September 2023

Disorders of smell and taste are common, especially among older people. Smell and taste disorders affect quality of life and the ability to identify smoke and toxins. These disorders can be an early sign of dementia or Parkinson disease and are associated with increased…

Gestational diabetes mellitus is a common condition of pregnancy that increases risks of complications, and its prevalence is increasing. This article describes best practices for screening, diagnosis, and management, such as glucose control, delivery timing, and postpartum care.

This article reviews the diagnosis of benzodiazepine use disorder, risk factors for misuse and long-term use, deprescribing of benzodiazepines, and management of withdrawal symptoms.

Peripartum depression is one of the most common disorders of pregnancy and carries a higher morbidity and mortality risk than any other condition during pregnancy. Pregnant patients should be screened for depression with a validated screening tool and offered psychotherapy and…

Primary aldosteronism is the overproduction and oversecretion of aldosterone. The first step in diagnosis is case detection, and it is performed by simultaneously measuring plasma aldosterone concentration and plasma renin levels. Treatment is based on the subtype of…

Delirium occurs in 11% to 25% of older adults in inpatient settings and is associated with a significant financial burden. Older age, multiple comorbidities, recent surgery, and polypharmacy are independent risk factors for delirium. The diagnosis is clinical but can be…

The CDC estimates that only 25% of the 1.2 million people who could have benefited from PrEP received it in 2020. Family physicians are ideally positioned to prevent HIV, improve access to PrEP, and address current health inequities.

Although evidence is limited regarding best practices, family physicians should have an awareness of the drug supply and understand the potential implications of xylazine to provide comprehensive and holistic care.

The existing evidence indicates that varenicline is more effective than placebo, no medication, bupropion, or nicotine replacement monotherapy for smoking cessation. People taking varenicline may experience more serious adverse events, although these are still considered rare.

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

Compared with medium-dose dual inhaler therapy (ICS/LABA), triple inhaler therapy (ICS/LABA/LAMA) reduces steroid-requiring asthma exacerbations in adults with asthma, but not asthma-related hospitalizations.

Antibiotics do not reduce complications or the need for emergency surgery in people with acute uncomplicated diverticulitis. Treatment without antibiotics appears to be safe.

The USPSTF recommends that all persons planning to or who could become pregnant take a daily supplement containing 0.4 to 0.8 mg (400 to 800 mcg) of folic acid.

A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

Patients with justice system involvement face stigmatization in most areas of society, including health care. Justice system involvement is defined as regular interactions with legal, law enforcement, and carceral systems, including detention, incarceration, or community…

A newborn presented with dry, whitish-grey plaques in a linear pattern from the right inguinal area over the medial thigh and lateral shin, involving the plantar and dorsal surface of the right foot.

A 69-year-old woman presented with vesicles on erythematous bases around her left eye.

Finerenone slows the decline in renal function in some patients when added to existing therapy. However, it does not affect patient-oriented outcomes in all patients with diabetes-related chronic kidney disease.

In patients with well-controlled type 2 diabetes, blood glucose levels may reach peak values of 165 to 500 mg per dL (9.16 to 27.75 mmol per L) at 2 to 84 hours after intra-articular steroid injections and return to baseline in 18 hours to 21 days.

The BD Max Vaginal Panel is safe and accurately diagnoses most common bacterial, fungal, and protozoan causes of vaginitis in symptomatic women, including those who are pregnant. The cost is considerably higher than clinician diagnosis and traditional in-office microscopy.

In a health care setting, is it possible to identify adolescents and adults who are at risk for suicidal ideation or behavior?

POEM

POEM

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The Endocrine Society released updated guidelines for glycemic management during hospitalization with noncritical illnesses.

The American Heart Association/American College of Cardiology (AHA/ACC) Joint Committee on Clinical Practice Guidelines, with members of the Heart Failure Society of America, published new guidelines on managing the condition.

Reply: Scott L. Paradise, David A. Klein

Letter

Reply: Kelly Lacy Smith, Rachel Hughes, Palee Myrex

Smell and taste are important senses. Smell is linked to memory, lets us enjoy certain scents, and adds to our sense of taste. Smell can also alert us to dangers. Taste allows us to enjoy food and drinks. Together, smell and taste help our desire to eat and maintain nutrition…

Shortly before, during, and after you have a baby, you might have normal mood changes. These can last for up to 10 days. They are called the baby blues. Sometimes, the mood changes are more severe and last longer. They are called peripartum depression.