Current Concepts in Adult Acute Rhinosinusitis

ANN M. ARING, MIRIAM M. CHAN

The primary treatment strategies for acute rhinosinusitis in adults are watchful waiting for up to 10 days and antibiotic therapy. Clinical signs and symptoms alone are insufficient for determining which patients will benefit from antibiotic use. However, the presence of...

Diagnosis and Treatment of Polycystic Ovary Syndrome

TRACY WILLIAMS, RAMI MORTADA, SAMUEL PORTER

Polycystic ovary syndrome is a common and complex endocrinopathy that affects nearly 7% of women in the United States. The disorder is thought to result from a combination of genetic and environmental factors and can have a range of manifestations. Insulin resistance has been...

Acute Shoulder Injuries in Adults

JAMES MONICA, ZACHARY VREDENBURGH, JEREMY KORSH, CHARLES GATT

Common acute shoulder injuries include acromioclavicular joint injuries, clavicle fractures, glenohumeral dislocations, proximal humerus fractures, and rotator cuff tears. Many of these injuries can be managed without surgery by a knowledgeable family physician; however, it...

AAFP News: AFP Edition

AAFP Delivers New Opioid Toolkit, CME Webcast to Equip Members | Family Physician Salaries Rise at Rapid Clip | New CMS Rule Seeks to Level Playing Field for ACO Incentives | Study Highlights Success of Ottawa Model for Smoking Cessation

Strategies for Addressing and Overcoming Vaccine Hesitancy

JAMIE LOEHR, MARGOT SAVOY

Family physicians should give strong, favorable vaccine recommendations. When faced with true hesitancy, be curious and ask respectful questions to delineate concerns. Remember that patients' ambivalence is your friend because it means that they have not closed their minds to...

Trigeminal Neuralgia

JOANNA M. ZAKRZEWSKA, MARK E. LINSKEY

What are the effects of ongoing treatments in persons with trigeminal neuralgia?

Genital Papules in an Adult Male

VICTORIA R. SHARON, SANMINDER SINGH, THOMAS H. KONIA, TATYANA PETUKHOVA

A man presented with more than 50 firm, moist, pink papules on the scrotum and penile shaft, as well as inguinal lymphadenopathy. The lesions were nontender, smooth, and flat-topped.

Screening for Breast Cancer

JENNIFER CROSWELL, JOHN OWINGS

S.O. is a 47-year-old woman who presents to your office for a well-woman visit. She is healthy, takes no medications, and has no health concerns. She has never been diagnosed with breast cancer, nor have any of her first-degree relatives. Her digital mammography two years ago...

Caring for Patients with Job Insecurity Who Are Experiencing Chronic Work-Related Pain

ROSEMARY SOKAS, EMMA ZAVALA-SUAREZ, DELIANA GARCIA

In addition to providing direct medical care, the physician can help this patient by obtaining an occupational history, formulating hypotheses about the cause of the pain and potential interventions, and establishing a therapeutic relationship.

Pharmacotherapy for Adults with Alcohol Use Disorder

ELIZABETH SALISBURY-AFSHAR

What are the potential benefits and adverse effects of medications used to treat alcohol use disorder (AUD) in adult outpatients?

Liraglutide (Saxenda) for Weight Loss

J. SUZIN WHITTEN

Liraglutide, combined with lifestyle counseling, produces a clinically significant and sustained weight loss that continues as long as it is used. Nausea and vomiting, however, are common adverse effects, and about one in 10 patients will discontinue treatment.

Genetic Test Results That Identify Increased Risk Do Not Change Behavior

ALLEN F. SHAUGHNESSY

Patients informed via genetic test results that they were at increased risk of disease did not subsequently alter their behaviors. For example, persons at increased risk of diabetes mellitus or hypertension were no more likely to change their diet or increase their physical...

No Reduction in Readmissions with Telemonitoring, Coaching for Patients with Heart Failure

NITA SHRIKANT KULKARNI

Preparticipation Screening for CVD in Competitive Athletes: Recommendations from the AHA/ACC

LISA HAUK

The American Heart Association (AHA) and American College of Cardiology (ACC) have provided recommendations regarding eligibility and disqualification of competitive athletes with cardiovascular abnormalities.

Screening for Chronic Obstructive Pulmonary Disease: Recommendation Statement

The USPSTF recommends against screening for chronic obstructive pulmonary disease (COPD) in asymptomatic adults.

Choosing Tap Water vs. Sterile Saline for Wound Irrigation

PAUL PISARIK

Acute Sinusitis

The sinuses are hollow spaces between the bones of your face. Sinusitis (“sine-you-SITE-iss”) is what happens when the sinuses are infected by a virus, bacteria, or both. Sinusitis is sometimes called rhinosinusitis or a sinus infection.

Corrections

Corrections