Post-ICU Care in the Outpatient Setting

Jason Wilbur, Jessica Rockafellow, Brian Shian

An increasing percentage of patients treated in the intensive care unit (ICU) survive to hospital discharge. Because these patients require follow-up in the outpatient setting, family physicians should be prepared to provide ongoing care and screening for common post-ICU...

Dyspareunia in Women

D. Ashley Hill, Chantel A. Taylor

Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress, affecting approximately 10% to 20% of U.S. women. Dyspareunia may be superficial or deep. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress,...

Hypothyroidism: Diagnosis and Treatment

Stephen A. Wilson, Leah A. Stem, Richard D. Bruehlman

Clinical hypothyroidism is present in one in 300 people in the United States, with a higher prevalence in female and older patients. Symptoms range from minimal to life-threatening. More common symptoms include cold intolerance, fatigue, weight gain, dry skin, constipation,...

Benefits of Avoiding Unnecessary Medical Care During the COVID-19 Pandemic

Alan R. Roth, Andy Lazris

How can avoiding unnecessary medical care during the COVID-19 pandemic benefit patients?

Irritable Bowel Syndrome, Altitude Illness, Transfusions, Group B Streptococcus, Acute Pain

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

Screening for Asymptomatic Carotid Artery Stenosis: Recommendation Statement

The USPSTF recommends against screening for asymptomatic carotid artery stenosis in the general adult population.

Screening for Asymptomatic Carotid Artery Stenosis

Justin Mills, Sonia Molchan

A 67-year-old man comes to your office for a regularly scheduled visit. He has type 2 diabetes mellitus and a 40-pack-year smoking history, but he quit smoking two years ago. He takes lisinopril and atorvastatin (Lipitor); his blood pressure today is normal.

Blunt Costophrenic Angle in a Patient with Pancreatitis

Joel Amidon, Brynlynn Pitt, Megan David

A patient presented who had recurrent pancreatitis presented with new onset of abdominal pain, nausea, and vomiting.

Lactic Acid, Citric Acid, and Potassium Bitartrate (Phexxi) Vaginal Gel for Contraception

Joshua Steinberg, Sarah E. Lynch

Given its high cost, mediocre contraceptive protection, and rate of adverse effects, Phexxi may be preferred only by people desiring to avoid hormonal contraception who wish to use on-demand contraception that they control, or for whom other contraceptive options are not...

Screening Smokers for Lung Cancer with Low-Dose CT Decreases Lung Cancer Mortality

Henry C. Barry

High-quality trials show that low-dose CT screening decreased lung cancer mortality in smokers.

SGLT2 Inhibitors Improve All-Cause and Cardiovascular Mortality in Patients Regardless of Diabetes or Heart Failure Status

Allen F. Shaughnessy

What effect do sodium-glucose cotransporter-2 (SGLT2) inhibitors have on mortality and cardiovascular and renal outcomes in patients with and without diabetes mellitus, heart failure, or kidney disease?

Early Introduction of Dietary Gluten Delays the Diagnosis of Celiac Disease in Breastfed Infants

Henry C. Barry

The introduction of dietary allergens, including gluten, to exclusively breastfed infants at four months of age, compared with six months of age, delays the prevalence of celiac disease at three years of age.

Colchicine Reduces MI and Revascularization in Patients with Established Coronary Artery Disease

Mark H. Ebell

Colchicine, 0.5 mg daily, significantly reduces the risk of myocardial infarction and ischemia-driven revascularization.

Key Potentially Inappropriate Drugs in Pediatrics: The KIDs List

Michael J. Arnold

The Pediatric Pharmacy Association produced a list of key potentially inappropriate drugs in pediatrics, or the KIDs List, to guide physicians who treat children.

Platelet-Rich Plasma Effective for Patients with Knee Osteoarthritis

Ultrasound Subthalamotomy for the Management of Parkinson Disease

Correction

Incorrect Statistics. In the Lown Right Care, “Anticoagulation in Older Adults,” (June 15, 2020, p. 748), the second sentence of the Clinical Commentary section incorrectly stated that atrial fibrillation is more common in women rather than men. The sentence should have read:...