Amitriptyline as Second-Line Therapy Improves Symptoms in Adults With Irritable Bowel Syndrome
Am Fam Physician. 2024 Mar;109(3):Online.NO ABSTRACTPMID:38574228 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Henry C Barry Source Type: research
Management of Acute Lower GI Bleeding: Guidelines From the American College of Gastroenterology
Am Fam Physician. 2024 Mar;109(3):284-285.NO ABSTRACTPMID:38574229 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Matthew K Hawks Source Type: research
Should Metformin Continue as First-Line Pharmacotherapy for Patients With Type 2 Diabetes? Yes: Metformin Is Still the Best Choice
Am Fam Physician. 2024 Mar;109(3):200-201.NO ABSTRACTPMID:38574204 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Gregory Castelli Stacy J Barlett Source Type: research
Should Metformin Continue as First-Line Pharmacotherapy for Patients With Type 2 Diabetes? No: Other Drugs Have Stronger Evidence of Benefit
Am Fam Physician. 2024 Mar;109(3):202-203.NO ABSTRACTPMID:38574205 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Henry C Barry Allen F Shaughnessy Source Type: research
Pleural Effusion, Giardia, Adnexal Mass, Testosterone Replacement, Chronic Kidney Disease, Scalp Psoriasis
Am Fam Physician. 2024 Mar;109(3):208.NO ABSTRACTPMID:38574206 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Source Type: research
Remote Delivery of Psychological Therapies May Improve Chronic Pain
Am Fam Physician. 2024 Mar;109(3):Online.NO ABSTRACTPMID:38574207 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: D Jason Frasca Michael Lustig Soquel Rey Source Type: research
Thiazide Diuretics vs. Other Antihypertensive Drug Classes
Am Fam Physician. 2024 Mar;109(3):209-210.NO ABSTRACTPMID:38574208 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Arindam Sarkar Katelyn D Sarkar Source Type: research
Direct Oral Anticoagulants vs. Conventional Anticoagulants for the Treatment of VTE
Am Fam Physician. 2024 Mar;109(3):210.NO ABSTRACTPMID:38574209 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Joseph R Yancey Corey J Herman Source Type: research
Newborn Skin: Part I. Common Rashes and Skin Changes
Am Fam Physician. 2024 Mar;109(3):212-216.ABSTRACTRashes in the newborn period are common and most are benign. Infections should be suspected in newborns with pustules or vesicles, especially in those who are not well-appearing or have risk factors for congenital infection. Congenital cytomegalovirus infection can cause sensorineural hearing loss and neurodevelopmental delay. Skin manifestations of cytomegalovirus may include petechiae due to thrombocytopenia. The most common skin manifestations of early congenital syphilis are small, copper-red, maculopapular lesions located primarily on the hands and feet that peel and c...
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Katherine A M Snyder Adam D Voelckers Source Type: research
Newborn Skin: Part II. Birthmarks
Am Fam Physician. 2024 Mar;109(3):217-221.ABSTRACTBirthmarks in newborns can be classified as vascular, melanocytic or pigmented, or markers of underlying developmental abnormalities of the nervous system. A nevus simplex is a benign capillary malformation. Newborns with a nevus flammeus can be safely treated before one year of age with a pulsed dye laser to reduce the visibility of lesions. Infantile hemangiomas should be treated with systemic beta blockers if there is a risk of life-threatening complications, functional impairment, ulceration, underlying abnormalities, permanent scarring, or alteration of anatomic landma...
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Katherine A M Snyder Adam D Voelckers Source Type: research
Diabetic Peripheral Neuropathy: Prevention and Treatment
Am Fam Physician. 2024 Mar;109(3):226-232.ABSTRACTDiabetic peripheral neuropathy occurs in up to 50% of patients with diabetes mellitus and increases the risk of diabetic foot ulcers and infections. Consistent screening and clear communication are essential to decrease disparities in assessment of neuropathic symptoms and diagnosis. Physicians should address underlying risk factors such as poor glycemic control, vitamin B12 deficiency, elevated blood pressure, and obesity to reduce the likelihood of developing neuropathy. First-line drug therapy for painful diabetic peripheral neuropathy includes duloxetine, gabapentin, am...
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Scott Bragg Sarah Tucker Marrison Sean Haley Source Type: research
Chronic Low Back Pain in Adults: Evaluation and Management
Am Fam Physician. 2024 Mar;109(3):233-244.ABSTRACTChronic low back pain, defined as lumbar pain persisting for 12 weeks or more, occurs in about 13% of U.S. adults. Patients with chronic low back pain should have a history and physical examination to identify red flags that may indicate serious conditions that warrant immediate intervention or yellow flags (i.e., psychological, environmental, and social factors) that indicate risk of disability. The examination should include an evaluation for radicular symptoms. Routine imaging is not recommended but is indicated when red flags are present, there is a neuromuscular defici...
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Donald Clinton Maharty Shaun C Hines Regina Bray Brown Source Type: research
Pancreatic Cancer: Rapid Evidence Review
Am Fam Physician. 2024 Mar;109(3):245-250.ABSTRACTPancreatic cancer is relatively uncommon and carries a poor prognosis because patients often develop signs or symptoms at a late stage of illness. Patients with a family history, especially those with genetic syndromes, are at a significantly increased risk of pancreatic cancer. Modifiable risk factors include smoking, heavy alcohol use, and obesity. Although patients at increased risk should be screened, screening is not recommended for asymptomatic people at average risk. The differential diagnosis for a symptomatic patient is broad, including gastroesophageal reflux dise...
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Carl Bryce Merima Bucaj Source Type: research
Hypertensive Disorders of Pregnancy
Am Fam Physician. 2024 Mar;109(3):251-260.ABSTRACTHypertensive disorders of pregnancy are a major contributor to maternal morbidity and mortality in the United States and include chronic and gestational hypertension, preeclampsia, HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome, eclampsia, and chronic hypertension with superimposed preeclampsia. For patients with chronic hypertension, oral antihypertensive therapy should be initiated or titrated at a blood pressure threshold of 140/90 mm Hg or greater. Gestational hypertension and preeclampsia without severe features can be managed with blood pre...
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Narges Farahi Fareedat Oluyadi Andrea B Dotson Source Type: research
Screening and Preventive Interventions for Oral Health in Children, Adolescents, and Adults
Am Fam Physician. 2024 Mar;109(3):261-262.NO ABSTRACTPMID:38574216 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Sheena Harris Susan J Ching Radhika Agarwal Elizabeth Lees Source Type: research
