October 2024

Patients commonly present to family physicians with skin findings, and distinguishing common benign skin tumors from potentially malignant tumors is important. Benign skin tumors can often be diagnosed by their history, distribution, and characteristic morphology.

Risk factors for cutaneous malignant melanoma include increased exposure to ultraviolet radiation from indoor tanning and sun exposure and genetic susceptibility. Clinical tools, such as mnemonics and the ugly duckling sign, and dermoscopy aid in the diagnosis. All suspicious…

Postterm pregnancy starts at 42 weeks' gestation and late-term pregnancy is between 41 weeks' and 0 days' and 41 weeks' and 6 days' gestation. Accurate first-trimester dating is essential for determining or verifying gestational age. Ideal management of late-term and postterm…

Early recognition and proper diagnosis of obsessive-compulsive disorder can improve outcomes. First-line treatment includes exposure and response therapy, a selective serotonin reuptake inhibitor, or both.

Family physicians are well-positioned to provide injections to help alleviate pain from hand and finger conditions, especially when conservative treatments are ineffective. Techniques vary, and ultrasound guidance can be helpful.

Several common wrist pathologies are suitable for therapeutic injection, and family physicians are well-positioned to provide these injections, especially when conservative treatments are ineffective. Techniques vary, and ultrasound guidance can be helpful.

The CDC recently released guidelines on the use of doxycycline for postexposure prophylaxis of gonorrhea, chlamydia, and syphilis.

Although patients will likely continue to request GLP-1 agonists and other weight-loss remedies, we do not have to embrace a weight-centric approach.

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

Adding a LABA to a medium- or high-dose ICS likely reduces the frequency of moderate to severe asthma exacerbations compared with continuing a medium-dose ICS alone.

Disulfiram appears to increase point abstinence (i.e., the number of abstinent participants at completion of treatment) compared with placebo.

For approximately 500,000 Deaf people in the United States who use American Sign Language (ASL), accessing quality health care is challenging. Deaf people are more likely to have been admitted to a hospital in the past 12 months and have a history of chronic illness (e.g…

The USPSTF recommends that clinicians provide or refer children and adolescents 6 years or older with a high body mass index (BMI) (≥95th percentile for age and sex) to comprehensive, intensive behavioral interventions.

A color recommendation of yellow (more data are needed) has been assigned for psychological therapies in long-term care residents with depression.

Chest radiography revealed a shadow in the upper lung field of an 82-year-old man.

A 10-year-old boy presented with a rash on his lower extremities.

Arthroscopic surgery, PT, and exercise can be offered to patients with degenerative meniscal tears; none of these is considered superior. Compared with PT, arthroscopic surgery does not result in any clinically significant differences in pain, symptoms, function, activities of…

Pet therapy is used to treat anxiety because it notably reduces self-reported anxiety across multiple age groups. Most pet therapy studies involve dogs, but cats and horses also have been studied. In patients with dementia, animal-assisted therapy reduces behavioral and…

Compared with conventional assays, hs-cTn assays have a lower limit of detection and a good overall negative predictive value at certain levels in diagnosing acute MI in patients presenting with cardiac symptoms.

Implicit or explicit biases, subtle pressures, or even coercion on the part of the clinician can profoundly influence contraception counseling sessions. Clinicians are sometimes unaware of power dynamics that influence the visit and may inadvertently evoke patient perceptions…

POEMs

POEMs

POEMs

POEMs

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

The Concussion in Sport Group created the 6th International Conference on Concussion in Sport consensus statement to provide updated recommendations on concussion care for athletes at any level of sport.

The American Academy of Allergy, Asthma and Immunology (AAAAI)/American College of Allergy, Asthma and Immunology (ACAAI) Joint Task Force on Practice Parameters updated guidelines for managing atopic dermatitis (eczema).

Reply: Grace Walter, Anam Siddiqi, Alison Huffstetler

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