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Articles for February 10, 2021

Selected articles for Primary Care Providers
Collected By Dr. Bruce Peyser
TELEMEDICINE
Telemedicine Management of Musculoskeletal Issues 
American Family Physician
There are is an impressive array of maneuvers that can be carried out by way of a video visit that can lead towards a likely diagnosis and management plan. Helpful for evaluation of shoulder, hip, knee, and ankle.
 
HYPERTENSION
No more pressure when managing high blood pressure
The Curbsiders Podcast
Lots of valuable pearls here. Consider starting a combination agent as the first medication, know that even pre-hypertensive patients have a higher risk than others, wrist bp cuffs should be avoided, and think about primary hyperaldosteronism even if K is normal.  Also, be aware some patients have “masked” hypertension with elevated bp at home but not in the office- these folks face the risk of cardiac disease and target organ damage too.
HEMATOLOGY
How I treat obese patients with oral anticoagulants 
Bloods
This is a little more detailed than most of the review articles I normally recommend.  But this is an important problem.  The authors feel that DOACs can be used in this population but emphasize that shared decision should occur because of some limitation to the amount of evidence and experience that exists with treating morbidly obese when anticoagulation is indicated.
OB-GYN
Sexual Assault of Women
American Family Physician
Many important sections. Review how trauma-informed services and care requires a change in thinking from “what is wrong with you” to “what happened to you”.
NEUROLOGY
A great review of a time-efficient neuro exam.
American Family Physician
How to perform the neurologic screening exam.
This comes from our neurology dept featured Dr. Joel Morgenlander. The med students from Duke are familiar with this but others might appreciate the review.

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Part 2 of 2 -

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