Urinary Incontinence in Women: Evaluation and Management

Jocelyn S. Hu, Elyse Fiore Pierre

Urinary incontinence (UI) is a common problem in women, resulting in economic burden and decreased quality of life. The Women's Preventive Services Initiative is the only major organization that recommends annual screening for UI in all women. Initial evaluation should...

Otitis Media: Rapid Evidence Review

Heidi L. Gaddey, Matthew Thomas Wright, Tracy N. Nelson

Acute otitis media, the most common diagnosis in childhood acute sick visits, can cause ear pain, fever, irritability, otorrhea, anorexia, and sometimes vomiting and lethargy. Acute otitis media is diagnosed in children with moderate to severe bulging of the tympanic membrane...

Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention

Amy Curry, Tracy Williams, Melissa L. Penny

Pelvic inflammatory disease (PID) is an infection of the upper genital tract that predominantly occurs in sexually active young women. Chlamydia and gonorrhea are common causes, but other cervical, enteric, bacterial vaginosis–associated, and respiratory pathogens may be...

Can We Prevent Perinatal Depression in the Primary Care Office?

Robert C. Langan

Even if we do not provide maternity care, our commitment to the total care of our patients, which includes addressing behavioral medicine needs, allows us to be the ideal physicians to champion interventions to prevent perinatal depression.

The Family Physician's Role in the Prevention of Measles

Pamela G. Rockwell

Measles is one of the most highly transmissible diseases, with 90% of unvaccinated persons infected after contact.1 In 2000, the Centers for Disease Control and Prevention (CDC) declared that measles was eliminated in the United States, but that elimination status may be...

Cervical Cancer, Febrile Seizures, HIV Infection, Dyspepsia

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

Interventions to Prevent Perinatal Depression

Justin Mills, Brendan Day

A 25-year-old woman presents to your office after having recently missed her period. A urine pregnancy test confirms that she is pregnant. She takes acyclovir for suppression of genital herpes, which she acquired as a teenager. She reports a history of depression and sexual...

Enlarging Nodule on the Tongue

Mohenish Daughtry, Gabrielle Hood

A man presented with a nodule on his tongue that had been growing slowly for three years.

Diagnosing Dementia and Clarifying Goals of Care

Nick Bott, Ann Lindsay

A collaboration between AFP and the Lown Institute promotes a vision of delivering heath care that is based on the evidence, balanced in its approach, and focused on the patient.

Glycopyrronium (Qbrexza) Topical Wipes for Hyperhidrosis

Michael J. Arnold, Cormac O'Connor

Glycopyrronium wipes are a useful alternative for the topical treatment of hyperhidrosis of the axillae in patients nine years and older who do not respond to or tolerate nonprescription antiperspirants or topical aluminum chloride.

Vitamin D Is Not Effective as Primary Prevention of Cardiovascular Disease or Cancer

Mark H. Ebell

Vitamin D supplementation does not prevent cardiovascular events or cancer in mostly nondiabetic adults (men 50 years and older, women 55 years and older).

Omega-3 Fatty Acids Do Not Prevent Cancer or Cardiovascular Disease Events

Mark H. Ebell

This is the second large, well-designed study (the first one included patients with diabetes mellitus; this one included patients without diabetes) that found no benefit from a 1-g daily dosage of marine n-3 fatty acid supplementation for the primary prevention of...

Normal Vital Signs and Pulmonary Examination Results Rule Out CAP in Adults with Acute Respiratory Infection

David C. Slawson

Community-dwelling adults who present to a primary care office with acute respiratory infection symptoms but normal vital signs and normal findings on a pulmonary examination have only a 0.4% likelihood of community-acquired pneumonia (CAP).

Weak Evidence Supports Augmentation Therapy for Treatment-Resistant Depression

Allen F. Shaughnessy

There is weak research to guide treatment decisions for patients who have not responded to two adequate courses of antidepressant treatment. One study of cognitive behavior therapy showed benefit over placebo.

Dual Antiplatelet Therapy for High-Risk TIA and Minor Stroke: BMJ Rapid Recommendation

Lisa Croke

Based on a recent randomized controlled trial followed by a systematic review, the BMJ and MAGIC group concluded that dual antiplatelet therapy use for a limited period after mild stroke is beneficial.

Interventions to Prevent Perinatal Depression: Recommendation Statement

The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.