August 2022

Insect and arachnid bites and stings account for up to 1 million emergency department visits annually in the United States. Arthropods' most significant effects on humans are as vectors for infectious diseases, and direct effects of their bites and stings are typically only a…

This rapid evidence review briefly summarizes signs and symptoms of and tests and clinical prediction rules for diagnosing acute diverticulitis. Management is guided by symptom severity, development of complicated disease, and patient response to treatment.

Generalized anxiety disorder and panic disorder are common mental health conditions often seen in primary care. Evaluation should be considered in patients who express recurrent, pervasive worry or present with multiple somatic symptoms not attributed to underlying medical…

A history of smoking is the greatest risk factor for abdominal aortic aneurysm (AAA). Most aneurysms are asymptomatic until they rupture. This article discusses which populations should be screened for AAA, recommendations for aneurysm surveillance, and medical and surgical…

Multiple sclerosis is the most common cause of nontraumatic neurologic disability in young adults. Multiple sclerosis has a relatively high prevalence and patients have a long life span after diagnosis. Disease-modifying therapy has been shown to slow disease progression and…

Scrotal masses can be broadly categorized into painful vs. painless masses. Painful masses include testicular torsion, torsion of the testicular appendage, and epididymitis. Painless masses can include hydrocele, varicocele, and testicular cancer. This article presents current…

Syphilis rates in the United States are rapidly increasing. Treponema pallidum can infect the visual, auditory, and central nervous systems leading to serious clinical consequences if not diagnosed and treated in a timely manner.

Countering medical misinformation requires addressing longstanding challenges within social, psychological, economic, technological, and political dynamics.

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

Learn more about awake prone positioning for noninubated patients with COVID-19 and acute hypoxemic respiratory failure.

To counter a rising incidence of acute hepatitis B, the Advisory Committee on Immunization Practices (ACIP) now recommends universal hepatitis B vaccination for adults 19 to 59 years of age.

PROMs (e.g., CAGE questionnaire, Generalized Anxiety Disorder 7-item questionnaire) completed by patients (or other individuals pertinent to the patient) improve diagnosis and documentation of relevant health information in the patient’s chart, such as accurate coding, severity…

Regular exercise probably improves functional capacity for adults undergoing maintenance dialysis and might be associated with small improvements in pain, depression, and quality of life; it is uncertain whether any effect on risk of death or cardiovascular outcomes occurs.

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in older adults.

First-person accounts from the front lines of family medicine.

Intravenous iron administration does not reduce the need for blood transfusion compared with oral iron supplementation. Compared with oral iron, intravenous iron has no effect on mortality. Intravenous iron may increase the risk of infection compared with oral iron.

A patient presented with a diffuse, pruritic, erythematous, maculopapular rash in a reticulated pattern.

A teenager presented with pain, limited range of motion, and a palpable firm, tender mass over the lateral quadriceps.

What are the benefits and harms of cannabis and cannabis-related products for treatment of chronic pain?

POEM

POEM

POEM

POEM

The National Institute for Health and Care Excellence (NICE) published guidelines to offer practical advice for incorporating shared decision-making into everyday encounters.

The BMJ/MAGIC Group performed a systematic review to determine the benefits of noninhaled medical cannabis or cannabinoids in chronic cancer and noncancer pain.

Reply: José E. Rodrigues, Kendall M. Campbell, Judy C. Washington

Letter

Letter

Avoiding ticks and places where ticks could be is the best way to keep from getting sick from a tick bite. After being outside in places with ticks, carefully check yourself and family members for ticks (Figure 1). Children should be checked with extra care. Removing ticks…

Generalized anxiety disorder (GAD) and panic disorder (PD) are mental health disorders that cause anxiety or worry. All of us worry or panic sometimes, but you might have GAD or PD if these feelings often affect your life.

Conditions incorrectly listed in table. In the article, “Cervical Ripening and Induction of Labor” (February 2022, p. 177), the second section “Placental or uterine” should not have been included in Table 1, “Indications for Labor Induction” (page 178). Placenta previa…