August 2024

Conjunctivitis, caused by viruses, bacteria, or allergies, is one of the most common eye conditions in primary care. Viral and allergic conjunctivitis typically present as watery discharge, whereas bacterial conjunctivitis typically presents as mucopurulent discharge. A…

Clinical guidelines recommend screening at least annually for obesity in all adults. Despite the importance of obesity management, less than one-half of adults meeting the criteria for overweight and obesity received weight-loss counseling between 2011 and 2018. This article…

Adult ADHD is a continuance of childhood symptoms. Other mental disorders should be considered due to the substantial overlap of symptoms and high rate of concurrence. Clinical guidelines recommend a subset of amphetamine and methylphenidate stimulants as first-line…

Chronic cough is a cough lasting longer than 8 weeks in adults and 4 weeks in children. The initial assessment of chronic cough should include cost-effective diagnostic tests, such as chest radiography and spirometry, and empiric and targeted treatment for the most common…

Mastitis is a spectrum of disorders resulting from inflammation in the mammary glands and is usually associated with lactation. This article provides a review of the best available patient-oriented evidence for mastitis spectrum disorders.

Pulmonary hypertension presents as unexplained dyspnea on exertion and possible findings of right-sided heart failure. A delayed diagnosis is common because the symptoms are often attributed to underlying heart or lung disease.

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

This editorial discusses the paradigm shift in the treatment of lactational mastitis from treating empirically with antibiotics to watchful waiting.

The ACIP now recommends polio vaccine for incompletely vaccinated adults.

Family medicine is financially undervalued compared with other medical specialties, and reimbursement fails to recognize the valuable longitudinal care provided to patients. To address continuity, the Centers for Medicare and Medicaid Services created the G2211 code in 2019 to…

More intensive BP control in patients with diabetes mellitus and hypertension decreases the incidence of diabetic retinopathy, especially among those with higher BP.

Primary care physicians should not rely solely on clinical judgment when evaluating patients for dementia or cognitive impairment; however, clinical judgment may help inform the choice of additional testing to confirm or exclude the diagnoses of dementia and cognitive impairment.

The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls. The USPSTF recommends that clinicians individualize the decision to offer multifactorial interventions to prevent falls to community…

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

Given these mixed findings and the significant heterogeneity of the studies and outcome reporting, we have assigned a color recommendation of yellow (more information needed) when comparing intensive vs. usual glycemic control in patients with diabetes who are undergoing surgery.

A 19-year-old female patient presented with a history of painful and overly flexible joints.

It is unclear how effective SBIRT is for reducing alcohol use in adolescents. Elements of SBIRT, including a brief intervention alone with no screening or referral to treatment, may reduce alcohol consumption and alcohol-related consequences in adolescents.

Tirzepatide is highly effective and may be considered for patients desiring significant weight loss who are able to administer weekly subcutaneous injections. When no contraindications exist, tirzepatide is easy to prescribe, administer, and tolerate.

POEMs

POEMs

POEMs

POEMs

The American Heart Association (AHA) and American Stroke Association (ASA) released guidelines for the management of patients with aneurysmal SAH.

The Infectious Diseases Society of America published guidelines for treating infections with the most common resistant gram-negative organisms. These guidelines do not apply to empiric treatment.

Letter

Letter

Incorrect Statistic. In the article “Managing Selected Chronic Conditions in Hospitalized Patients” (February 2024, p. 134), an incorrect statistic was listed regarding the incidence of venous thromboembolism (VTE) during hospitalization and the effects of VTE prophylaxis. The…

Incorrect Recommendation. In the article “Diabetic Peripheral Neuropathy: Prevention and Treatment” (March 2024, p. 226), a recommendation for decreasing the development of diabetic peripheral neuropathy incorrectly included lipid levels in the last sentence of the Primary…