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Am Fam Physician. 2023;108(5):online

What is the best initial imaging test in women with acute pelvic pain?

Consensus guidelines recommend starting with transvaginal ultrasonography for pregnant and nonpregnant patients whose pelvic pain is likely from a gynecologic source. If the patient is not pregnant and a gastrointestinal cause is suspected, perform a computed tomography scan of the abdomen and pelvis with intravenous contrast. Ultrasonography should be considered a low-risk first imaging modality to evaluate for possible appendicitis.

How can the risk of food allergies in children be decreased?

Early introduction of peanuts, wheat, cooked eggs, and cow's milk between four and six months of age decreases the risk of developing food allergies.

Does a gluten-free diet reduce symptoms of autoimmune thyroid disease?

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