July 2023

Menopause can cause bothersome vasomotor and genitourinary symptoms, including hot f lashes and vulvovaginal dryness. Treatment includes hormonal and non-hormonal options. The choice of formulation depends on patient preference and consideration of individual risks and benefits.

Routine eye examinations during childhood can identify abnormalities necessitating referral to ophthalmology. The U.S. Preventive Services Task Force recommends vision screening at least once in children three to five years of age.

Respiratory syncytial virus (RSV) is the most common viral cause of bronchiolitis, which presents as fever and upper respiratory tract symptoms, often progressing to include lower respiratory tract symptoms. RSV bronchiolitis is usually self-limited, and treatment is primarily…

Fatigue is among the top 10 reasons patients visit primary care offices and it significantly affects patients' well-being and occupational safety. Myalgic encephalomyelitis/chronic fatigue syndrome is a chronic, severe, and potentially debilitating disorder.

After hospitalization, family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic sequelae.

Mpox is a DNA virus of the Orthopoxvirus genus, similar to smallpox. More than 30,000 cases have been reported in the United States; 98% of cases globally are in men who have sex with men. Transmission is primarily through contact with skin lesions.

The American Family Physician (AFP) photo competition encourages students and residents to share their stories through photographs about how they use the AFP journal.

Each year, an estimated one in 20 outpatients will experience a diagnostic error. However, research has led to the development of measurement and prevention strategies.

Instead of focusing on all the details of treatment and prognosis, it is better to prepare patients for the upcoming mental and physical challenges. Patients also benefit from an overview of the timing and types of appointments to come.

The existing low-certainty data suggest that the benefits of nebulized hypertonic saline administration for the treatment of bronchiolitis outweigh the potential harms.

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

C-reactive protein point-of-care tests can reduce unnecessary antibiotic prescribing without delaying clinical recovery when used to inform treatment decisions for acute respiratory infections in primary care.

Pelvic floor muscle training is more effective than control at achieving cure and improving symptoms and quality-of-life measures in women with all types of urinary incontinence.

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of visual skin examination by a clinician to screen for skin cancer in adolescents and adults.

Trigger point injections with lidocaine or saline can be used for patients presenting to the emergency department with acute low back pain.

There is no evidence that following a gluten-free diet reduces symptoms of autoimmune thyroid disease. However, following a gluten-free diet may decrease mean thyroid-stimulating hormone (TSH) levels.

A man presented with a pedunculated growth below on his back.

After delivery, an infant had inconsolable crying and intermittent tachypnea.

Tirzepatide is effective in the treatment of type 2 diabetes in adults. It provides a higher percentage of weight loss compared with similar agents, which may be attributed to its unique mechanism of action.

PEth testing should be used only when clinical uncertainty remains after employing other standard assessments to detect harmful alcohol consumption over the previous four weeks.

POEMs

POEMs

POEMs

POEMs

The American College of Obstetricians and Gynecologists (ACOG) has published guidelines for the evaluation and management of headaches in pregnancy.

The American College of Obstetricians and Gynecologists (ACOG) has published new recommendations for managing this undertreated condition, including guidance on new medications and targeted treatments.

Respiratory syncytial virus (RESS-per-uh-TOR-ee sin-SISH-uhl VIE-russ), or RSV, causes fever, stuffy or runny nose, sore throat, and cough. Your child is more likely to get RSV between October and May. Most of these infections are mild. Younger children are more likely to get a…

Myalgic encephalomyelitis (my-AL-gic en-SEH-fuhlow-MY-uh-LIE-tus)/chronic fatigue syndrome (ME/CFS) is a chronic, severe, possibly disabling disorder. It can cause inflammatory, neurologic, immune, and metabolic problems that are not well understood.

An injury to an area of the brain, usually caused by blood flow not getting to parts of the brain. Strokes cause loss of function of the affected part of the brain. This can make it hard to move an arm or a leg, or you may have trouble speaking. Each stroke you have can lead to…

Mpox (formerly monkeypox) is a viral infection that can cause fevers, tiredness, headaches, swollen lymph nodes, and rash. The virus was first seen in humans in 1970; it was found mostly in Central Africa. In 2022, a global outbreak began that included thousands of infections…