November 1, 2020

Risk factors of gout include male sex; obesity; hypertension; alcohol intake; diuretic use; a diet rich in meat, seafood, and fructose-rich food and beverages; chronic kidney disease; being a member of certain ethnic groups, including Taiwanese, Pacific Islander, and New…

Eye emergencies can result in permanent vision loss if not treated urgently. Common eye emergencies include central retinal artery occlusions, chemical injuries, mechanical globe injuries, and retinal detachments. Family physicians should be able to recognize the signs and…

Genitourinary syndrome of menopause results from the hypoestrogenic state that leads to atrophy of normal vulvar and vaginal tissues. It is typically treated with lubricants, moisturizers, and intravaginal estrogen. Lichen sclerosus is characterized by intense vulvar itching…

Physicians should consider the ramifications before ordering an MRI in the setting of chronic pain. An MRI that is not indicated can lead to a procedure that is not necessary as both patient and physician focus on the abnormal study finding. Most patients improve with…

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

Mechanical induction of labor with single or double balloon catheters is similar to induction with vaginal prostaglandin E2 in rates of vaginal delivery achieved within 24 hours, and it has a more favorable safety profile.

In patients at increased risk of developing type 2 diabetes, metformin reduces the risk (number needed to treat [NNT] = 7; 95% CI, 6 to 10) compared with counseling on standard diet and exercise.

What are the benefits and harms of nonpharmacologic and pharmacologic treatments for depressive disorders in children and adolescents?

KardiaMobile is a mobile, single-lead electrocardiogram (ECG) device that has been approved by the U.S. Food and Drug Administration for detection of atrial fibrillation (AF), bradycardia, and tachycardia.1 It connects wirelessly to a smartphone application to provide the ECG…

A child presented with with a pruritic rash when on the palms when they were exposed to water.

A 50-year-old patient, M.W., successfully reached their goal weight by losing 15 lb (6.8 kg) over six months on a Mediterranean diet. After maintaining the weight loss for more than a year, my patient is now 30 lb (13.6 kg) over their ideal body weight of 140 lb (63.5 kg).

The Wilderness Medical Society has published an updated guideline on treating accidental hypothermia outside of hospitals, including a staging classification system based on clinical observation.

Acute bronchitis is a lower respiratory tract infection, most commonly viral, that accounts for a significant number of health care visits. This review discusses the benefits and harms of antibiotics for acute bronchitis or acute productive cough.

Rebound elevation of bilirubin levels after phototherapy discontinuation in healthy term neonates is infrequent (fewer than 2% of infants with levels less than 14 mg per dL [239 mmol per L] at initial discontinuation). Obtaining a repeat bilirubin level four to six hours after…

Genitourinary syndrome of menopause (called GSM for short) happens after your period stops. Your body makes less estrogen hormone, and this makes your vagina and vulva (the outside of the vagina) dry. This can lead to pain with sex, pain or burning of the vulva, and urinary…