Common Questions About the Diagnosis and Management of Benign Prostatic Hyperplasia

RYAN PEARSON, PAMELA M. WILLIAMS

The prevalence of benign prostatic hyperplasia increases with age. It can be differentiated from other causes of lower urinary tract symptoms through history, physical examination, and additional testing such as prostate-specific antigen and urinalysis. Mild, nonbothersome...

Schizophrenia

SARAH D. HOLDER, AMELIA WAYHS

Patients with schizophrenia often have debilitating social and occupational impairments, but some are able to function well with treatment. Antipsychotic medications can treat some symptoms but are associated with multiple adverse effects, including extrapyramidal symptoms...

Incidentalomas: Initial Management

NATHAN HITZEMAN, ERIN COTTON

Physicians should consider the risk of discovering incidentalomas when contemplating imaging, because further workup of these lesions is costly, provokes anxiety, and unnecessarily exposes patients to radiation. Once detected, appropriate management of incidentalomas is...

AAFP News: AFP Edition

Proposed Bill Would Help Physicians Reenter Workforce After Time Away | AAFP, Other Organizations Warn HHS: Meaningful Use Program Is in Jeopardy | CMS Initiative Counts on Health IT to Enhance Care Quality, Coordination | Give Pay-for-Performance a Chance to Succeed,...

How Should We Manage Incidentalomas?

SUMI M. SEXTON

The patient-centered medical home model advocates that diagnostic testing be performed based on shared decision making between the patient and physician. This goal can be challenging when findings are uncertain or incidental to the original reason for ordering the test. For...

Optimal Duration of Treatment Regimens for H. pylori Eradication

JOSEPH YANCEY, KARI NEAMAND-CHENEY

A patient with peptic ulcer disease is diagnosed with Helicobacter pylori infection by stool antigen test. What is the optimal duration of treatment to ensure eradication of the bacteria?

Accounting for Complexity: Aligning Current Payment Models with the Breadth of Care by Different Specialties

JOSHUA FREEMAN, STEPHEN PETTERSON, ANDREW BAZEMORE

Family physicians provide care for a wider range of conditions than do most specialists, introducing a high level of complexity into their practice. Historic assumptions associating complexity with the intensity, skill, and training required to accommodate a single task fail...

Screening for Gestational Diabetes Mellitus: Recommendation Statement

The U.S. Preventive Services Task Force (USPSTF) recommends screening for gestational diabetes mellitus (GDM) in asymptomatic pregnant women after 24 weeks of gestation.

Painless Vision Loss

DANIEL M. FREED, TERENCE CHU

A woman presented with gradually decreasing vision in her right eye. Retinal examination revealed intraretinal hemorrhages in the right eye with edema.

Group Medical Visits for Chronic Diseases

KRISHNA M. DESAI, SCOTT W. BRAGG

Patients with diabetes form supportive relationships through group medical visits and learn to take control of their health care goals.

USPSTF Recommendations for Hepatitis B Screening

ALLEN F. SHAUGHNESSY

The U.S. Preventive Services Task Force (USPSTF) recommends hepatitis B virus screening for human immunodeficiency virus–positive persons, users of illicit injection drugs, men who have sex with men, household contacts or sex partners of infected persons, and persons born in...

Epidural Steroid Injections Ineffective for Lumbar Spinal Stenosis

MARK H. EBELL

High-Dose Vaccine Reduces Clinical Influenza in Older Adults Compared with Standard Dose

LAUREN S. HUGHES

High-dose influenza vaccine provided a 25% relative reduction in the likelihood of developing laboratory-confirmed influenza compared with standard-dose vaccine in patients 65 years and older. This corresponds to a number needed to treat of approximately 220 to prevent a...

Desmopressin Effective for Treating Nocturia in Adults

DAVID SLAWSON

Management of Atopic Dermatitis: Guideline from the American Academy of Dermatology

LISA HAUK

Atopic dermatitis, a common and chronic skin condition, affects persons of all ages. Topical therapy is the mainstay of treatment, and in severe cases, it is often combined with systemic therapy. This guideline from the American Academy of Dermatology provides information...

Optimal Time for IUD Insertion After an STI

KYOKO PEÑA-ROBLES

Considerations for Identifying Ectopic Pregnancy

AMIT BHAVSAR

Schizophrenia

Schizophrenia (SKITZ-oh-FREN-ee-uh) is a mental illness. No one knows what causes it, but scientists think that genetics, the environment, and brain chemistry may be part of the cause.

Incidentalomas

An incidentaloma (IN-suh-den-tul-OH-muh) is something unexpected that shows up when an MRI or CT scan is done to look for something else. For example, if you have a CT scan because your doctor is worried about appendicitis, the scan might also show kidney cysts or liver spots.