August 2022 - AAFP News
Arthropod Bites and Stings
Joel Herness, Matthew J. Snyder, Raquelle Suzanne Newman
Insect and arachnid bites and stings account for up to 1 million emergency department visits annually in the United States. Arthropods' most significant effects on humans are as vectors for infectious diseases, and direct effects of their bites and stings are typically only a...
Diverticular Disease: Rapid Evidence Review
Justin Bailey, Sheev Dattani, Ann Jennings
This rapid evidence review briefly summarizes signs and symptoms of and tests and clinical prediction rules for diagnosing acute diverticulitis. Management is guided by symptom severity, development of complicated disease, and patient response to treatment.
Generalized Anxiety Disorder and Panic Disorder in Adults
Katharine C. DeGeorge, Molly Grover, Gregory S. Streeter
Generalized anxiety disorder and panic disorder are common mental health conditions often seen in primary care. Evaluation should be considered in patients who express recurrent, pervasive worry or present with multiple somatic symptoms not attributed to underlying medical...
Abdominal Aortic Aneurysm
Kabiul Haque, Peeyush Bhargava
A history of smoking is the greatest risk factor for abdominal aortic aneurysm (AAA). Most aneurysms are asymptomatic until they rupture. This article discusses which populations should be screened for AAA, recommendations for aneurysm surveillance, and medical and surgical...
Multiple Sclerosis: A Primary Care Perspective
Aaron Saguil, Edwin A. Farnell, IV, Teneisha S. Jordan
Multiple sclerosis is the most common cause of nontraumatic neurologic disability in young adults. Multiple sclerosis has a relatively high prevalence and patients have a long life span after diagnosis. Disease-modifying therapy has been shown to slow disease progression and...
Scrotal Masses
Robert C. Langan, Manuel E. Puente
Scrotal masses can be broadly categorized into painful vs. painless masses. Painful masses include testicular torsion, torsion of the testicular appendage, and epididymitis. Painless masses can include hydrocele, varicocele, and testicular cancer. This article presents...
Neurosyphilis, Ocular Syphilis, and Otosyphilis: Detection and Treatment
Jennifer G. Jones-Vanderleest
Syphilis rates in the United States are rapidly increasing. Treponema pallidum can infect the visual, auditory, and central nervous systems leading to serious clinical consequences if not diagnosed and treated in a timely manner.
Countering Medical Misinformation Online and in the Clinic
Asha Shajahan, Irene V. Pasquetto
Countering medical misinformation requires addressing longstanding challenges within social, psychological, economic, technological, and political dynamics.
Smoking Cessation, Stomatitis, Parathyroidectomy, Antibiotics for COVID-19, Heart Murmurs, Fractures
Key clinical questions and their evidence-based answers directly from the journal's content, written by and for family physicians.
Awake Prone Positioning for Nonintubated Patients With COVID-19 and Acute Hypoxemic Respiratory Failure
Brit Long, Michael Gottlieb
Learn more about awake prone positioning for noninubated patients with COVID-19 and acute hypoxemic respiratory failure.
Increased Physician Awareness Is Needed to Implement Universal Hepatitis B Vaccination
Rita K. Kuwahara, Yalda Jabbarpour, John M. Westfall
To counter a rising incidence of acute hepatitis B, the Advisory Committee on Immunization Practices (ACIP) now recommends universal hepatitis B vaccination for adults 19 to 59 years of age.
Can Patient-Reported Outcome Measures Improve Clinical Management and Patient Care?
Ariel L. Hoffman, Zachary P. Thompson, Tyler S. Rogers
PROMs (e.g., CAGE questionnaire, Generalized Anxiety Disorder 7-item questionnaire) completed by patients (or other individuals pertinent to the patient) improve diagnosis and documentation of relevant health information in the patient's chart, such as accurate coding,...
Exercise Training for Adults Undergoing Maintenance Dialysis
William E. Cayley, Jr.
Regular exercise probably improves functional capacity for adults undergoing maintenance dialysis and might be associated with small improvements in pain, depression, and quality of life; it is uncertain whether any effect on risk of death or cardiovascular outcomes occurs.
Screening for Impaired Visual Acuity
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for impaired visual acuity in older adults.
Diary of a Family Physician
Jonisha R. Brown, Roshni Kakaiya
First-person accounts from the front lines of family medicine.
Intravenous Iron vs. Oral Iron in Iron Deficiency Anemia
Anne Mounsey, Emily Peacock, Leif Magnusson
Intravenous iron administration does not reduce the need for blood transfusion compared with oral iron supplementation. Compared with oral iron, intravenous iron has no effect on mortality. Intravenous iron may increase the risk of infection compared with oral iron.
Rapidly Spreading Erythematous Rash
Anna Nelson, Suchitra Nair, Ian Thomas, Matthew Hogan
A patient presented with a diffuse, pruritic, erythematous, maculopapular rash in a reticulated pattern.
Proximal Femoral Pain in an Adolescent
Julie Creech, Jeffrey Leggit
A teenager presented with pain, limited range of motion, and a palpable firm, tender mass over the lateral quadriceps.
Cannabis for Treatment of Chronic Pain
Dean A. Seehusen, Kaitlin Kehoe
What are the benefits and harms of cannabis and cannabis-related products for treatment of chronic pain?
Large Increases in the Risk of Cardiovascular Events Following COVID-19 Infection That Required Hospitalization
Mark H. Ebell
Screening Colonoscopies Are Overused
Allen F. Shaughnessy
Updated American College of Chest Physicians Guideline on Antithrombotic Therapy for Venous Thromboembolism
Mark H. Ebell
High-Efficiency Air Cleaners Decrease Exacerbations and the Use of Rescue Medication in Former Smokers With COPD
Henry C. Barry
Shared Decision-Making: Guidelines From the National Institute for Health and Care Excellence
Meghan F. Raleigh, Madalyn D. Nelson, Dana R. Nguyen
The National Institute for Health and Care Excellence (NICE) published guidelines to offer practical advice for incorporating shared decision-making into everyday encounters.
Medical Cannabis or Cannabinoids for Chronic Pain: BMJ Rapid Recommendation
Pamela R. Hughes, Jennifer Nwokocha
The BMJ/MAGIC Group performed a systematic review to determine the benefits of noninhaled medical cannabis or cannabinoids in chronic cancer and noncancer pain.
Remove Race as an Initial Identifier From Clinical Presentations
Alan Blum
Reply: José E. Rodrigues, Kendall M. Campbell, Judy C. Washington
Additional Information on the Management of Infants Born to Mothers With HIV Infection
Christine Chang Pecci, Lealah Pollock, Pooja Mittal
Case Report: Moyamoya Disease in a 47-Year-Old Woman
Fazal Dalal, Garrett Frazier, Sanjay Reuben Dass
Ticks: How to Protect Yourself
Avoiding ticks and places where ticks could be is the best way to keep from getting sick from a tick bite. After being outside in places with ticks, carefully check yourself and family members for ticks (Figure 1). Children should be checked with extra care. Removing ticks...
Help for Anxiety and Panic Disorders
Generalized anxiety disorder (GAD) and panic disorder (PD) are mental health disorders that cause anxiety or worry. All of us worry or panic sometimes, but you might have GAD or PD if these feelings often affect your life.
Correction
Conditions incorrectly listed in table. In the article, "Cervical Ripening and Induction of Labor" (February 2022, p. 177), the second section "Placental or uterine" should not have been included in Table 1, "Indications for Labor Induction" (page 178). Placenta previa;...
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