March 2024

Part I of this article reviews the presentation, prognosis, and treatment of the most common rashes and skin changes that present during the first four weeks of life.

Part II of this article reviews the identification and management of birthmarks that appear in the neonatal period, with an emphasis on prognosis and appropriate counseling for parents.

Diabetic peripheral neuropathy occurs in up to 50% of patients with diabetes mellitus and increases the risk of diabetic foot ulcers and infections. Screening patients is essential; physicians should address underlying risk factors to reduce the likelihood of developing…

Chronic low back pain is defined as lumbar pain persisting for 12 weeks or longer. Routine imaging is not recommended. Nonpharmacologic therapies, such as exercise and physical therapy, are first-line management. Physicians should consider prevention of chronic low back pain…

This article provides a summary and review of the best available patient-oriented evidence for pancreatic cancer.

Hypertensive disorders of pregnancy are a major contributor to maternal morbidity and mortality in the United States and include chronic hypertension, gestational hypertension, preeclampsia, HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome, eclampsia…

Metformin is the most commonly prescribed glucose-lowering medication worldwide and the recommended initial pharmacologic option in major clinical guidelines, including those from the International Diabetes Federation and American College of Physicians.

Clinicians were excited when research showed that metformin reduces mortality and decreases complications associated with type 2 diabetes. However, enthusiasm has been tempered by further research that has yet to support these claims.

We chose a color recommendation of yellow (more data are needed) for this intervention in treating chronic pain.

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

There is no mortality benefit in using thiazide or thiazide-like diuretics compared with other first-line antihypertensive drug classes; however, these diuretics most likely reduce cardiovascular events and heart failure compared with calcium channel blockers.

Direct oral anticoagulants are as effective as conventional anticoagulants at preventing recurrent deep venous thrombosis or pulmonary embolism and reducing all-cause mortality. Direct oral anticoagulants slightly decrease the likelihood of major bleeding compared with…

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of routine screening or preventive interventions performed by primary care clinicians for oral health conditions, including dental caries or periodontal-related disease…

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

A 15-month-old infant presented with yellowish papules and nodules scattered on his trunk, back, scalp, and eyelids.

A 57-year-old woman presented with a nonpruritic rash associated with paresthesia, myalgia, and worsening joint pain.

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.

Melatonin should not be used to prevent hospital-acquired delirium because it does not reduce the incidence, duration, or complications of delirium, including increased length of stay or mortality.

Fezolinetant is well tolerated; however, it is more expensive and less effective than hormone therapy or available nonhormonal treatments for the relief of vasomotor symptoms associated with menopause.

How should abnormal test results be managed in patients who have had cervical cancer screening?

The PLA is an objective, noninvasive tool that decreases the need to biopsy melanocytic lesions in some skin regions. However, its accuracy requires improvement.

Reports of perceived hearing loss should be taken seriously and explored with patients. Of American adults 75 years or older, 50% have perceived disabling hearing loss; fewer than one-third of patients 70 years and older who could benefit from hearing aids have ever used them.

POEMs

POEMs

POEMs

POEMs

The American College of Gastroenterology has published updated guidelines for the management of acute lower GI bleeding.