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
An Infant With Widespread Nodules and Papules
Am Fam Physician. 2024 Mar;109(3):263-264.NO ABSTRACTPMID:38574217 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Oliver J Wisco Kyra Diehl Tracy Funk Jamie P Schlarbaum Lisa M Cohen Source Type: research
Palpable Purpura
Am Fam Physician. 2024 Mar;109(3):265-267.NO ABSTRACTPMID:38574218 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Richard W Novotny Lien N Trinh Amy J Gowan Matthew C Lomeli Source Type: research
Avoiding Delays in Diagnosing Endometriosis
Am Fam Physician. 2024 Mar;109(3):268-270.NO ABSTRACTPMID:38574219 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Alan R Roth Andy Lazris Patient Perspective By Helen Haskell John James Source Type: research
Does Melatonin Prevent Hospital-Acquired Delirium?
Am Fam Physician. 2024 Mar;109(3):271-272.NO ABSTRACTPMID:38574220 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Jacare Cardoza Leah Foley Yilin Zhang Jon O Neher Sarah Safranek Source Type: research
Fezolinetant (Veozah) for the Treatment of Menopause Symptoms
Am Fam Physician. 2024 Mar;109(3):273-274.NO ABSTRACTPMID:38574221 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Cortney Crespo Deborah Erlich Source Type: research
ASCCP Management Guidelines for Abnormal Cervical Cancer Screening
Am Fam Physician. 2024 Mar;109(3):275-276.NO ABSTRACTPMID:38574222 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Kiana Espinosa Source Type: research
DermTech Pigmented Lesion Assay for the Detection of Melanoma
Am Fam Physician. 2024 Mar;109(3):277-278.NO ABSTRACTPMID:38574223 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Kiana Espinosa Source Type: research
What Physicians Need to Know About Over-the-Counter Hearing Aids
Am Fam Physician. 2024 Mar;109(3):279-283.NO ABSTRACTPMID:38574224 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Brian K Unwin Julia M D'Amora Corinne O'Shaughnessy Source Type: research
Wrong Blood Pressure Cuff Size Can Falsely Increase or Decrease Readings
Am Fam Physician. 2024 Mar;109(3):Online.NO ABSTRACTPMID:38574225 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Allen F Shaughnessy Source Type: research
Cognitive Behavior Therapy Effective in Patients With Fatigue Associated With Long COVID
Am Fam Physician. 2024 Mar;109(3):Online.NO ABSTRACTPMID:38574226 (Source: American Family Physician)
Source: American Family Physician - April 4, 2024 Category: Primary Care Authors: Mark H Ebell Source Type: research
