HCPLive Network

Family Practice Recertification

Editor's Letter
True Today, False Tomorrow: Controversies in Clinical Nutrition
By Martin Quan, MD
Disproven medical theories and practices can be slow to change, and nowhere is this truer than in the field of clinical nutrition.
FPR Journal Club
Marijuana Use Has Lifelong Impact on Developing Brains
By Frank J. Domino, MD
Marijuana use in adolescence results in significant cognitive and behavioral impairments.
Are Organic Foods Really Healthier?
By Frank J. Domino, MD
Crops raised in a method that meets the organic standard contain more antioxidants than traditionally grown crops. Nevertheless, it remains unproven whether diets with higher antioxidant concentrations provide improved health outcomes.
Alcohol Exposure in Pregnancy Has No Adverse Effect on Birth Weight
By Katherine Marino, MD, and Frank J. Domino, MD
Despite the general consensus that excessive alcohol consumption should be avoided prior to and during pregnancy, there is very little data on the effects alcohol consumption in early gestation has on birth outcomes.
Common Colds, Earaches Last Longer in Children than Generally Assumed
By Frank J. Domino, MD
It is generally assumed a viral infection will get better in “7 days with antibiotics and in roughly a week without them.” As it turns out, these estimates are low, especially in children.
Is Varenicline Still Effective When Combined with a Nicotine Patch?
By Frank J. Domino, MD
For those who fail to quit smoking with varenicline treatment alone, adding a nicotine patch will likely increase the odds of tobacco abstinence at 6 months.
Consultant's Corner
Is This Teenager a Good Candidate for an IUD?
By Michele Hoh, MD
Although they are underutilized, intrauterine devices are among the safest and most efficacious forms of birth control available for adolescents.
Radiology Rounds
A Man with Syphilis, Heart Failure, and Buckshot on Radiographs
By James D. Collins, MD
Left untreated or inadequately treated, syphilis may cause tertiary cardiovascular disease, one form of which is syphilitic aortitis.
Pain Perspectives
First Step towards Competent Opioid Prescribing for Chronic Pain
By Michael E. Schatman, PhD, CPE
Despite the negative publicity surrounding opioid analgesics in the management of chronic pain, the medications should not be omitted from any respectable pain physician’s armamentarium.
The HIT List
Clinical Photos Often Captured on Smartphones without Consent
By Katie Eder, Managing Editor
Although many physicians currently snap, store, and share clinical photographs on their smartphones, they often neglect to ask patients for permission to do so.
Dermatology Quiz
Hyperpigmented Back Lesion in a Young Woman
By Daniel Stulberg, MD, and Ahmed A. EL-Emawy, MD
This 28-year-old woman presented with a large hyperpigmented patch on the right side of her upper back. Although the lesion developed over the past 2 years, it has been “sinking in” over the past 2 weeks. The patient denies any trauma, pain, discomfort, or pruritis, as well as any family history of cancers, lymphoma, or autoimmune disease. However, she has a history of gastroesophageal reflux disease and onychomycosis, and her grandfather has a similar lesion.
 
What is your diagnosis?