Items in AFP with MESH term: Physician's Practice Patterns

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Integrating a Behavioral Health Specialist Into Your Practice - Feature


Noninfectious Penile Lesions - Article

ABSTRACT: Family physicians commonly diagnose and manage penile cutaneous lesions. Noninfectious lesions may be classified as inflammatory and papulosquamous (e.g., psoriasis, lichen sclerosus, angiokeratomas, lichen nitidus, lichen planus), or as neoplastic (e.g., carcinoma in situ, invasive squamous cell carcinoma). The clinical presentation and appearance of the lesions guide the diagnosis. Psoriasis presents as red or salmon-colored plaques with overlying scales, often with systemic lesions. Lichen sclerosus presents as a phimotic, hypopigmented prepuce or glans penis with a cellophane-like texture. Angiokeratomas are typically asymptomatic, well-circumscribed, red or blue papules, whereas lichen nitidus usually produces asymptomatic pinhead-sized, hypopigmented papules. The lesions of lichen planus are pruritic, violaceous, polygonal papules that are typically systemic. Carcinoma in situ should be suspected if the patient has velvety red or keratotic plaques of the glans penis or prepuce, whereas invasive squamous cell carcinoma presents as a painless lump, ulcer, or fungating irregular mass. Some benign lesions, such as psoriasis and lichen planus, can mimic carcinoma in situ or squamous cell carcinoma. Biopsy is indicated if the diagnosis is in doubt or neoplasm cannot be excluded. The management of benign penile lesions usually involves observation or topical corticosteroids; however, neoplastic lesions generally require surgery.


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Should We Prescribe Antibiotics for Acute Conjunctivitis? - Cochrane for Clinicians


Prescribing Syringes to Injection Drug Users: What the Family Physician Should Know - Editorials


The Complete Physical - Curbside Consultation


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Overcoming the Challenges Facing Quality Improvement Strategies for Non-ST-Segment Elevation Acute Coronary Syndromes - Editorials


Oral Health in Primary Care Medicine: Practice and Policy Challenges - Editorials


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