assault—Intervention in primary care

Recognizing red flag symptoms, such as anxiety, depression, and increased substance use, is important in helping victims who are reluctant to report the assault.

Evidence-Based Medicine Glyburide increases adverse neonatal outcomes in gestational diabetes

Glyburide increases adverse neonatal outcomes in gestational diabetes

Glyburide is associated with an increased risk 
of adverse neonatal 
outcomes compared to 
insulin in women with 
gestational diabetes.

Evidence-Based Medicine Prednisone improves function in acute radiculopathy

Prednisone improves function in acute radiculopathy

Oral prednisone can improve 
functional status in patients 
with acute radiculopathy due to a herniated disk but does not improve pain.

Evidence-Based Medicine Buprenorphine may benefit patients with opioid dependence

Buprenorphine may benefit patients with opioid dependence

Emergency-department initiated buprenorphine treatment may increase addiction treatment 
and decrease opioid use in patients with opioid dependence
.

Clinical Challenge Itchy red rash and 
periorbital swelling

Itchy red rash and 
periorbital swelling

A 38-year-old man presents to an
otolaryngology clinic with itchy eyes,
periorbital swelling, and an itchy red rash on his face and arms.

Alternative Meds Update Hops: More than just a beer ingredient

Hops: More than just a beer ingredient

Hops can be used as a sedative in place of more dangerous substances like benzodiazepines.

Evidence-Based Medicine Mediterranean diet improves cognitive function in adults with CVD risk

Mediterranean diet improves cognitive function in adults with CVD risk

Mediterranean diet is associated with improved cognitive function in older adults with high 
cardiovascular risk.

Clinical Challenge Getting hemoglobin A1c under control after a relapse

Getting hemoglobin A1c under control after a relapse

A patient with diabetes questions the necessity of starting a statin.

Features Electronic cigarettes—The primary care provider's response

Electronic cigarettes—The primary care provider's response

Although e-cigarettes may not be considered healthy, they may be the lesser of two evils when compared with traditional tobacco cigarettes.

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