July 15, 2019

Erythema multiforme is an immune-mediated reaction that involves the skin and sometimes the mucosa. Erythema multiforme lesions can be isolated, recurrent, or persistent, and are classically described as target-like with three concentric segments: a dark center, surrounded by a…

Acupuncture, which is well-tolerated with low risk, has been increasingly used as an integrative or complementary therapy for pain. Acupuncture may provide modest benefits in the treatment of chronic low back pain, tension headache and chronic headache, migraine headache…

Hearing loss is categorized as conductive, sensorineural, or mixed. Age-related sensorineural hearing loss is the most common type in adults. Several approaches can be used to screen for hearing loss, but the benefits of screening are uncertain. Patients with suspected hearing…

Acupuncture is an evidence-based therapy to reduce pain that can meet patient demand for nonpharmacologic treatment. Now is the time to offer training in medical acupuncture to more family physicians.

Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of primary care interventions to prevent child maltreatment.

A 52-year-old man presented with dysphagia to solids and liquids that had been worsening gradually over the previous two years. He reported a choking sensation with gagging while eating, but drinking water helped wash the food down. He had unintentional weight loss of 100 lb…

Semaglutide can be added to existing treatment to improve glycemic control and induce weight loss. It may also protect against cardiovascular outcomes in patients with type 2 diabetes and established cardiovascular disease.

Letter

The findings are completely unexpected. Although recent studies by this group and other groups of researchers have failed to find a cardiovascular benefit, likely because of better control of other cardiovascular risk factors, this study found increased all-cause mortality…

POEMs

In this study, there was no significant difference in the likelihood of a composite vascular outcome or all-cause mortality in patients given an omega-3 fatty acid supplement compared with those given an olive oil placebo.

The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine have published guidelines focusing on interpregnancy care to improve outcomes of future pregnancies and the overall health of women, regardless of their future pregnancy plans.

Reply: James J. Stevermer, Kenneth S. Fink

Dawn M. Davis, Jennifer K. Bello

Reply: Joel J. Heidelbaugh

Reply: Mark H. Ebell, Allen F. Shaughnessy, David C. Slawson

Acupuncture is when thin needles are put into certain places on the body. Acupuncture has been an important part of traditional Chinese medicine for thousands of years.

Incorrect FDA approval. The article, “Lower Extremity Peripheral Artery Disease: Diagnosis and Treatment” (March 15, 2019, p. 362), contained an error in the last sentence of the “Anticoagulant Therapy” section in the first column of page 367, which stated that the combination…