October 2022

Barrett esophagus is estimated to affect up to 5.6% of the U.S. population. Risk factors for Barrett esophagus include gastroesophageal reflux disease, obesity, age older than 50 years, male sex, tobacco use, and a family history of Barrett esophagus or esophageal carcinoma.

Schizophrenia is the most common psychotic mental disorder and typically develops in young adulthood. It is characterized by the presence of positive and negative symptoms. Second-generation antipsychotics are the preferred first-line treatment.

Endometriosis is an inflammatory condition affecting up to 10% of reproductive-aged people. Recent guidelines recommend clinical diagnosis over surgical diagnosis. Initial imaging is transvaginal ultrasonography, and first-line treatment is combined hormonal contraceptives.

The spiritual assessment offers the opportunity to enhance the patient-physician relationship and incorporate patient views that may have a significant impact on clinical decision-making. The scope of spirituality in medical practice is typically addressed during the discussion…

This article provides a summary and review of the best available patient-oriented evidence for the diagnosis and management of polymyalgia rheumatica and giant cell arteritis.

Assessment tools, community and public resources, and U.S. Department of Agriculture guidelines can aid physicians in taking a nutrition history and guiding patients toward healthier foods.

Newer office-based modalities have the potential to increase the accessibility of screening and appropriate care for Barrett Esophagus in family medicine.

The CDC has updated its developmental milestones checklists that can be used during child wellness visits.

Many communities in the United States have few or no clinicians providing maternity care services, contributing to a national maternal and infant mortality rate that is much higher than that in comparable developed countries.

Learn more about albumin infusion for spontaneous bacterial peritonitis.

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

There is low- to moderate-quality evidence that exercise reduces pain and improves function in patients with chronic low back pain compared with no treatment, usual care, and other conservative interventions such as education, manual therapy, and electrotherapy.

In patients with borderline personality disorder, psychotherapy in the form of dialectical behavior therapy or mentalization-based treatment reduces the severity of symptoms, improves psychosocial functioning, and reduces depression scores compared with no treatment.

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

The USPSTF recommends that clinicians individualize the decision to offer or refer adults without cardiovascular disease risk factors to behavioral counseling interventions to promote a healthy diet and physical activity.

Does early aerobic exercise following concussion improve or impair recovery in adolescent patients?

Is shockwave therapy an effective treatment for erectile dysfunction?

There are many reasons why a physician’s competence to practice medicine may decline over time. Optimal retirement age varies by person, and most medical practices do not have built-in retirement mandates. Age-related decline in cognitive function among physicians, even to the…

A woman presented with a pruritic rash on her leg that developed several months earlier. Close examination revealed fine white lines within purple plaques.

A woman presented with a two-month history of disseminated rash on both upper extremities and trunk.

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

The Galleri test is a multicancer early detection blood test used to identify more than 50 cancer types in asymptomatic adults 50 years or older.

POEMs

POEMs

POEMs

POEMs

The American College of Physicians (ACP) released clinical guidelines for point-of-care ultrasonography use in patients with acute dyspnea based on a systematic review of 49 studies that included five randomized controlled trials.

The U.S. Department of Veterans Affairs and the U.S. Department of Defense (VA/DoD) published updated clinical practice guidelines for managing substance use disorders, based on a systematic review.

Letters

Reply: Scott Bragg, Eric Matheson, Russell Blackwelder

Reply: Payam Sazegar

Letter

Endometriosis (EN-doe-ME-tree-OH-sis) happens when endometrial tissue, the tissue that normally lines the inside of your uterus, grows outside of your uterus. This outside growth can affect your ovaries, fallopian tubes, or intestines.

A healthy diet has many benefits. It can prevent health conditions like heart disease and cancer, and it can lower your cholesterol. It can give you more energy, help you focus, and improve your mood. It can also help you lose weight or stay at a healthy weight.

Misused eponym. In the article, “Orthostatic Hypotension: A Practical Approach” (January 2022, p. 39), an outdated eponym was used to describe the standing test for measuring blood pressure and heart rate changes under gravitational stress. The term “Schellong test” has been…