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Articles for August 13, 2021

Selected articles for Primary Care Providers
Collected By Dr. Bruce Peyser
HYPERTENSION
Does Adult Patient Have Hypertension? The Rational Clinical Examination Systematic Review
JAMA

Our own infamous Dr. Anthony Viera (Chief of Family Medicine and Community Health) was the lead author for this important article – the headline is that office measurement of bp may not be quite as accurate as we would like, and home bp monitoring and ambulatory bp monitoring are important additional methods that can be employed to ensure that an accurate diagnosis and assessment is carried out.

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PHARMACOLOGY
Pharmacologic Therapy For Acute Pain
American Family Physician


Lots to review, note that Gabapentinoids and antidepressant meds used to treat chronic neuropathic pain are not supposed to be used to treat acute pain.  Also, a key recommendation is that opioids should be used for no more than three days only for severe pain, and only in combination with other meds.

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OB-GYN
Menopause
Annals of Internal Medicine, In the Clinic Series

I found the charts and tables helpful.  Look especially for Table 1 that details the Stages of Menopause, and also the chart that details common symptoms in women during the menopausal transition.

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PSYCHIATRY

Depression In Adolescents
NEJM

Suicide is the second leading cause of death among adolescents in the US, and the prevalence of depression has been increasing over time.


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COVID

Your Friend Does Not Want The Vaccine. What Do You Say?
The New York Times

https://www.nytimes.com/interactive/2021/05/20/opinion/covid-19-vaccine-chatbot.html?campaign_id=18&emc=edit_hh_20210806&instance_id=37218&nl=well&regi_id=63297171&segment_id=65493&te=1&user_id=075f9d79cf652fcf618447cf65ac98a4

I thought this was super helpful, reviews some various approaches to how we might better listen to our vaccine-hesitant patients, colleagues, and friends.

 
COVID

Confronting Our Next National Health Disaster - Long Haul Covid
NEJM

This lead perspective article in the journal is quite helpful- current estimates are that there will be close to 15 million cases of long Covid and is characterized as a “ frustratingly perplexing condition”.

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