Margaret Riley, Leigh Morrison, Anna McEvoy
The goals of the health maintenance visit in school-aged children (five to 12 years) are promoting health, detecting disease, and counseling to prevent injury and future health problems. The visit should include a history (e.g., hospital care since the previous visit, living...
Amy Locke, Kirsten Stoesser, Karly Pippitt
Because school-aged children (five to 12 years) are establishing patterns of behavior that may last a lifetime, families of these children should receive counseling and education to optimize health and wellness, focusing on the issues most relevant to the individual child....
Michael D. Klein, Natasha A. Sokol, Laura R. Stroud
Electronic cigarettes (e-cigarettes) are popular devices that generate an inhaled aerosol, or vapor. Completely switching from cigarettes to e-cigarettes may have short-term benefits; however, the long-term effects are unknown. e-Cigarette users are exposed to heavy metals...
Ronald Chambers, Anita Ravi, Santhosh Paulus
Identifying a trafficking victim requires an understanding of the law as well as knowledge of risk factors and signs and symptoms of exploitation.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Anna Tomdio, Michael Ritchie, Andrew C. Miller
High-quality evidence suggests that long-chain omega-3 polyunsaturated fatty acids do not prevent mortality (all-cause or cardiovascular) or cardiovascular disease events when used as primary or secondary prevention. Find out more.
Andrew Bazemore, Elizabeth Wilkinson, Stephen Petterson, Larry A. Green
We estimate that 217,208 primary care physicians provided direct patient care in the United States in 2018. This represents an even lower percentage (30%) of the total U.S. physician cohort than the 2010 Council on Graduate Medical Education's (COGME's) recommendation to...
The USPSTF recommends prophylactic ocular topical medication for all newborns to prevent gonococcal ophthalmia neonatorum.
Aparna Jain, Autumn Krcil
A 68-year-old obese man presented for chronic disease follow-up. The patient's only concern was discoloration in his lower extremities that had developed over the previous three weeks. No other areas were involved, and he had no pain or itching.
Jeffrey C. Leggit, Aaron Saguil
Secnidazole is much more expensive than generic metronidazole and other available treatments. However, it is a safe option for women who desire a single-dose treatment or for patients in whom treatment compliance is a concern.
Katherine Buck, Sana Zekri, Linh Nguyen, U. Jeff Ogar
In women with postpartum depression, the addition of CBT reduces depressive symptoms more effectively than usual care alone (medication and other therapies), with a medium effect size at the end of the intervention and a residual small effect size six months later.
Mark H. Ebell
In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?
Stacey Nickoloff, Kelsey Linn, Sarah Winter
Patient story about being diagnosed with hepatitis C and successful treatment by family doctor.
Allen F. Shaughnessy
Combined treatment with clopidogrel and aspirin, started within 24 hours of the first event, will decrease the likelihood of a recurrent stroke in an additional 2% of patients compared with aspirin alone, with a slight increase in the risk of extra-cranial bleeding.
Mark H. Ebell
The use of topical 5% fluorouracil is most likely to result in successful elimination of actinic keratoses in a field on the head or face.
Key Points for Practice
e-Cigarettes are electronic (battery powered) devices that heat a liquid to produce a smoke-like vapor. They often contain nicotine. Nicotine is the ingredient in regular cigarettes that makes them so addictive. Some people use e-cigarettes instead of regular cigarettes,...
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