Primary Care's Role in Eliminating Inequities in Kidney Transplant
Am Fam Physician. 2024 Feb;109(2):109-110.NO ABSTRACTPMID:38393790 (Source: American Family Physician)
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Brittany N Watson Source Type: research

Concussion in Children, Ill Returning Traveler, RSV Vaccination, Hypertension in Pregnancy, More
Am Fam Physician. 2024 Feb;109(2):Online.NO ABSTRACTPMID:38393791 (Source: American Family Physician)
Source: American Family Physician - February 23, 2024 Category: Primary Care Source Type: research

Osteopathic Medical Schools Produce an Increasing Proportion of Family Medicine Residents
Am Fam Physician. 2024 Feb;109(2):114-115.ABSTRACTThe Association of American Medical Colleges reported a shortage of 45,000 primary care physicians in 2020 and projects shortages of 65,000 by 2025 and 104,900 by 2030.1 The shortage has been exacerbated by physician retirement due to the COVID-19 pandemic.2 The increasing deficit is partially because of the decline in medical students entering primary care specialties. Interest in family medicine has been flat for the past 10 years, and only 13% of U.S. allopathic and osteopathic graduates enter Accreditation Council for Graduate Medical Education (ACGME)-accredited family...
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Chrystal Pristell Hoon Byun Alison Huffstetler Source Type: research

Brexpiprazole as Adjunctive Therapy for Acute Treatment-Resistant Depression
Am Fam Physician. 2024 Feb;109(2):Online.NO ABSTRACTPMID:38393793 (Source: American Family Physician)
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Hemali Shah Eric Matheson Source Type: research

Systemic Pharmacologic Treatments for Plaque Psoriasis
Am Fam Physician. 2024 Feb;109(2):116-117.NO ABSTRACTPMID:38393794 (Source: American Family Physician)
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Karl T Clebak Michael T Partin Source Type: research

Cannabis Use for Cancer-Related Pain
Am Fam Physician. 2024 Feb;109(2):117-118.NO ABSTRACTPMID:38393795 (Source: American Family Physician)
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Kento Sonoda Source Type: research

Common Foot Fractures
Am Fam Physician. 2024 Feb;109(2):119-129.ABSTRACTFoot fractures account for about one-third of lower extremity fractures in adults. They are typically caused by a crush injury or an axial or twisting force on the foot. Patients usually present with bony point tenderness and swelling of the affected area. Weight-bearing varies based on the extent of the fracture and the patient's pain tolerance. When a foot or toe fracture is suspected, anteroposterior, lateral, and oblique radiography with weight-bearing should be obtained. The Ottawa foot and ankle rules can help determine the need for radiography after an acute ankle in...
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Sabrina Silver Elizabeth Williams Meghan L Plunkett Source Type: research

Managing Selected Chronic Conditions in Hospitalized Patients
Am Fam Physician. 2024 Feb;109(2):134-142.ABSTRACTThe management of chronic illnesses should continue during hospitalization. Some chronic conditions require immediate intervention, whereas intensification of therapy for other conditions may be delayed until after discharge. Factors such as pain, anxiety, poor sleep hygiene, and concurrent illness can result in a transient elevation of blood pressure. Acute lowering of blood pressure in hospitalized patients who do not have target-organ damage is not recommended and may lead to harm. If treatment is needed, intravenous antihypertensive agents should be avoided. Patients wi...
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Robert L Gauer Alain Abellada Matthew Stewart Ryan Kozloski Source Type: research

Acute Medication Poisoning
Am Fam Physician. 2024 Feb;109(2):143-153.ABSTRACTPoisoning is the leading cause of injury-related morbidity and mortality in the United States. The highest rates of exposure to poisons occur in children five years and younger, but opioid overdoses in young adults account for most deaths from poisonings in recent years. Intentional or accidental medication poisoning should be considered when evaluating patients with mental status changes, vital sign abnormalities, seizures, and gastrointestinal or cardiovascular problems. For all poisoned patients, a comprehensive history and physical examination are needed. Knowledge of t...
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Irbert L Vega Matthew K Griswold Dayne Laskey Source Type: research

Treatment of Chronic Insomnia in Adults
Am Fam Physician. 2024 Feb;109(2):154-160.ABSTRACTInsomnia affects 30% of the U.S. population, with 5% to 15% meeting criteria for chronic insomnia. It can negatively impact quality of life, decrease productivity, increase fatigue and drowsiness, and put patients at higher risk of developing other health problems. Initial treatment focuses on nonpharmacologic therapies such as cognitive behavior therapy, which improves negative thought patterns and behaviors through sleep restriction, stimulus control, and relaxation techniques. Other nonpharmacologic treatments include exercise, mindfulness, and acupuncture. If these appr...
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Eric M Matheson Brandon David Brown Alexei O DeCastro Source Type: research

Abnormal Uterine Bleeding Associated With Hormonal Contraception
This article includes algorithms to help clinicians treat abnormal uterine bleeding in people using levonorgestrel intrauterine devices, depo-medroxyprogesterone acetate, progestin implant, progestin-only pills, and combined hormonal contraception. For patients with levonorgestrel intrauterine devices, physicians should first ensure that the device is correctly placed within the uterus, then consider nonsteroidal anti-inflammatory drugs as a first-line treatment for abnormal uterine bleeding; estradiol can be used if nonsteroidal anti-inflammatory drugs are ineffective. For depo-medroxyprogesterone acetate or progestin imp...
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Sarina Schrager Kelita Fox Rachel Lee Source Type: research

Acute Uncomplicated UTIs in Adults: Rapid Evidence Review
Am Fam Physician. 2024 Feb;109(2):167-174.ABSTRACTAn acute uncomplicated urinary tract infection (UTI) is a bacterial infection of the lower urinary tract with no sign of systemic illness or pyelonephritis in a noncatheterized, nonpregnant adult with no urologic abnormalities or immunocompromise. In women, a self-diagnosis of a UTI with the presence of typical symptoms (e.g., frequency, urgency, dysuria/burning sensation, nocturia, suprapubic pain), without vaginal discharge, is accurate enough to diagnose an uncomplicated UTI without further testing. Urine culture and susceptibility testing should be reserved for women wi...
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Peter K Kurotschka Ildik ó Gágyor Mark H Ebell Source Type: research

Urinary Tract Infection (UTI)
Am Fam Physician. 2024 Feb;109(2):Online.NO ABSTRACTPMID:38393802 (Source: American Family Physician)
Source: American Family Physician - February 23, 2024 Category: Primary Care Source Type: research

Lipoprotein(a) Testing for Atherosclerotic Cardiovascular Disease
Am Fam Physician. 2024 Feb;109(2):175-176.NO ABSTRACTPMID:38393803 (Source: American Family Physician)
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Steven Embry Jordan Rennicke Source Type: research

Management of Postpartum Hypertensive Disorders of Pregnancy
Am Fam Physician. 2024 Feb;109(2):Online.NO ABSTRACTPMID:38393804 (Source: American Family Physician)
Source: American Family Physician - February 23, 2024 Category: Primary Care Authors: Tyler W Barreto Source Type: research