Anne Mounsey, Amir Barzin, Ashley Rietz
Symptoms of functional dyspepsia include postprandial fullness, early satiety, and epigastric pain or burning. Endoscopy should be performed in patients 60 years or older with dyspepsia symptoms. For patients younger than 60 years, a test and treat strategy for Helicobacter...
Evan L. Dvorin, Mark H. Ebell
Short-term systemic corticosteroids are frequently prescribed for adults by primary care physicians. Short courses of steroids are associated with adverse effects, including hyperglycemia, elevated blood pressure, mood disturbance, sepsis, and fracture. There is evidence...
Scott T. Larson, Jason Wilbur
Muscle weakness can be challenging to evaluate in primary care practice. Physicians must distinguish true muscle weakness from subjective fatigue or pain-related motor impairment. The differential diagnosis of muscle weakness is extensive, including neurologic, rheumatologic,...
Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.
The United States faces a shortage of primary care physicians due to population growth and aging, physician retirement, and changing physician work patterns.1 Although an increased supply of primary care physicians is associated with decreased mortality,2 only 13% of U.S....
The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.
Iris Mabry-Hernandez, Lily D. Yan
A 33-year-old U.S.-born pregnant clinician comes to your office for a first prenatal visit. Her most recent menstrual period was six weeks ago, and she has been taking prenatal vitamins for the past eight weeks. She was pregnant once more than two years ago, and at the time...
Drew Ashby, Franklin Niblock, Kenneth Herring, Logan Mims
Acute Heart Failure in a 39-Year-Old Man
Kyaw Naing, Sonal Shah
Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.
Joanne Wilkinson, Ronald Tutalo
Revefenacin is a once-daily nebulized alternative to metered dose long-acting muscarinic antagonists for patients with moderate to severe COPD. Given its expense, complicated administration process, and lack of evidence that it improves key patient-oriented outcomes, its use...
This guideline on atrial fibrillation (AF) management from the American Heart Association (AHA), American College of Cardiology (ACC), and Heart Rhythm Society (HRS) is an update of the 2014 version and is based on new evidence from clinical trials and the U.S. Food and Drug...
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