Does taking BP medicine at night (vs morning) result in fewer cardiovascular events? [0.03%]
晚上吃降压药(早上则是停药)能减少心血管事件发生吗？
Robert Martin,Rick Guthmann
Robert Martin
PROBABLY NOT. In patients who have hypertension, the timing of administration of antihypertensive medications does not appear to impact cardiovascular outcomes (strength of recommendation: B; contradictory randomized controlled trials).
Doug Campos-Outcalt
Doug Campos-Outcalt
In addition to 3 vaccines, there's also a new monoclonal antibody for prevention of respiratory syncytial virus. Learn how each can be used in infants and children, adults, and pregnant people.
Pooja Amy Shah,David Killeen,Erica Meninno et al.
Pooja Amy Shah et al.
Given the ubiquity of these plant-based oils, your patients might ask about using them. Here's the evidence on safety and efficacy to guide your response.
51-year-old woman • History of Graves disease • General fatigue, palpitations, and hand tremors • Dx? [0.03%]
51岁女性•格雷夫斯病史•全身乏力、心悸和手抖•诊断？
Takuya Maejima,Junki Mizumoto,Yoshiko Ito et al.
Takuya Maejima et al.
► history of Graves disease ► general fatigue, palpitations, and hand tremors.
Renewing the dream [0.03%]
重圆美国梦
Anthony J Viera
Anthony J Viera
55-year-old woman • Myalgias and progressive symmetrical proximal weakness • History of unilateral renal agenesis, type 2 diabetes, and hyperlipidemia • Dx? [0.03%]
55岁女性•肌痛和进行性对称近端肌肉无力•既往患肾发育不全、2型糖尿病和高脂血症•诊断？
Daniel T Schoenherr,Sukhmani Dhaliwal,Michael F Loncharich
Daniel T Schoenherr
► myalgias and progressive symmetrical proximal weakness ► history of unilateral renal agenesis, type 2 diabetes, and hyperlipidemia.
Is low-molecular-weight heparin superior to aspirin for VTE prophylaxis? [0.03%]
低分子肝素是否优于阿司匹林进行VTE预防？
Matthew Rose,Nilmini Pang,Sara Conway
Matthew Rose
Aspirin demonstrated a significantly higher rate of postoperative venous thromboembolic events compared with enoxaparin in this noninferiority study.
Francis G Tirol,Matthew R Levine,Tian Wang et al.
Francis G Tirol et al.
Optimizing your care requires that you distinguish between provoked and unprovoked seizures and focus on key elements of the patient's history.
Painless nodules on legs [0.03%]
腿部无痛结节
En Qi Toh,Lester Juay,Shang-Ian Tee et al.
En Qi Toh et al.
The location of the nodules and the patient's history were important diagnostic clues. The punch biopsy confirmed our suspicions.
Peter Mitchell Martin,Mario Gaddini,Brock Cardon
Peter Mitchell Martin
A large multicenter trial evaluated effects on pain and function for pediatric patients treated with a soft bandage vs rigid immobilization.
Multicenter Study
The Journal of family practice. 2023 Nov;72(9):383-385. DOI:10.12788/jfp.0689 2023