July 2022

Urinalysis is a simple, inexpensive means of detecting urologic and systemic conditions such as infection, urolithiasis, malignancy, and metabolic diseases. Visual inspection of the urine, familiarity with dipstick testing, and point-of-care micros-copy are important diagnostic…

Celiac disease may present with a variety of manifestations and develop at any age. This article presents evidence-based answers to common questions about the evaluation and management of celiac disease.

This article summarizes the best available patient-oriented evidence for the diagnosis and treatment of acute pancreatitis, the most common gastrointestinal condition requiring hospital admission in the United States.

Physical activity has many health-related benefits, including prevention and management of chronic disease, weight management, and improved mental health. Active females are at risk of overuse injuries; treatment of overuse injuries usually includes activity modification, a…

The annual installment of this series summarizes the top studies of 2021, which were summarized as POEMs (patient-oriented evidence that matters). Topics in this group of studies include type 2 diabetes mellitus, musculoskeletal conditions, gastrointestinal conditions, and…

In the United States, diarrhea accounts for an estimated 179 million outpatient visits, 500,000 hospitalizations, and more than 5,000 deaths annually, resulting in approximately one episode of acute diarrheal illness per person per year. Infectious noninf lammatory diarrhea is…

What are the ethical responsibilities for clinical journals publishing articles on controversial topics?

American Family Physician covers a comprehensive array of topics in family medicine.

Learn more about term membrane sweeping to induce labor.

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

DPP-4 inhibitors do not reduce mortality or cardiovascular outcomes in people with CVD, and they increase the risk of pancreatitis. GLP-1 receptor agonists reduce cardiovascular mortality, all-cause mortality, and stroke in people with CVD. SGLT-2 inhibitors reduce…

Advance care planning interventions for people with advanced dementia likely increase the documentation of advance directives and the number of discussions about goals of care with family decision-makers.

Review the most recent recommendations from the USPSTF.

This PPIP quiz is based on the recommendations of the USPSTF.

A 10-year-old girl presented with headache, cough, and morbilliform rash.

A patient presented with mildly tender, circular, hyperpigmented skin lesions with small bumps affecting the dorsum of both hands and the medial aspect of one foot.

Exercise regimens initiated early in pregnancy and performed consistently are an effective way to reduce a patient’s risk of developing gestational hypertension and preeclampsia.

Treatment with epidural steroid injections in the lower spine is not effective for reducing pain and disability.

Abametapir is shown to be an effective treatment for head lice infestation in patients six months and older.

A CAC score is a strong predictor of CHD, CVD, and mortality risk and provides risk discrimination and stratification beyond that provided by traditional risk factor models.

Elder abuse affects at least one in 10 older adults but is often undetected and underreported, even compared with any other form of abuse.

POEM

POEM

POEM

POEM

The American College of Physicians published guidelines for use of HFNO in adults based on a systematic review focusing on all-cause mortality, hospital length of stay, hospital-acquired pneumonia, intubation/reintubation, intensive care unit admissions, and patient comfort.

The National Comprehensive Cancer Network has updated recommendations for palliative care of patients with cancer.

Reply: Paul T. Cantey, Susan P. Montgomery, Anne Straily

Letter

Celiac (SEE-lee-ack) disease is swelling in the stomach caused by eating gluten. Gluten is a protein in foods made with grains such as wheat, rye, or barley. The swelling stops your body from getting the nutrients it needs. It can occur at any age. About one in 100 people have…

Relative energy deficiency in sport (RED-S) affects active people. It happens when they burn more calories than they take in. It used to be called the female athlete triad. RED-S affects males and females differently. Not having enough available energy affects the way our…