May 2024

Atrial fibrillation is the most common cardiac dysrhythmia in adults in the primary care setting. Diagnosis is based on history and physical examination findings and should be confirmed with 12-lead electrocardiography. Treatment includes rate and rhythm control; goals of…

Treatment-resistant depression is absence of remission despite trials of two or more antidepressant medications; partial response to treatment is less than 50% reduction in depression-rating scores. Management includes adding psychotherapy, switching antidepressant medication…

In the absence of alarm symptoms, nausea and vomiting are typically treated symptomatically and without an extensive evaluation. Chronic symptoms require a careful history to narrow the differential diagnosis. When a specific etiology is not identified, a serotonin antagonist…

The medical approach to substance use has significantly changed over the past decade. New tools for prevention, screening, assessment, and treatment have been adopted, and family physicians are well positioned to provide prevention and management.

This article reviews patient-oriented evidence to guide the diagnosis and management of acute pericarditis.

Clinicians should screen older adults for fall risk, and if results are abnormal, multicomponent interventions are indicated. These include optimizing care of chronic medical conditions, evaluating home safety, and avoiding polypharmacy and drugs that increase fall risk.

Patients with cystic fibrosis are living longer, healthier lives and are now facing many of the same ongoing health challenges as people without the condition.

Adding anxiety screening tests takes time away from critical health care tasks and is not likely to benefit patients compared with good standard care.

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

Because of the significant risk of blinding bias and imprecision in the results as well as inadequate assessment of harms, a color recommendation of yellow (unclear benefits) is assigned for use of hyaluronic acid for chronic wounds.

Saw palmetto, alone or in combination with other phytotherapeutic agents, does not improve urologic symptoms or quality of life in the short term (3 to 6 months) or long term (12 to 17 months). Also, it does not cause significant adverse events.

Bupropion facilitates tobacco cessation reported at 6 months of follow-up compared with placebo or no pharmacological treatment. More people discontinue using bupropion due to adverse effects than those using placebo or no pharmacological treatment.

The USPSTF recommends screening for anxiety disorders in adults, including pregnant and postpartum persons. The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for anxiety disorders in older adults.

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

Effects attributed to medications beyond nonpharmacologic interventions and placebo are reviewed.

Baclofen with psychosocial therapy is modestly effective in helping patients with AUD achieve abstinence, increasing abstinent days by approximately 10%. A total of 40% to 50% of patients can achieve or maintain abstinence at 1 year after treatment initiation.

A 68-year-old woman presented with persistent lesions on her trunk and extremities.

A 63-year-old man presented with a nonpainful skin lesion on his left forearm.

The sFlt-1/PlGF ratio cutoff must be standardized and further validated with additional clinical trials before implementation in the prediction and diagnosis of preeclampsia.

Vowst is simple to administer, well tolerated, and relatively effective for patients with recurrent C. difficile infection. However, it is significantly expensive. It may be considered for patients who have had 3 or more episodes of C. difficile infection within 12 months.

Framework for how physicians can engage in patient-centered discussions that promote firearm injury prevention.

POEMs

POEMs

POEMs

POEMs

The American College of Emergency Physicians (ACEP) has published new guidelines for evaluation of mild TBI.

The U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) published new recommendations for diagnosing and managing schizophrenia and first-episode psychosis.