Critical Issues in Primary Care

Cases in Deprescribing: When to Get Rid of the Statin In this new series, family physician Chuck Vega explores the issue of when to deprescribe a common drug when there is no guideline or consensus to consult. What would you do in this scenario?
Clinical Case, January 2019
Nailing Nail Pathology: Primary Care Case Challenge Can you 'nail' the diagnosis of these nail disorders?
Clinical Case, June 2018
Common and Not-so-Common Rashes in Kids A family physician and a dermatologist talk through the differential diagnosis for two children presenting with a primary complaint of rash.
Clinical Case, May 2018
'What Are These Bumps I See All Over?' How would you approach a patient who comes to the primary care clinician with worries about bumps on her buttocks and knees?
Clinical Case, March 2018
Are Physicians--Let's Face It--Getting Clinically Lazy? Drs Vega and Faustinella discuss evidence of deteriorating history and physical exam skills in clinicians, young and old.
Experts And Viewpoints, March 2018
Listen Carefully During the Medical Interview In this month's Critical Issues in Primary Care, Dr Fabrizia Faustinella describes two cases where critical listening during the patient history revealed 'red flags' that had been previously missed.
Experts And Viewpoints, March 2018
'This Mole Looks Strange' How would you approach a patient who presents to primary care with worries about a changing mole?
Clinical Case, January 2018
Heart Failure: Are Sodium and Fluid Restriction Necessary? Drs Ileana Piña and Charles Vega discuss the latest information on management of heart failure patients in the primary care setting.
Experts And Viewpoints, January 2018
'I Can't Take This Rash Anymore!' Dr Vega and Dr Ogunleye share their thoughts about how best to diagnose and manage dermatology-related symptoms in primary care.
Clinical Case, January 2018
The Latest in Hypertension Guidelines: What Is a PCP to Do? Will the new BP guidelines bring more people under the hypertension umbrella?
Experts And Viewpoints, December 2017
Updates From ENDO 2017: Part 2 In part 2 of their discussion on ENDO 2017, Drs Vega and Anawalt discuss vitamin D use in kids, pyrethroids and puberty onset, and whether levothyroxine can be taken with milk.
Experts And Viewpoints, August 2017
Updates From ENDO 2017: Part 1 Join Drs Vega and Anawalt as they discuss hot topics from ENDO 2017, including a new drug class for hot flashes and management of subclinical hypothyroidism in older adults.
Experts And Viewpoints, June 2017
Best Practices in Asthma: MDI Missteps to Adherence In their second interview, Drs Vega and Adams discuss how to mitigate common mistakes that patients make with asthma devices.
Experts And Viewpoints, May 2017
Best Practices in Asthma: Beta-Agonists to Spirometry Drs Vega and Adams tackle challenging issues on asthma, including optimal spirometry use, eosinophil measurement, and beta-agonist overuse.
Experts And Viewpoints, April 2017
Managing Obesity in Primary Care: When It's Time for Gastric Bypass In the third installment of this series on managing obesity in primary care, Drs Vega and Apovian discuss the surgical approach.
Experts And Viewpoints, February 2017
Obesity: When Diet Is a Treatment, Not Just a Diet Dr Caroline Apovian reveals that the ideal nutritional plan for the obese patient with diabetes is not a diet but a treatment.
Experts And Viewpoints, February 2017
Obesity Is a Disease That Needs to Be Taken Seriously More than one third of US adults are obese, but medications for obesity are used for only 2% of patients. It's time to make a change.
Experts And Viewpoints, January 2017
Better Together: Primary Care and Emergency Medicine A primary care physician and an emergency medicine physician use a case-based approach to discuss the points where these two services intersect and overlap.
Experts And Viewpoints, November 2016
Update: The Latest Evidence on Reducing CV Risk and Mortality Dr Michael Blaha discusses the importance of coronary artery calcium in the MESA risk score calculator and the role of preexisting physical fitness in reducing later cardiovascular mortality.
Experts And Viewpoints, April 2016
Chilling Out Hot Flashes: Managing Symptoms of Menopause Do you know when to prescribe hormone therapy and how to counsel patients on bioidentical hormone therapy? Drs Vega and Altshuler discuss the hot topic of hot flashes.
Experts And Viewpoints, February 2016

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